Jobs at Molina Healthcare in Salt Lake City, UT

12 job openings within 25 miles

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Dir, Health Plan Quality Improvement

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryServes as a leader of health plan Quality strategy and activities, including but not limited to leadership and primary Molina interface with state agencies, leadership of local Quality committees and oversight of intervention activities intended to improve quality measures and outcomes, The Quality Director will collaborate with MHI Quali...

Sr. Specialist, Quality Interventions/QI Compliance

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryMolina'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...

Transition of Care Coach, RN (Remote: Utah)

Molina Healthcare - Midvale, UT

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 toward desir...

Sr Account Rep, Medicare

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryResponsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures.

Analyst, Healthcare Analytics

Molina Healthcare - Midvale, UT

Job DescriptionJob 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.Knowledge/Skills/Abili...

Registered Nurse: SIU Investigator - Utah

Molina Healthcare - Midvale, UT

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...

Supv, Care Management

Molina Healthcare - Midvale, UT

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 toward desir...

Chief Medical Officer, Health Plan

Molina Healthcare - Midvale, UT

Knowledge/Skills/Abilities• Provides leadership to the health plan in the areas of strategic planning, strategy execution and implementation of care management programs, including such programs as Quality Improvement, Utilization Management, Care Management, Predictive Modeling, and Disease Management.• Leads the health plan's analysis of medical care cost and utilization dat...

Pharmacy Technician, CPT or CPhT (UT or IL)

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...

Pharmacy Technician (CPT, CPhT) - Swing Shift

Molina Healthcare - Midvale, UT

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...

Medical Director, Health Plan

Molina Healthcare - Midvale, UT

Job DescriptionJob Summary• Doctorate Degree in Medicine• Board Certified or eligible in a primary care specialtyKnowledge/Skills/AbilitiesProvides medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to Plan members, targeting improvements in efficiency and satisfaction for pat...

Medical Director, Behavioral Health - Psychiatrist

Molina Healthcare - Midvale, UT

Job SummaryBring your clinical psychiatric experience, leadership & initiative to the Behavioral Health function of the Utah & Idaho health plans. The BH Medical Director will conduct utilization reviews, determine strategic direction of BH activities and develop recommendations for integrated mental health and chemical dependency programs and outreach statewide.