Jobs at Molina Healthcare - Page 16

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Nurse Practitioner, Field (Franklin Cty, OH)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Vitalis, a division of Molina Healthcare, seeks Family Nurse Practitioners (FNPs) to join its growing team which will contribute to the company mission to bring quality health care to the under-served. The Vitalis FPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings...

Nurse Practitioner, Field (King Cty, WA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Vitalis, a division of Molina Healthcare, seeks Family Nurse Practitioners (FNPs) to join its growing team which will contribute to the company mission to bring quality health care to the under-served. The Vitalis FPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings...

AVP, Medicare Product Development

Molina Healthcare - Long Beach, CA

Job Description Job Summary This position is responsible for developing and pricing of Medicare products, which include MA-PD, D-SNP and MMP. Knowledge/Skills/Abilities The AVP Medicare product development is a highly visible role within the small unit of employees who are responsible for Medicare strategy and growth. The position is the Company's g...

Contact Center Director

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member relationships. R...

Case Manager RN-Med Surg Experience

Molina Healthcare - Independence, OH

Job Description This role must be a Registered Nurse who will help us manage our ever growing Northeast Ohio population. Preference given to someone who has worked in a med/surg hospital setting. Also preference given to someone from a Managed Care organization. Knowledge of Epic and other Managed Care systems is helpful but not required. We use CCA/QNXT. Job Summary

Care Review Clinician, Prior Authorization

Molina Healthcare - Bothell, WA

Job Description Job Summary Molina 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...

AVP, Government Contracts

Molina Healthcare - North Charleston, SC

Job Description Job Summary Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations. Knowledge/Skills/Abilities • Responsible for the admi...

Administrative Assistant

Molina Healthcare - Bothell, WA

Job Description Job Summary Provides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site. Knowledge/Skills/Abilities • Provides confidential administrative and office support ...

Senior Applications Engineer (.NET)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic tech...

Care Review Clinician, Prior Authorization (Nurse LPN or RN, TUESDAY thru SATURDAY shift)

Molina Healthcare - Oak Brook, IL

Job Description Job Summary Molina 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...

Utilization Management and Case Management (RN), WI or Illinois

Molina Healthcare - Oak Brook, IL

Job Description Job Summary Molina 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...

VP, Finance & Analytics

Molina Healthcare - Long Beach, CA

• Leads the financial analysis of the health plan's performance and oversees the daily operations of Finance and Medical Data Management functions, including systems, Reporting and Analysis, Project Management Office, Facilities Services, and Enrollment . • Leads and supports financial and operational analysis for Medical Management and Provider Contracting. Reviews, evaluates and im...

Lead Analyst, Healthcare Analytics

Molina Healthcare - Columbus, OH

Performs 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/Abilities • Develops, implements and uses software and systems...

Project Coordinator

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provides 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 administration of various programs, ...

Manager, Provider Network Admin

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ...