Jobs at Molina Healthcare - Page 15

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Case Manager (RN)

Molina Healthcare - Houston, 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...

Sr. Data Analyst – Encounters

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryDesigns and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data fr...

Medical Director, Health Plan

Molina Healthcare - Oak Brook, IL

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 ...

Medical Assistant

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryMaximizes patient care and satisfaction by interacting with the staff, patients, and providers. Provides necessary patient care when applicable to impacted individuals on the basis of living a healthy life.Knowledge/Skills/Abilities• Responsible for performing patient oriented procedures under the clinical supervision o...

Senior IT Systems Analyst (ITAM)

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities: • Mentors and leads a team of 3-5 ITAM team members on multiple projects. • Perform ITAM asset evaluation, including functional and non-functional requirements • Responsible for the capturing and monitoring of ITAM assets within the various ITAM automated discovery tools. • Providing continuous status reports and perform product / services cost and benefit...

Manager, Healthcare Services $5,000 SIGN ON BONUS (RN or MSW with LTSS, Managed Care and Strong Management Experience)

Molina Healthcare - Boise, ID

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...

Peer Specialist

Molina Healthcare - Columbus, OH

Job Description We are so excited to be able to offer this role as part of a larger Behavioral Health Initiative. This role is a vital life line for those who are suffering a variety of concerns including Mental Health and or Alcohol/Chemical Dependency. In the State of Ohio this role requires someone who has lived with these issues and has been in recover for at least two years...

Sr Analyst, Reporting & Analyt

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryUnder supervision, applies software engineering methods and techniques to the design, development, integration, qualification and/or support of Microsoft Reporting Services, SQL stored procedures and developing areas of expertise.Knowledge/Skills/Abilities• Creates reports to meet user requirements using Microsoft SQL R...

LPN Case Manager, Bariatrics & Disease Management Program

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...

Manager, Provider Contracts

Molina Healthcare - San Diego, CA

Job DescriptionJob SummaryResponsible 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 Contracts Specialist

Molina Healthcare - San Diego, CA

Job DescriptionJob SummaryResponsible 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...

Remote - Sr Analyst, Config Info Mgmt - QNXT Claims

Molina Healthcare - Long Beach, CA

QNXT claims system experience Remote for locations outside of Long Beach, CA Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be ...

IT Systems Administrator - WebLogic

Molina Healthcare - Long Beach, CA

DescriptionJob Summary:Install, configure, modify, upgrade, administer, tune and troubleshoot all aspects of the JDE E1 application, particularly the complex and proprietary CNC middleware layer. Responsible for the JDE E1 ERP application which has numerous WebLogic servers installed in both a Linux and Windows environment.Knowledge/Skills/Abilities:

RN Care Review Clinician, Inpatient Review (Remote)

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 (Licensed Social Worker or Dietician)

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...