Jobs at Molina Healthcare - Page 7

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RN Case Manager - Patients Fied Visits - Remote - Twin Falls

Molina Healthcare - Twin Falls, ID

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 ...

RN SIU Investigator - WA

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing revi...

RN SIU Investigator

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing revi...

RN SIU Investigator - Illinois

Molina Healthcare - Oak Brook, IL

Job DescriptionJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing revi...

RN SIU Investigator - (Dallas, TX)

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing revi...

RN Care Review Clinician, Inpatient Review - Remote

Molina Healthcare - Long Beach, CA

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...

RN Case Manager, Disease Management (Remote in Washington)

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 ...

RN Care Review Clinician, Inpatient Review - SNF Team - Remote - CA

Molina Healthcare - Long Beach, CA

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 Management Processor

Molina Healthcare - Edinburg, TX

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 - Irving, TX

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 ...

Assoc Specialist, Appeals & Grievances

Molina Healthcare - Troy, MI

Job Description Job SummaryMolina Healthcare's Appeals & Grievances jobs are 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.Knowledge/Skills/Abilities• E...

Director, Financial Plannng & Analysis (Regional - MS, FL, SC)

Molina Healthcare - Doral, FL

Job SummaryNewly created role to support 3 health plans - Florida, South Carolina & Mississippi. This Director will lead the finance, budget and analytics elements of the start-up health plan in Mississippi and support the Plan Presidents in each of the 3 states by developing short- and long-term financial plans and identifying financial opportunities to improve each pla...

Senior Network Engineer

Molina Healthcare - Long Beach, CA

Job DescriptionSenior Engineer (Network Operations) Required Skills Very strong interpersonal and communication skills; ability to write proposals or papers, act as a vendor liaison, make presentations to customers or client audiences or professional peers, and work closely with upper managementAbility to solve prob...

Senior Network Engineer - Remote

Molina Healthcare - Long Beach, CA

Job DescriptionSenior Engineer (Network Operations) Required Skills Very strong interpersonal and communication skills; ability to write proposals or papers, act as a vendor liaison, make presentations to customers or client audiences or professional peers, and work closely with upper managementAbility to solve prob...

Manager, Provider/Member Inquiry Research & Resolution

Molina Healthcare - Long Beach, CA

Job Description Job SummaryMolina 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....