Jobs at Molina Healthcare - Page 16

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AVP, MLTSS Plan Support

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary This position plans, organizes and coordinates a set of core Managaed Long Term Services and Supports (MLTSS) activities across markets. In addition, this position directs a staff of MLTSS product experts in a highly matrixed environment to support plans and centralized departments that operationalize MLTSS programs. This position...

Member Appeals Nurse (LPN)

Molina Healthcare - Columbus, OH

Job DescriptionThis role requires you to be a passionate advocate for our members. You will assist them in getting their claims paid appropriately and timely with compassion. This role is for an LPN in the State of Ohio. Job SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage a...

Case Manager LPN (Field: King County)

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...

Case Manager, LTSS

Molina Healthcare - Oak Brook, 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...

Supv, Care Management

Molina Healthcare - Midvale, UT

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 RN/SW Behavioral Health Carve In (5)

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: This role in the State of Ohio requires either a Registered Nurse License of a Social Worker License. Preference given to LSW, LISW, or other related Behavioral Health License, ie: Chemical Dependancy This role is part of a second wave of Case Managers who will be a part of a new Behavioral Healthcare Carve In by Medicaid for our members. ...

Case Manager Registered Nurse Medicaid

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: This role in the State of Ohio requires either a Registered Nurse License of a Social Worker License. Preference given to LSW, LISW, or other related Behavioral Health License, ie: Chemical Dependancy This role is part of a second wave of Case Managers who will be a part of a new Behavioral Healthcare Carve In by Medicaid for our members. ...

Specialist, Quality Interventions (Provider Engagement)

Molina Healthcare - Troy, MI

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 measurement activities...

AVP, Health Plan Quality Interventions

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryServe as a leader of health plan Quality strategy and activities, including but not limited to leadership and primary Molina interface with state agencies, leadership of local Quality committees and oversight of intervention activities intended to improve quality measures and outcomes, The Quality AVP will collaborate with MHI Quality lea...

Community Connector (Field: Vancouver, WA)

Molina Healthcare - Vancouver, 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...

Provider Contracts Manager

Molina Healthcare - El Paso, TX

Job DescriptionJob SummaryNegotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.Knowledge/Skills/Abilities• In conjunction with Director/Manager Provider Contracts,...

Specialist, Quality Interventions/QI Compliance

Molina Healthcare - Syracuse, NY

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 measurement activities...

Associate Specialist, Quality

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryThe Associate Specialist, Quality will be responsible for planning, developing and directing the implementation of techniques to ensure the maintenance of performance and quality levels in the Business' products and processes. Reviews product designs and establishes procedures and techniques for the control of quality standard...

Executive Compensation Consultant (In-House)

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary The Executive Compensation Consultant will drive activities across all key areas of executive compensation including: The design and implementation of executive compensation programs for Molina Healthcare's executive population Preparation of the annual proxy statement Creation of presentations and a...

Manager, Medicare Sales

Molina Healthcare - Bothell, WA

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 development ...