Jobs at Molina Healthcare - Page 13

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Associate Representative, Provider Services

Molina Healthcare - Boise, ID

Job DescriptionJob SummaryResponsible 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• Handl...

RN Transition of Care Coach Patients Visits - Remote

Molina Healthcare - Peoria, 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 ...

RN Transition of Care Coach - Patients Visits - Champaign - Remote

Molina Healthcare - Champaign, 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 ...

Information Security Compliance Associate

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 su...

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.

Healthcare (Medicaid knowledge) Project Manager

Molina Healthcare - Syracuse, NY

Job DescriptionNew York Plan Specific: The person who takes this role does not need to be an RN or LPN in the State of New York. This role would be very appealing to a present or past clinician who has orchestrated integrated delivery of care within their healthcare company. It would also be appealing to someone who has been a lead or manager of healthcare...

RN or MSW Case Manager - Patient Visits - Peoria - Remote

Molina Healthcare - Peoria, 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 ...

Medical Records Collector

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary Under the direction of the national and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection and upload of provider medical records into the internal database. Molina's HEDIS/Quality Improvement Medical Records Collect...

Program Manager

Molina Healthcare - Long Beach, CA

Individual Contributor Role Knowledge/Skills/AbilitiesActive collaborator with 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 in...

Sr 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 pac...

Transition of Care Coach (RN)

Molina Healthcare - Irving, 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 ...

Case Manager, LTSS Patients Visits - Remote - Bloomington

Molina Healthcare - Bloomington, 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 ...

Care Review Clinician, Prior Authorization

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 ...

Associate Learning Facilitator

Molina Healthcare - Troy, MI

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• Facilitates large portions of as...

Generalist, Medicare Administration (Medicare Program/Project Coord)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic ...