Jobs at Molina Healthcare - Page 10

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Project Manager, PMO

Molina Healthcare - Lexington, KY

Job DescriptionJob SummaryFocuses 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• Proven depth of understanding and demonstrable result...

Director, Account Management

Molina Healthcare - Washington, DC

Job DescriptionJob SummaryMMS site operation responsibility for the overall direction and administration of the programs and services provided as the fiscal intermediary for the State Medicaid program. Responsibilities include implementing programs that are in alignment with Molina's strategic plan for MMS business; providing day-to-day leadership and...

Manager, Medicaid Claims

Molina Healthcare - Washington, DC

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.K...

Manager, IT Services

Molina Healthcare - Washington, DC

Job DescriptionJob SummaryResponsible for all information technology operations activities, including computer operations, data and operations support. Monitor budgets and expenses within department and accountable for meeting budget goals. Recommends input to policy principles and budget constraints. Provides expertise to departments regarding polici...

Specialist, Facilities

Molina Healthcare - North Charleston, SC

Job DescriptionJob SummaryMolina's Facilities function is responsible for the efficient planning, design, integration and operation of the different elements that make up a work environment. Depending on location, this includes: day-to-day facility operations management and administrative services (e.g., mailroom, reception, relocation/move support, ma...

Provider Contracting Manager

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryNegotiates 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 Provide...

Supervisor, Training and Development

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes and determines training needs and problems. Develops, administers and implements all training programs in accordance with the Business' initiatives and strategies. Conducts special courses designed for training selected groups of employees.Knowledge/Skills/Abilities• Consults with organizational leadership ...

Case Manager, Long Term Services & Support

Molina Healthcare - Cincinnati, 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 ...

Community Connector

Molina Healthcare - Independence, 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 ...

Analyst, Business

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creat...

Program Manager - Marketplace

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryManages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May...

Assoc Specialist, Disputes

Molina Healthcare - Spokane, WA

Coordinate, upload and maintain department images for multiple health plans using multiple applications in an accurate and complete manner.Data entry into department applications with accuracy, efficiency and in a timely manner.Good knowledge of computerized claims processing systemsComprehensive knowledge of health care customer service, regulatory requireme...

Supv, Member Services

Molina Healthcare - Irving, TX

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...

Analyst, Healthcare Analytics

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryThe Analyst, Healthcare Analytics will perform 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 find...

Prior Authorization Review (RN)

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...