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Amazon Warehouse Associate - Hiring Immediately (North Haven)

Amazon - North Haven, CT

Warehouse Team Member (Seasonal, Part-Time, Full-Time, Flexible Hours) Shifts: Overnight, Sunrise, Day, Evening, Mid, Weekend Location North Haven Job opportunities vary by location. We update postings daily with open positions. Salary Earn $15.25/hr - $17.65/hr Amazon remains open as an essential service to ...

Credentialing Clerk

Molina Healthcare - Spokane, WA

Job Description Job Summary Clerks are responsible forentering credentialing information received from practitioners and providersinto our credentialing database. Clerks work on a team that supports each otherthrough various functions to ensure team goals are achieved. Job Functions: Complete data entry of applications in the cre...

Clinical Services Auditor (RN)

Molina Healthcare - Jackson, MS

Knowledge/Skills/Abilities • Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM) and monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May also perform non-clinical system and proc...

VP Quality

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for planning, developing and directing the implementation of strategies to ensure that there are high levels of performance and quality within the established quality improvement processes and programs. Reviews and conducts on-going evaluation of quality improvement p...

Care Review Processor

Molina Healthcare - Bothell, WA

Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desir...

Case Manager, LTSS : Waivers / MMP

Molina Healthcare - Troy, MI

Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desir...

Case Manager RN (Multiple Openings - El Paso)

Molina Healthcare - El Paso, TX

Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desir...

Provider Contracts Manager

Molina Healthcare - Irving, TX

Job Description Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. Knowledge/Skills/Abilities • In conjunction with Director/Manager Provider Contracts,...

DevOps Lead Engineer

Molina Healthcare - Long Beach, CA

Job Description Job Summary Partners with CIO office to provide professional project and initiative and Office management. Utilizing Molina defined processes will execute the project including project initiation, project planning, project daily oversight and execution, project monitoring and control and project closing. Knowledge/Skills/Abilities o ...

Assoc Actuarial Analyst

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Knowledge/Skills/Abilities • Support the development of the IBNR estimates and rate adequacy studies. Document assumptions. • Analyze re...

Care Review Processor

Molina Healthcare - Houston, TX

Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desir...

Director, Enrollment

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, maintaining PCP assignment, and sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enr...

Care Review Processor

Molina Healthcare - Irving, TX

Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desir...

Project Manager, PMO - Systems Integration

Molina Healthcare - Long Beach, CA

Job Description Job Summary Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management related to systems integration projects. Knowledge/Skills/Abilities • Proven depth of understand...

Manager, Sales - Healthcare Medicare - Remote/Field in Texas

Molina Healthcare - Irving, TX

Job Description Job Summary Provides leadership and direction to their Sales channels in all approved Molina markets. Serve as the primary contact for their channel's distribution of assigned Molina products, and resolution of operational issues, by either directly handling or escalating to the attention of the AVP so appropriate action can be taken. Works directly ...