Jobs at Molina Healthcare

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Associate Provider Services Rep

Molina Healthcare - San Diego, CA

Job Description Job Summary Molina 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. Provider Services...

Pharmacy Technician

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...

Licensed Vocational Nurse (LVN) Hiring Event : January 7, 2019

Molina Healthcare - Long Beach, CA

Join us on FRIDAY JANUARY 7, 2019 for our LVN (Licensed Vocational Nurse) hiring event. Dress professionally and bring several hard copies of your resume for an opportunity to meet with our hiring managers. WE ARE HIRING FOR: LVN Care Review Clinician Prior Authorization (must have 1 - 3 years experience in Utilization Management ) LVN Member Health Assessor...

Case Manager (RN)

Molina Healthcare - Long Beach, CA

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...

Medical Records Collector

Molina Healthcare - Syracuse, NY

Job Description Job Summary Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects. Knowledge/Skills/Abilities • Under the direction of ...

Quality Interventions Manager (Healthcare)

Molina Healthcare - Midvale, UT

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...

Mgr, Healthcare Services (RN or Licensed Social Worker)

Molina Healthcare - Troy, MI

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...

Manager, Quality Improvement Compliance (Remote)

Molina Healthcare - Columbus, OH

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...

Pharmacist, Clinical/MTM REMOTE

Molina Healthcare - Columbus, OH

Job Description This is a role that supports the Ohio and Wisconsin Plans and their Market place product. In 2018 the teams were regionalize and the Ohio and Wisconsin plans were United. As we grow this role must be willing to take on those plans or others as they are added to this Region. This is an exciting time for Molina and the Pharmacy careers. The preference is that so...

Sr Project Manager, PMO

Molina Healthcare - Long Beach, CA

Job Description Job Summary Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management. Knowledge/Skills/Abilities • Deep understanding of effective project approach(es) for a variety...

Case Manager

Molina Healthcare - Doral, FL

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

Molina Healthcare - Doral, FL

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...

Complex Case Manager (RN)

Molina Healthcare - Troy, MI

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)

Molina Healthcare - Irving, TX

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...

Nurse Practitioner, Field (Collin County,TX)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans serving fifteen states. During the time of expansion we have never lost sight of the mission that defines us; to serve the most financially vuln...