Jobs at Molina Healthcare - Page 7

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Learning Facilitator

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryThe Learning Facilitator will be responsible to analyze and determine training needs and problems. Develops, administers and implements all training programs in accordance with the Business' initiatives and strategies. Conducts special courses designed for training selected groups of employees.Knowledge/Skills/Abili...

Master Trainer Nurse, Facility Site Review

Molina Healthcare - Spokane, WA

Job DescriptionJob Summary The Master Trainer Nurse, Facility Site Review, shall have overall responsibility for training and certification of other Health plan trainers and site reviewers. Facility Site Review is responsible for timely performance of Facility reviews and appropriate follow up for network practitioners in compliance with DHS requirements; ...

Care Review Processor

Molina Healthcare - Albuquerque, NM

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 ...

Care Review Clinician, Prior Authorization

Molina Healthcare - Albuquerque, NM

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 ...

Provider Services Representative

Molina Healthcare - San Antonio, TX

Job DescriptionJob SummaryMolina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provi...

Claims Representative- (Call / Contact Center)

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryProvides 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 rela...

Mgr, Quality Interventions

Molina Healthcare - Oak Brook, IL

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 measuremen...

Sr. Analyst, HEDIS/Quality Reporting

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary In collaboration with Quality Improvement (QI) management, the Senior Analyst, HEDIS/Quality Reporting develops and provides reports and cost-benefit analysis tools to meet QI requirements and uses automated software tools and processes to help streamline activities and improve data/analytics for the quality team. Molina's Qu...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina's Quality Improvement Sr. Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards.Knowledge/...

Contact Center Bilingual Associate Rep- Marketplace

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides 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 rela...

Part-Time Claims Representative- (Call / Contact Center)

Molina Healthcare - Pomona, CA

Job DescriptionJob SummaryProvides 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 rela...

Lead, Call Center

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryProvides 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 rel...

Bilingual Contact Center Associate Rep

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryProvides 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 rela...

Bilingual Contact Center Marketplace Associate Rep

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryProvides 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 rela...

Sr Analyst, Healthcare Analytics

Molina Healthcare - Detroit, MI

Job DescriptionJob SummaryPerforms research and analysis of complex healthcare claims 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• Develop ad-hoc ...