Jobs at Molina Healthcare - Page 10

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Care Review Clinician, PA - (LPN/LVN)

Molina Healthcare - Long Beach, CA

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...

Information Security Compliance Associate (Remote)

Molina Healthcare - Long Beach, CA

Job Summary Responsible for ensuring Molina compliance with IT industry standards, and legal and regulatory requirements, responding to physical, and cyber security audits, and healthcare and insurance agency exams. The position integrates cyber security and information technology services with healthcare systems development and operations, and enforces sound and sustainable s...

Case Manager, LTSS

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...

Manager, Healthcare Services Behavioral Health

Molina Healthcare - San Antonio, TX

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...

RN Case Manager - San Diego Office

Molina Healthcare - San Diego, CA

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...

RN Case Manager - San Bernardino Office

Molina Healthcare - San Bernardino, CA

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 Analyst, Healthcare Analytics Syracuse, NY

Molina Healthcare - Syracuse, NY

Performs 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.SQL knowledge and daily working with developing ad-hoc reports using SQL p...

Specialist, Nursing Facility Community Engagmnt

Molina Healthcare - Edinburg, TX

Job DescriptionJob SummaryResponsible for achieving established goals improving Molina's enrollment growth objectives encompassing Star Plus lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages.Knowledge/Skills/Abilities• Under limited supervision, responsi...

Analyst, Business

Molina Healthcare - Jackson, MS

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. Creates specifica...

Medical Director, Health Plan

Molina Healthcare - Troy, MI

Knowledge/Skills/AbilitiesProvides 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 ...

AVP, Health Plan Operations

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Kno...

Nurse Practitioner: Field* (Grand Rapids/Kent County,MI)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryCare Connections, a division of Molina Healthcare, seeks Nurse Practitioners to join its growing team which will contribute to the company mission to bring quality health care to the underserved. The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings....

Analyst, Encounter

Molina Healthcare - Jackson, MS

Knowledge/Skills/AbilitiesThe Encounter Analyst is responsible for analyzing complex encounter inbound/outbound process issues, using data from internal and external sources to provide insight to decision-makers. • Monitors inbound and outbound encounter process. Identifies and interprets encounter data, submission requirements and performance metrics.• Performs root caus...

Sr Analyst, Business

Molina Healthcare - Long Beach, CA

Analyzes 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. Creates specifications for reports and analysis based on business need...

Transition of Care Coach (RN)

Molina Healthcare - East St Louis, 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...