Jobs at Molina Healthcare in Syracuse, NY

15 job openings within 25 miles

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Administrative Assistant (Receptionist)

Molina Healthcare - Syracuse, NY

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 ...

Pharmacist, Clinical/MTM

Molina Healthcare - Syracuse, NY

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...

Primary Care Physician (Syracuse, NY)

Molina Healthcare - Syracuse, NY

Knowledge/Skills/Abilities · Is a member of the clinical care team which consists of a physician, PA, MA and administrative support (front desk clerk); performs as team leader- takes the most active role in setting the pace, the quantity and quality of comprehensive medical care provided to Molina patients. · Supervises and directs Nurse Practitioners and Medical Assista...

Physician, Family Practice

Molina Healthcare - Syracuse, NY

Job Description Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services. Maintains a working knowledge of applicable national, state and local laws and regulatory requirements affect...

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

Molina Healthcare - Syracuse, NY

Job Description Job Summary Care 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....

Supv, BH Care Mgt./Review

Molina Healthcare - Syracuse, NY

State of New York Pan Specific: We are excited to Celebrate Molina Healthcare in the New York Market for the several years. Word is spreading and our membership is expanding and becoming more robust. We are excited to expand our Services. With 13 States Nationally, New York is quickly becoming a strong player in the New York market. We are very excited that the State...

Specialist, Quality Interventions/QI Compliance

Molina Healthcare - Syracuse, NY

Job Description Job Summary Molina'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...

Director, Provider Contracts

Molina Healthcare - Syracuse, NY

Knowledge/Skills/Abilities Plans, organizes, staffs, and coordinates the Provider Contracts activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider contracts and contracting strategies. • Monitors and reports network adequacy for Medicare and Medicaid services. • In ...

Mgr, Healthcare Services

Molina Healthcare - Syracuse, NY

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) FIELD REMOTE

Molina Healthcare - Syracuse, NY

Job Description The 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...

Program Manager, Appeals and Audit HCS

Molina Healthcare - Syracuse, NY

Job Description This Management role will Supervise a small team. It will include multiple tasking-day to day operations of the team. This team will be an instrumental part of the Clinical Appeals within the New York Plan. The successful candidate should have Clinical Appeals experience including the processing of such. You would be expected to have internal appeals audit expe...

LSW Case Manager Community Based

Molina Healthcare - Syracuse, NY

Job Description New York Plan Specific: This role requires a Licensed Medical Social Worker licensed in the State of New York. This Social Worker who will be caring a Case Load of members and responding to their social needs along with the Registered Nurse Case Managers and Transition of Care Nurses. It is a team approach. This position is remote in the field. You would ...

Sr. Healthcare Finance Analyst - Encounters

Molina Healthcare - Syracuse, NY

Performs research and analysis of medical, pharmacy, and dental encounters. Evaluates, writes, and presents analyses and makes recommendations based on relevant findings. Experience in Encounters, X12 File, Medical Economics and Strong Knowledge of Performance Indicators: SQL programming, SQL Server Reporting Services (SSRS), PowerBI, Medinsight, RxNavi...

Care Review Processor

Molina Healthcare - Syracuse, NY

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 ...

Case Manager (RN) FIELD REMOTE

Molina Healthcare - Syracuse, NY

Job Description The 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...