Molina Medicaid Solutions - DHHR

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Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED13006ROLE RESPONSIBILITIES SKILL SETtechnicians, and operatorsand IT infrastructure Develops value added networks (VANS)and the eligibility verification system(EVS)IntercomEngineerInterfaceSpecialistMail RoomLeadMemberPaymentsFinancialAnalystInvestigates, evaluates, recommends andimplements upgrades to hardware andsoftware to according to state requirementsPrepares and maintains documentation forcurrent network platform, backup, andprinting proceduresDevelops and maintains disaster recoveryplan and leads testing activitiesEstablishes, maintains, and updates theSharePoint portal that houses the HealthPAS-InterComm communications portalEstablishes and enforces standards andprocedures for using InterComm,managing security and access rights,archiving, availability, establishing newfolders, backup and recovery, and usermanuals and trainingDevelops and maintains user manualsProvides training in the use of the portalProvides day-to-day direction to theinterface teamDefines and validates the customerbusiness requirements and solutionrequirements for interfacesDevelops the data mappings for theinbound and outbound data interfacesDesigns the integration of data between theHealth PAS solutionsSupports testing for the interface processesTracks and reports the progress of interfacetasksManagement of mail room activitiesMonitors subcontractor activitiesTracks use of postageEnsures all deliveries are madePerforms member cleanup from membereligibility loadsConducts member analysis anddemographic updates as submitted byclient or onsite staffPerforms daily and monthly Medicareclean-upServes as lead for multiple meetingsSkilled at communicating technicalinformation to non technical usersSix years experience with LANS andNetworksTwo years supervisory and managementexperienceBachelor’s degree or equivalentexperienceThree to five years computer experienceStrong knowledge of SharePoint webportal applicationStrong knowledge of Health PAS-InterCommStrong knowledge of networks andsecuritySkilled at documenting andcommunicating technical information tonon-technical usersBachelor’s degree or equivalentexperienceStrong knowledge of interfaces, includingdata mapping, requirements definition,data integration, and testingSkilled at communicating technicalinformation to non technical usersSix years experience with systeminterfacesTwo years supervisory and managementexperienceHigh School diploma or GEDTwo years experience in mail roomprocessingBachelor’s degree or equivalentexperienceMinimum of two years experienceworking with Health PAS, preferablyknowledge of current versionKnowledge of insurance claims processingSQL, Visual Basic MS Project, MS OfficeSuite14.4-26
Bridging the Rivers ofChange TogetherWest Virginia MMIS Re-ProcurementSolicitation: MED13006ROLE RESPONSIBILITIES SKILL SET(internal and with customer) Ability to work independently, with Develops and maintains all processminimal supervisiondocuments regarding member module andkey responsibilities Excellent verbal and writtencommunication skills Trains staff members in membermaintenanceOPS LAN/DesktopAnalystMailroomAnalyst/CourierPharmacyAnalyst,Provides the technical support of hardware,systems, sub-systems and/or applicationsfor customers and/or employeesReviews, analyzes, and evaluatesinformation technology systems operationsApplies basic diagnostic techniques toidentify problems, investigate causes, andrecommend solutions to correct commonfailures and support of local PCs andapplicationsProvides technical support for computerroom, printer room, and network/phonesupportAssists infrastructure and applicationsteams implementing changesMaintains all personal computers anddesktops and disposes of obsoleteequipmentOrders and sets up new staff equipmentSupports server Microsoftpatches/printers/facility tasksProvides upgrades of computer systems to<strong>Molina</strong> standardsSupports on-call as required on a rotatingbasis 24/7Receives, opens, sorts, and deliversincoming mail receiptsDelivers and collects mail daily to localpost officeDelivers and collects documents twicedaily to the state offices; may requireadditional trips to various state offices, asneededDelivers and collects mail to variousdepartments within <strong>Molina</strong>Coordinates outbound mailMaintains transportation log for van andensures timely maintenanceMonitors contractor staffPrepares, for mailing, return to provider(RTP) lettersLeads POS team on technical tasks:analyzing work requests from customer for Associate’s Degree or equivalentexperience Three to five years computer experience Knowledge of Windows 2000/2003/2008Server administration Knowledge of 2005 R2 Virtual Server Computer room/network/phone and printersupport skills Personal computer hardware andapplications support skillsHigh school diploma or GEDValid state drivers licenseOne year prior courier experiencepreferredAbility to lift up to 50 poundsBasic knowledge of Microsoft OfficeOutlookBachelors degree or equivalent experience14.4-27
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Molina Medicaid SolutionsResponse t
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Bridging the Rivers ofChange Togeth
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e10vkTable of ContentsItem 1:Overvi
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e10vkDepartment of Health Services
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e10vkservices, and reputation or na
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e10vkIf our government contracts ar
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e10vkIf our cost increases resultin
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e10vkour board of directors. Becaus
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e10vkFirst Quarter $ 44.94 $ 23.46S
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e10vkTable of ContentsCertain compo
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e10vkNevada 8,037 1,106.45 9,099 1,
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e10vkInvestment IncomeInvestment in
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e10vkand 2007, respectively. EBITDA
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e10vk$2.8 million, or $0.10 per dil
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e10vkREPORT OF INDEPENDENT REGISTER
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e10vk65Table of ContentsMOLINA HEAL
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e10vkDelegated Provider InsolvencyC
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e10vk2007 (see Note 11, “Long-Ter
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e10vk$ 252,380 $ 248,039Gross reali
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e10vkTable of ContentsMOLINA HEALTH
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e10vk$10.9 million, and $7.9 millio
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e10vkIn July 2008, our board of dir
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e10vkThe Registrant has an equity i
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e10vkSIGNATURESPursuant to the requ
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exv12w1EX-12.1 2 a51362exv12w1.htm
