Jobs at Molina Healthcare - Page 2

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Auditor, Provider Inquiry/Services

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provide...

Specialist, Appeals & Grievances

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid

Analyst, Provider Configuration

Molina Healthcare - Troy, MI

Job Description Job Summary Responsible 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...

Lead Analyst, Enrollment - Market Place

Molina Healthcare - Long Beach, CA

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 • Provides healthcare analysis including quantificat...

Field Case Manager (RN) - Pierce County

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...

Case Manager/SUD Specialist - Pierce County

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...

Sr Specialist, Govt Contracts

Molina Healthcare - Doral, FL

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 coordina...

Analyst, Finance

Molina Healthcare - Syracuse, NY

Job Description Job Summary Responsible 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 forecasts and analy...

Executive Assistant

Molina Healthcare - Long Beach, CA

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 • Composes and types routine memos and correspondence at a...

Senior Business Continuity Coordinator

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Senior Business Continuity Coordinator will be responsible for developing, establishing, and on-going relationships between the company, strategic partners and customers. Provides business opportunity analysis, assesses potential markets, and develops projects for use in new marketing initiatives. Knowledge/Skills...

Senior Emergency Management Coordinator

Molina Healthcare - Long Beach, CA

Job Description Job Summary The primary functions of the Senior Emergency Management Coordinator are to assist with the development and implementation of the organization's emergency management policy under the direction of the Manager of Emergency Management or designee; ensure the organization is operationally ready to support its business operations before, during and ...

Mgr, Applications (Salesforce)

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...

Manager, Data Analytics

Molina Healthcare - Long Beach, CA

Position will be responsible for management of Enrollment robotics, COB data processing and reporting, as well as member data validation team. The team will be responsible for providing status reports to senior leadership as well as collaborating with external vendors. • Ensure timely creation of Executive and Health plan management reports • Ensure data integrity • ...

Executive 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 Will support multiple managers in different ca...

Lead Engineer, Applications

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for designing, developing, coding, unit testing, and debugging new software and producing significant enhancements to existing software. Conducts business process analysis, participates in design sessions with Architects in order to align information technology solutions with business initiatives. App...