Jobs at Molina Healthcare in Irving, TX - Page 2

31 job openings within 25 miles

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Case Manager (RN)

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...

Case Manager (RN)

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...

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...

Sr Analyst, Reporting & Analytics

Molina Healthcare - Irving, TX

Job Description Job Summary Under supervision, applies software engineering methods and techniques to the design, development, integration, qualification and/or support of Microsoft Reporting Services, SQL stored procedures and developing areas of expertise. Knowledge/Skills/Abilities • Creates reports to meet user requirements using Microsoft SQL R...

Broker Channel Manager

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for the development and maintenance of an effective and efficient broker channel for assigned geographical region. Work in collaboration with other Broker Channel Managers, Field Sales Managers, Directors, and AVPs as needed in assigned states. Develop a high functioning, high performing broker network which is strategically a...

Manager, Financial Reporting

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for the preparation and distribution of financial reports on a timely and accurate basis for both internal and external use. Duties include preparation and distribution of periodic financial statements for users other than those directly employed by the organization, and ensuring that all reports and disclosures comply with ap...

Specialist, Community Engagement Nursing Facility

Molina Healthcare - Irving, TX

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, responsible fo...

Contract Manager, Provider Contracting

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,...

Provider Services Rep

Molina Healthcare - Irving, TX

Job Description 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 with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Services...

Provider Services Rep

Molina Healthcare - Irving, TX

Job Description 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 with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Services...

Project Coordinator

Molina Healthcare - Irving, TX

Job Description Job Summary Provides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in support of the functional processes, programs and/or services. Also provides the administration of various programs, ...

Administrative Assistant

Molina Healthcare - Irving, TX

Job Description Job Summary Provides 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 office support ...

Case Manager (RN)

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...

Bilingual Member Services Reps (Multiple Openings

Molina Healthcare - Irving, TX

Job Description Job Summary Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member relationships. R...

Specialist, Appeals & Grievances

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid