Jobs at Molina Healthcare in Syracuse, NY

9 job openings within 25 miles

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Manager, Quality Interventions

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryThe Manager, Quality Interventions assists the Director and AVP in developing, implementing and monitoring the success of Molina national and/or plan-level Quality Improvement activities, including intervention projects, problem resolution and management of staff and contractors. The Manager is part of the Senior Leaders...

Sr Rep, Provider Services

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryMolina 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. Provi...

Healthcare Serv. Project Deliverable Manager

Molina Healthcare - Syracuse, NY

Job DescriptionNew York Plan Specific: The person who takes this role does not need to be an RN or LPN in the State of New York. This role would be very appealing to a present or past clinician who has orchestrated integrated delivery of care within their healthcare company. It would also be appealing to someone who has been a lead or manager of healthcare...

Sr. Healthcare Analyst, (Medicaid Encounters)

Molina Healthcare - Syracuse, NY

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 Transition of Care

Molina Healthcare - Syracuse, NY

Job DescriptionNew York Plan Specific: On Site Registered Nurse Transition of Care RN-NY DAY IN THE LIFE:We are so excited about this role. Molina Healthcare has long provided quality healthcare services to over 4.5 Million people nationwide. We are somewhat new to the New York market...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Syracuse, NY

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.Knowledge/...

Provider Contract Administrator

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 ...

Rep, Member Engagement

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryProvides 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 rel...

Medical Director (Healthplan)

Molina Healthcare - Syracuse, NY

Job SummaryBring your physician leadership experience to our growing healthplan and not only perform utilization reviews, but affect population health in New York state. You will serve as the primary liaison between administration and medical staff and assure the ongoing development and implementation of policies and procedures that guide and support the provision of medical sta...