Jobs at Molina Healthcare in Everett, WA

26 job openings within 25 miles

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Field Nurse Practitioner (Snohomish WA)

Molina Healthcare - Everett, WA

POSITION SUMMARY:Care Connections, a new division of Molina Healthcare, seeks Nurse Practitioners to join its growing team which will contribute to the company mission to bring quality health care to the underserved. The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. As a clinician, yo...

Care Review Processor

Molina Healthcare - Bothell, WA

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 ...

Administrative Assistant

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryProvides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site.Knowledge/Skills/Abilities• Provides confidential administrative and of...

Provider Contracting Manager

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryNegotiates 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 Provide...

Medical Director (Pediatrics)

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryResponsible 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 require...

Care Connections Representative (Customer Service)

Molina Healthcare - Bothell, WA

Job DescriptionJob Summary• Accurately record all calls in QNXT or other systems as applicable • Responds to internal and external customers in a timely and accurate manner, treating them with respect and courtesy• Advise callers of outstanding HEDIS services needed• Assists callers with Web Portal registration and utilization• Ad hoc r...

Claims Specialist, Provider Inquiry Research and Resolution

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryMolina 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.

Pharmacy Technician

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryMolina 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 a...

Pharmacy Technician

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryMolina 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 a...

Case Manager (Field Based in Skagit County, WA)

Molina Healthcare - Bothell, WA

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 ...

Assoc Analyst, Finance

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryResponsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information; generating forecas...

Director, Health Plan Quality Interventions

Molina Healthcare - Bothell, WA

Job DescriptionJob Summary The Director, Health Plan Quality Interventions is responsible for implementing quality improvement interventions and acting as the subject matter expert for the health plan. Key activities include implementing, monitoring and analyzing the effectiveness of a comprehensive intervention strategy and facilitating stakeholder input ...

RN SIU Investigator - WA

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing revi...

RN Case Manager, Disease Management (Remote in Washington)

Molina Healthcare - Bothell, WA

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 ...

Specialist, Government Contracts Department

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryResponsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.Knowledge/Skills/Abilities• Performs go...