Jobs at Molina Healthcare in Syracuse, NY

11 job openings within 25 miles

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Analyst, Coding (Certified Coder/CPC or CCS)

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryEstablish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care...

Case Manager, LTSS - Field

Molina Healthcare - Syracuse, NY

Job DescriptionNew York Plan Specific: This role requires a Registered Nurse with an unrestricted license. You will be helping our members to connect with the Long Term Services, which may include Skilled Nursing Facilities, Home Health, Assisted Living and other community resources. We use UAS as a screening tool for our LTSS Evaluations. Experience with this tool is extremely ...

Case Manager (RN) FIELD REMOTE

Molina Healthcare - Syracuse, NY

Job DescriptionThe State of New York Contract requires that this role be filled with a Registered Nurse with an unrestricted license in the state of New York. Remote for this role means field based or community based. Once a month meeting in office minimum. Rest of time is member visits at provider offices and/or home and documentation at home. Ratio of time...

Sr Finance Analyst, Healthcare Analytics Syracuse, NY

Molina Healthcare - Syracuse, NY

Performs 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.SQL knowledge and daily working with developing ad-hoc reports using SQL p...

Mgr, Content Mgmt

Molina Healthcare - Syracuse, NY

Job DescriptionJob Summary• Develop a content strategy document for selected projects• Assess, catalogue, and organize content (content inventory)• Assign and track new content development (content matrix)• Develop a competitive site analysis/Gap analysis• Create taxonomy/nomenclature lists and definitions (and other content strategy deliverables a...

Nurse Practitioner: Field /Syracuse, NY (Onondaga County)

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryCare Connections, a 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....

Analyst, Healthcare Analytics

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryThe Analyst, Healthcare Analytics will perform 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....

Assoc Specialist, Provider Contracts

Molina Healthcare - Syracuse, NY

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 be housed on...

Associate Specialist, Quality

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryThe Associate Specialist, Quality will be responsible for planning, developing and directing the implementation of techniques to ensure the maintenance of performance and quality levels in the Business' products and processes. Reviews product designs and establishes procedures and techniques for the control of quality standard...

Specialist, Quality Interventions/QI Compliance

Molina Healthcare - Syracuse, NY

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...

Specialist, Community Engagmnt (Field)

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryResponsible 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...