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e10vkEX-31.1EX-31.2EX-32.1EX-32.2Ta
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e10vkLeverage operational efficienc
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e10vkhealth plans. Among such facto
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e10vkMissouri and Ohio health plans
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e10vkWe are subject to various rout
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e10vkIt may be difficult for a thir
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e10vkItem 5:PART IIMarket for Regis
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e10vkstates to exclude certain bene
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e10vkMedical care ratio 86.8% 84.8%
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e10vkTable of ContentsMedical care
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e10vkare required to pay a fee for
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e10vkknown. While we believe our cu
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e10vkYear Ended December 31,2009 20
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e10vkCalifornia $ 481,717 $ 417,027
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e10vkMOLINA HEALTHCARE, INC.NOTES T
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e10vk2008, we had transitioned fewe
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e10vknot intend to sell, nor is it
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e10vkDuring 2009, 2008, and 2007, t
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e10vk$29.17 - $30.05 9,350 5.9 $ 29
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e10vk(1) The Registrant’s condens
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e10vkChanges in Internal Controls:
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e10vkSignature Title Date/s/ Joseph
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exv10w22Commitments exceed the sum
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exv10w22Loan Document. The amendmen
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exv10w22Name:Title:Fifth Amendment
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exv10w22Fifth Amendment to Credit A
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exv10w24EX-10.24 3 a55407exv10w24.h
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exv10w24Molina ECMS ref# 729 Provid
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exv10w24HSA — Hospital Services A
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exv10w243.2 Member Eligibility Dete
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exv10w245.6 Amendment. Health Plan
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exv10w24HSA — Hospital Services A
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exv10w24License No. StreetNPI (or U
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exv10w24Page 23 of 40ATTACHMENT CPr
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exv10w24• This reimbursement meth
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exv10w24(Rule 53250(e)(4))8. Provid
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exv10w241. Right to Audit. Provider
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exv10w24Treasurer G. William Hammer
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exv10w25unless the situation is one
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exv10w25Plan in identifying, proces
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exv10w25Page 9that the offset and r
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exv10w25under this Agreement.h. Hea
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exv10w25Page 16Date 6/1/06ATTACHMEN
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exv10w25that Provider is de-delegat
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exv10w25the subscriber or Member by
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exv10w25discretion, that Provider h
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exv10w252.5 Annual Disclosure of Ca
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exv10w25Initials of authorizedrepre
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exv10w25the report is true and corr
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e10vk10-K 1 a58840e10vk.htm FORM 10
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e10vkOur StrengthsWe focus on servi
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e10vkevent.CompetitionWe operate in
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e10vkat the funding for these healt
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e10vk18Table of ContentsAlso, many
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e10vkTable of Contentsalleged non-c
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e10vk(fair value of $20.4 million).
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e10vkTable of ContentsSTOCK PERFORM
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e10vkAs of December 31, 2010, our h
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e10vkYear Ended December 31,2010 20
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e10vkAcquisitionsWisconsin Health P
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e10vkspecific performance measures
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e10vkoverestimations were tied to o
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e10vkIntangible assets, net 105,500
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e10vkOur Health Plans segment compr
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e10vkSituations may arise where the
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e10vkinvestment fund. As of Decembe
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e10vk7. ReceivablesHealth Plans seg
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e10vkindebtedness under the Credit
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e10vkstatutory capital and surplus
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e10vkCash paid in business purchase
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e10vkItem 12.Security Ownership of
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exv10w27EX-10.27 2 a58840exv10w27.h
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exv10w27(f) all transferable or ass
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exv10w27and other charges have been
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exv10w27under or affecting the Prop
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exv10w27BY A GENERAL RELEASE, WHICH
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exv10w27(f) Seller’s share of the
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exv10w2710.6 Items Not to be Prorat
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exv10w27- 21 -(i) Delinquency Repor
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exv10w27executed, and delivered by
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exv10w27MATERIALS THAT PERTAIN TO T
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exv10w27Attn: General CounselTeleph
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exv10w2718.16 Authority. The indivi
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