Jobs at Molina Healthcare

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RN Clinical Services Auditor - Remote

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of trai...

Sr Specialist, Delegation Oversight

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.Knowle...

Clinical Services Trainer (RN) South Carolina

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of trai...

Clinical Services Trainer (RN) MICHGAN

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of trai...

Clinical Services Trainer (RN) FLORIDA

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of trai...

Clinical Services Trainer (RN) WISCONSIN

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of trai...

Clinical Services Trainer (RN) WESTERN REGION USA

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of trai...

Director, Data Analytics

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesLead enrollment and premium related analysis for the organization. Ensure timely creation of Executive and Health plan management reports. Assist in developing, implementing and monitoring the organization's enrollment and premium related reporting. Responsible for daily operations of Enrollment Accounting Data Analytics team. IT liaison for prem...

Part- Time Contact Center Associate Rep

Molina Healthcare - Long Beach, CA

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 rela...

Senior Office 365 Engineer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryBuilds company specific systems and technology expertise across multiple infrastructure and development disciplinesKnowledge/Skills/Abilities• Responsible for support troubleshooting and incident resolution.• Contributes to on-call rotation schedules and off-hour support activities. • Provides exper...

Program Manager, HCS

Molina Healthcare - Syracuse, NY

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 ...

Clerk

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryProvides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in support of the functional processes, programs and/or services. Also provides the administration of vario...

Sr Rep, Provider Services

Molina Healthcare - Boise, ID

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. Prov...

Analyst, IT Systems

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Prioritizes work assignments, ensures on-time completion of tasks and projects and provides timely updates to project group leader, managers and directors.• Fosters open communications and ensures effective and positive working relationships with coworkers, users and vendors. • Develops lifecycle system projects from design through codi...

Senior Analyst, Healthcare Analytics

Molina Healthcare - Columbus, OH

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...