Jobs at Molina Healthcare - Page 10

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Displaying results 136 - 150 of 385

Sales - Senior Account Representative - Medicare (WA / ID)

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryResponsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures.

Field Case Manager, LTSS (Nurse or Licensed Social Worker)

Molina Healthcare - Troy, MI

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 toward desir...

Sr Engineer, Information Security

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary:Applies current computer science technologies to the design, development, evaluation, and integration of computer systems and networks to maintain system security. Works with commercial computer product vendors in the design and evaluation of state-of the- art secure operating systems, networks, and database products. Provides security ...

Claims Examiner - Managed Care

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.Knowledge/Skills/Abilities• Evaluates the adjudication of claims using standard principles and ...

Medical Director

Molina Healthcare - Columbus, OH

Job DescriptionJob SummaryResponsible 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 affecting ...

Organizational Development Specialist

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryOD Specialist supports the management and delivery of leadership and organizational development services to the organization. The position will work closely with Human Resources' Talent Acquisition and Employee Relations, as well as enterprise wide leaders to provide leadership development strategies that improve organizational performanc...

Case Manager Social Worker

Molina Healthcare - Columbus, OH

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 toward desir...

Senior Advice Line Rep (Call Center)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnswers calls from numerous clients ranging from the general community to physician practice clients, managed care members, and Home Care patients. Performs health assessments using computerized guidelines. Provides general health information using approved references. May provide physician referrals and community service referrals as nee...

Case Manager, RN or Social Worker (Remote: Champaign County)

Molina Healthcare - Oak Brook, IL

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 toward desir...

Provider Services Representative, Los Angeles County

Molina Healthcare - Long Beach, CA

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. Provider Services...

Provider Services Representative - San Bernardino - Riverside County

Molina Healthcare - San Bernardino, CA

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. Provider Services...

Associate Representative, Provider Network Services - Support

Molina Healthcare - Long Beach, CA

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. Provider Services...

Supervisor, Provider Services

Molina Healthcare - Boise, ID

Job Description*** Remote Position (However you must reside in the state of Idaho to travel on site when needed ***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 w...

Provider Network Manager-Central,IL

Molina Healthcare - Oak Brook, IL

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. Provider Network ...

Case Management Processor

Molina Healthcare - Oak Brook, IL

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 toward desir...