Jobs at Molina Healthcare in Boise, ID

10 job openings within 25 miles

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Claims Examiner - Managed Care

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.Knowledge/Skills/Abilities• Evaluates the adjudication of claims using standard principles and ...

Examiner, Claims - Healthcare

Molina Healthcare - Boise, ID

Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.Knowledge/Skills/Abilities• Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to ...

Project Manager

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryPlans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management, rather than the application of expertise in a spec...

Supv, Care Management

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryMolina 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...

Associate Architect, MITA Business

Molina Healthcare - Boise, ID

Job Summary:Overview of entire system, end to end process and communicate design and expectations to internal team.Knowledge/Skills/Abilities:• Provides leadership and solution designs for specified MITA business areas.• Creates Boot camp sessions for internal and external staff.• Continuously works with solution teams to improve processes and deliver...

Associate Developer, SQL

Molina Healthcare - Boise, ID

Job SummaryAssists in gathering requirements, technical requirements and works directly with Business Architects within MITA areas.Knowledge/Skills/Abilities• Creates stored procedures, functions and queries.• Writes and maintains database stored procedures, functions and queries.• Writes documentation for best practices, lessons learned, D...

Supervisor, Provider Services

Molina Healthcare - Boise, ID

Job Description*** Remote Position (However you must reside in the state of Idaho to travel on site when needed ***Job Summary:• Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment w...

Analyst, Test

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryResponsible for developing high level test scenarios and test casesKnowledge/Skills/Abilities• Interactively takes direction from Manager• Create test plans along with regression test plans for system upgrades, process improvements and regulatory requirement implementations• Reports weekly on assignment progress...

Manager, Healthcare Services $5,000 SIGN ON BONUS (RN or MSW with LTSS, Managed Care and Strong Management Experience)

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryMolina 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 (Monday - Friday, 08:00am to 05:00pm) Boise, ID

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryMolina 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...