Jobs at Molina Healthcare - Page 12

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Provider Rep-Claims Research & Resolution

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina 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. Provide...

Regional Contact Center Director

Molina Healthcare - Doral, FL

Job Description Job Summary Provides 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 relationships. R...

Mgr, Provider Configuration Management

Molina Healthcare - Troy, MI

Location: Troy, Michigan Office Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider da...

Architect, MITA Business

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for all PeopleSoft, Kronos and ESS functions, determining staffing needs, hiring and mentoring staff members, annual reviews, and managing day-to-day allocation of activities for the team and preparing reports to Sr Management levels. Knowledge/Skills/Abilities • Provides advanced leadership and solution desig...

Care Review Clinician, Inpatient Review (RN) Tues–Sat.8:30am-5:30pm

Molina Healthcare - Columbus, OH

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...

Program Coordinator

Molina Healthcare - Syracuse, NY

Job Description Job Summary Provides 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 various programs, ...

Sr Account Rep, Medicare

Molina Healthcare - Edinburg, TX

Job Description Job Summary Responsible 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.

Mgr, Member and Community Engagement

Molina Healthcare - Columbus, OH

Job Description Job Summary Responsible for continuous quality improvements regarding member and community engagement as well as member retention. Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the development/maintenance of Member Materials. Knowledge...

Associate Analyst, Provider Configuration

Molina Healthcare - Columbus, OH

Molina Healthcare was founded in 1980 as a single community clinic in Long Beach, California. The goal was to create a future where everyone receives quality healthcare, and it is because of the dedication of our employees that we have been able to further this mission. Today, Molina Healthcare is a Fortune 300 company and has grown to over 20 states and territories, servicing nearly five milli...

Case Management Processor - Remote Yakima or Tri-Cities

Molina Healthcare - Wenatchee, 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...

Sr Account Rep, Medicare

Molina Healthcare - Doral, FL

Job Description Job Summary Responsible 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.

Part-Time Provider Services Rep

Molina Healthcare - Boise, ID

Job Description Job Summary Responsible for answering all calls from providers regarding claims issues, eligibility and benefits, and website assistance in a call center setting, and to satisfactorily resolve calls within expected response time standards. May also answer and resolve calls from members. Knowledge/Skills/Abilities • Handles heavy inbo...

Program Manager, HCS-Medicaid Childrens Carve In

Molina Healthcare - Syracuse, NY

Job Description New York Plan Specific: Come be a part of a Revolutionary program for Children's Behavioral Health in the State of New York. Managed Care companies are now going to be able to offer services to children who have been at risk. This role will be very important part of the successful role out of these services. You will assist the Leadership in identifying opportunit...

LTSS Support Specialist

Molina Healthcare - Columbus, OH

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...

Case Manager

Molina Healthcare - Bothell, 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...