Jobs at Molina Healthcare - Page 8

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Principal Network Engineer - Remote or Long Beach, CA

Molina Healthcare - Long Beach, CA

Job Description This position can be remote or work out of our Long Beach, CA office. Principal 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 professio...

Lead Engineer, EIS

Molina Healthcare - Irving, TX

.QualificationsTITLE: MHI – Lead Engineer, EIS JOB DUTIES: Responsible for day-to-day operational support of the environment, which includes new storage system delivery, change requests, proactive storage availability, performance monitoring, preventative maintenance, troubleshooting and the resolution of system issues. Contributes to on-ca...

Case Manager, LTSS - Patients Visits - Champaign - Remote

Molina Healthcare - Champaign, 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...

RN Case Manager - Patient Visits - Peoria - Remote

Molina Healthcare - Peoria, 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...

Provider Contract Administrator

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryResponsible 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 ...

Dir, Healthcare Analytics

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryPerforms 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/Abili...

Technician, Desktop Support

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms the installation, repair and preventative maintenance of personal computer and related systems. Assists in determining suitable software to meet user requirements. Troubleshoots software and hardware failures and identifies network problems when they relate to personal (desktop or laptop) computers. May assist Network...

Care Review Processor

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...

Care Review Clinician, Inpatient Review (RN)

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 ...

Assoc Rep, Provider Inquiry Research and Resolution

Molina Healthcare - Bothell, WA

Job DescriptionJob 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.

Sr. Analyst, Financial Reporting

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryThe Sr. Analyst, Financial Reporting will be responsible for the preparation and distribution of financial reports on a timely and accurate basis for both internal and external use. Your duties will include, but not limited to preparation and distribution of periodic financial statements for users other than those directly emp...

RN/LSW Supervisor Nursing Facilities Care Management Cincinnati Ohio area

Molina Healthcare - Cincinnati, OH

Job DescriptionOhio Plan Specific: State of Ohio regulations require that this role be occupied by a professional who has an active unrestricted license as a Registered Nurse of Licensed Social Worker. Job SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate ...

National Benefit Advisor

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryTelesales role. Responsible for taking and making telephone calls with prospective members with the intent to educate them on benefits of Molina products and then conducts enrollment into product of choice over the phone or other sales enrollment channel desired.Knowledge/Skills/Abilities• Strong working kno...

Specialist, Quality Interventions (Provider Engagement): Field

Molina Healthcare - Flint, MI

Job Description Job 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...

Rep, Provider Inquiry R&R

Molina Healthcare - Troy, MI

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....