Jobs at Molina Healthcare - Page 12

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Displaying results 166 - 180 of 385

Analyst, Test

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryResponsible for developing high level test scenarios and test casesKnowledge/Skills/Abilities• Interactively takes direction from Manager• Create test plans along with regression test plans for system upgrades, process improvements and regulatory requirement implementations• Reports weekly on assignment progress...

Case Manager, LTSS

Molina Healthcare - El Paso, 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...

Supervisor, Care Management

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...

Transition of Care Coach (RN)

Molina Healthcare - Jackson, MS

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...

Transition of Care Coach (RN)

Molina Healthcare - Jackson, MS

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...

Assoc Rep, Provider Inquiry Research & Resolution

Molina Healthcare - Columbus, OH

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.Provide...

Medical Director, Behavioral Health- Part-Time

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryMolina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.Knowledge/Skills/AbilitiesProvides Psychiatric leadership for...

Analyst, Dental

Molina Healthcare - Baton Rouge, LA

Job DescriptionJob SummaryInvestigates and resolves cases involving aberrant dental practices. Reviews claims using records and system reports to determine proper documentation, utilization and appropriateness of services and to identify possible fraud and abuse.Knowledge/Skills/Abilities• Performs post payment analysis of claims and records.

Rep, Provider Inquiry R&R

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.Provide...

Deputy Account Manager

Molina Healthcare - Trenton, NJ

Job DescriptionJob Summary• Primary areas of focus includes management and supervision over one or more of the functional departments of Molina Medicaid contract for providing fiscal agent and implementation services to the customer/state.• The Requirements of the role is to plan, coordinate and implement software systems to customer site. This includes utilizing resources...

Analyst, Medical Informatics

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms intermediate to complex level of technical and analytical work to support reporting and analysis needs for Medical Informatics and other customer functional areas. Expected to work with limited supervision. Integrate data from the various Molina Healthcare systems (QNXT, Medlnsight, etc.) to create actionable management reports t...

Analyst, Reporting & Analytics

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryCollects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and deploying reports to provider networks and other end users for operational and strategic analysis.Knowledge/Skills/Abilities• Performs research and analyses on a variety ...

Care Review Processor

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...

Case Manager (RN)

Molina Healthcare - Bothell, WA

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...

Medical Claims: Senior Specialist, Delegation Oversight

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.Knowledge/Skills/A...