Jobs at Molina Healthcare in Jackson, MS

5 job openings within 25 miles

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Mgr, Delegation Oversight

Molina Healthcare - Jackson, MS

Job Description Job Summary Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities and functions with provider partners and vendors to ensure compliance primarily with the Mississippi Division Of Medicaid (DOM) and Centers For Medicare and Medicaid (CMS) requirements including delegati...

Pharmacy Technician

Molina Healthcare - Jackson, MS

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...

Supervisor, Member Services

Molina Healthcare - Jackson, MS

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...

Care Review Clinician, Prior Authorization

Molina Healthcare - Jackson, MS

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 Rep, Provider Services

Molina Healthcare - Jackson, MS

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...