Jobs at Molina Healthcare - Page 10

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Provider Contracts Manager-Behavioral Health

Molina Healthcare - Bothell, WA

Job Description Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. Knowledge/Skills/Abilities • In conjunction with Director/Manager Provider Contracts,...

Provider Contracts Manager-Behavioral Health

Molina Healthcare - Bothell, WA

Job Description Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. Knowledge/Skills/Abilities • In conjunction with Director/Manager Provider Contracts,...

Specialist, Appeals & Grievances

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid

Specialist, Appeals & Grievances

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and...

Assoc Engineer, EIS

Molina Healthcare - Long Beach, CA

Job Description Job Summary Builds company specific systems and technology expertise across multiple infrastructure and development disciplines Knowledge/Skills/Abilities • Responsible for task management and adherence to process controls. • Contributes to troubleshooting and incident resolution for support functions. • Contributes to on-call ...

Lead Analyst, Config Info Mgmt SSIS, SSRS

Molina Healthcare - Long Beach, CA

Design and develop SSIS packages. Use SQL to build complex reports. Use SQL to update configuration data in a SQL Server database. Work with BA to understand requirements of SSIS packages, reports and configuration updates. Execute and maintain SSIS packages. Q/A results of reports, scripts, and SSIS packages. Write technical and user documentation for queries, reports, and SSIS packages...

Sr Analyst, Config Info Mgmt

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adhe...

Medical Director, Health Plan

Molina Healthcare - Oak Brook, IL

Knowledge/Skills/Abilities Provides medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to Plan members, targeting improvements in efficiency and satisfaction for patients and providers, as well as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding ...

Case Manager

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...

VP, Healthcare Services

Molina Healthcare - Midvale, UT

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...

Call Center/Member Services Manager

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities • Functions as a “hands on” manager responsible for supervision and coordination of daily operations. • Work closely with the Director to implement the strategic plan, ensure the delivery of quality programs; efficiently manage resources and standardize programs, policies and systems. Responsible for development and implementation of projects, policie...

Manager Enrollment

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a v...

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...

Case Manager - Children's BH

Molina Healthcare - Spokane, WA

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...

Senior Executive Assistant

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities • Composes and types routine memos and correspondence at a senior executive level • Copies, faxes and routes information as requested • Establishes and maintains official documents and records in appropriate files • Responds to a broad range of inquiries • Keeps management's calendar up-to-date • Makes necessary arrangements to ensure deta...