Jobs at Molina Healthcare - Page 15

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Case Manager, Long Term Services & Support

Molina Healthcare - Columbus, OH

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 Analyst, Business - Enrollment Accounting

Molina Healthcare - Long Beach, CA

Managed Care / Healthcare Enrollment Accounting Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates s...

Associate Rep, Provider Services (MMS)

Molina Healthcare - Trenton, NJ

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• Handles heavy inbo...

Voice / Data Circuit Administrator (Remote)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for voice and data circuit management through the lifecycle of deploy, change, and decommission connectivity for a Fortune 500 company with remote locations in multiple states. Primary duties includes working individually or with internal Telecom Expense Management (TEM) vendors to order circuits for new sites; add or decreas...

.NET Application Engineer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryUtilizing the .NET stack, C#, and heavy SQL, the Applications engineer: Develops applications in support of one or more business processes, Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), Considers business problems “end-to-end”: including people, process, and technology, both w...

Mgr, Healthcare Services LTSS

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...

Certified Coder

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides support to the business by making sure proper procedures are recorded accurately. Thus brings minimal risk to denials.Knowledge/Skills/Abilities• Primary resource for medical coding updates and information.• Provides advice on coding issues and researches procedures.• Reviews coding procedure coverage w...

Senior ETL Engineer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for designing and/or developing processes that translate complex Medicaid data from various sources to destinations.Knowledge/Skills/Abilities• Leads complex ETL-related technical tasks involving more than one ETL developer, identifies potential issues, resolve issues, and drives tasks to successful completi...

Medical Director, Health Plan

Molina Healthcare - Midvale, UT

Job DescriptionJob Summary• Doctorate Degree in Medicine• Board Certified or eligible in a primary care specialtyKnowledge/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 pat...

RN Case Manager - 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 toward desir...

Case Manager

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 toward desir...

Transition of Care Coach (RN)

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 ...

Case Manager (RN)

Molina Healthcare - Columbus, OH

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...

Nurse Practitioner: Remote *(Victorville/Adelanto/Hesperia, 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 facility settings....

Technical Program Manager

Molina Healthcare - Long Beach, CA

Experience as a business and/or systems analyst required Experience in healthcare information systems preferred including Enrollment processes in Medicare, Medicaid and MMP Solid understanding of SQL, PL/SQL, data validation tools, data integration tools, and reporting tools Nice to have experience on EDI Transaction sets including 834, 270, 271, 276, 277