Jobs at Molina Healthcare in Salt Lake City, UT

10 job openings within 25 miles

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Nurse Practitioner (Remote: SLC Cty, Utah)

Molina Healthcare - Salt Lake City, UT

Job DescriptionJob 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...

Sr. Abstractor, HEDIS/Quality Improvement - (4 Positions)

Molina Healthcare - Salt Lake City, UT

Job DescriptionJob SummaryMolina's Quality Improvement Sr. Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. The Senior Abstracto...

Rep, Pharmacy

Molina Healthcare - Midvale, UT

Job Description Job 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 wit...

Operational Excellence Process Consultant: Lean Certified / Six Sigma Black Belt

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryLeads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHU's business process improvement methodology and in the implementation of a business process improvement capability.Knowledge/Skills/Abilities• Respo...

Associate, Risk Adjustment

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryRisk Adjustment is responsible for quality measurement and process improvement in the application of regulatory requirements.Knowledge/Skills/Abilities• Helps support day to day operations• Helps under supervision to support Risk Adjustment related projects, including goals, objectives, milestones and d...

Specialist, Risk Adjustment

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryRisk Adjustment is responsible for quality measurement and process improvement in the application of regulatory requirements.Knowledge/Skills/Abilities• Assist with implementation and monitoring local risk adjustment coordination efforts.• Assist with implementation of risk adjustment strategy in conjun...

Pharmacy Service Rep

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryHandles provider phone calls regarding pharmacy claims processing in a call center setting. Satisfactorily resolve calls within expected response time standards.Knowledge/Skills/Abilities• Handles inbound pharmacy call volume.• Responds to incoming calls mainly from providers, as required to meet...

Pharmacist, Clinical/MTM

Molina Healthcare - Midvale, UT

Job Description Job 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 wit...

Assoc Specialist, Provider Contracts

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryResponsible 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 ...

Analyst, Healthcare

Molina Healthcare - Midvale, UT

Job Description Job SummaryPerforms 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.Molina Healthcare Core Com...