Jobs at Molina Healthcare - Page 15

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Program Coordinator, Claims Services

Molina Healthcare - Spokane, WA

This is a Not IT or Systems position Job SummaryProvides 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 ad...

Analyst, Healthcare Analytics

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms 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.Knowledge/Skills/Abili...

Sr Analyst, Healthcare Analytics

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms 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.Knowledge/Skills/Abili...

Manager, Risk Adjustment

Molina Healthcare - Long Beach, CA

The Manager Risk Adjustment Data Operations is responsible for the timely and accurate collection, flow and processing of data for risk adjustment, including Medicare, MMP and Marketplace. The Manager will establish, monitor, and maintain the processes, IT systems and services that collect and process the data from claims, encounters, electronic medical records, medical record co...

RN Transition of Care Coach - Remote - Jacksonville

Molina Healthcare - Jacksonville, FL

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 - Remote - Pensacola

Molina Healthcare - Pensacola, FL

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 ...

Nurse Practitioner, Remote (LA Cty:East SGV, CA)

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 facili...

Senior Software Quality Analyst - Healthcare

Molina Healthcare - Long Beach, CA

Job Description Test Lead with strong SQL scripting skills and experience testing healthcare EDI systems, including claims adjudication and enrollment processing , using Agile methodologies.Job SummaryProvides thorough software and system testing to ensure upgrades, enhancements and new applications function accurately. This includes the development o...

Senior Software Quality Analyst - Healthcare

Molina Healthcare - Long Beach, CA

Job Description Test Lead with strong SQL scripting skills and experience testing healthcare desktop portals, mobile enabled portals, mobile applications and EDI systems, including claims adjudication and enrollment processing, using Agile methodologies.Job SummaryProvides thorough software and system testing to ensure upgrades, enhancements an...

Medical Records Collector

Molina Healthcare - Troy, MI

Job DescriptionJob SummaryMolina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects.Knowledge/Skills/Abilities• Under the d...

Sr Analyst, Finance

Molina Healthcare - Long Beach, CA

Job Description Job SummaryResponsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information; generating fore...

RNTransition of Care Coach - Remote - Pensacola

Molina Healthcare - Pensacola, FL

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 ...

Dir, Healthcare Services

Molina Healthcare - Albuquerque, NM

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 (RN) Dayton Nursing Facilities

Molina Healthcare - Cincinnati, OH

Job DescriptionOhio Plan Specific: Due to the contract with the State of Ohio, this role requires a Registered Nurse. The candidate for this role must be willing to cover the Nursing Facilities in the Dayton area. We do not have a Dayton office, so the location officially on this posting is listed as Cincinnati. We have offices in Cincinnati, Columbus and Cleveland. ...

Analyst, HEDIS/ Quality Reporting

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measuremen...