Jobs at Molina Healthcare in Columbus, OH

50 job openings within 25 miles

Save This Search

Refine Your Search

Show more Show less
Displaying results 1 - 15 of 50

Peer Specialist-Mental Health Focus

Molina Healthcare - Columbus, OH

Job Description This Particular role will be focused more on the mental health side of the role. We are looking for someone who has had mental health life experiences and has the Peer Support Certification. We are so excited to be able to offer this role as part of a larger Behavioral Health Initiative. This role is a vital life line for those who are suffering a variety...

Medical Director

Molina Healthcare - Columbus, OH

Job Description Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services. Maintains a working knowledge of applicable national, state and local laws and regulatory requirements affecting ...

Pharmacist, Clinical/MTM

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal a...

Sr Specialist, Quality Interventions/QI Compliance (Plan Do Study Act Model)

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities...

Sr Specialist, Quality Improvement (RN) (Remote)

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities...

Sr Specialist, Quality Improvement (RN) (Plan Do Study Act Model)

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities...

Analyst, HEDIS/ Quality Reporting

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities...

Sr Reports Developer - SQL / SSRS

Molina Healthcare - Columbus, OH

Job Description Job Summary Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and deploying reports to provider networks and other end users for operational and strategic analysis. Knowledge/Skills/Abilities • Creates CR's for new reports. Creates report...

Sr Healthcare Analytics - Columbus, OH

Molina Healthcare - Columbus, OH

Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. SQL knowledge and daily working with developing ad-hoc reports using SQL p...

Assoc Specialist, Provider Contracts

Molina Healthcare - Columbus, OH

Job Description Job Summary Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on...

Specialist, Community Engagement SW OH Counties

Molina Healthcare - Columbus, OH

Job Description Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Knowledge/Skills/Abilities • Under limited supervision, responsib...

VP, Health Plan Operations

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of State Health Plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulatory requirements.

Provider Rep-Claims Research & Resolution

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provide...

Rep, Provider Engagement Team

Molina Healthcare - Columbus, OH

Job Description Ohio Plan Specific: The Ohio Plan is one of the largest plans in the portfolio of Molina Plans. It is one of the 13 States where we serve the underserved. Engagement of our Providers is a large part of our success over the past 35 years delivering quality services to our members. How they interact and connect with our members and Molina makes all the diffe...

Lead Analyst, Healthcare Analytics

Molina Healthcare - Columbus, OH

Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities • Develops, implements and uses software and systems...