Jobs at Molina Healthcare - Page 10

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Case Management Processor

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...

Care Review Clinician (LPN/LVN)

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 toward desir...

Case Manager (RN) FIELD REMOTE

Molina Healthcare - Syracuse, NY

Job DescriptionThe State of New York Contract requires that this role be filled with a Registered Nurse with an unrestricted license in the state of New York. Remote for this role means field based or community based. Once a month meeting in office minimum. Rest of time is member visits at provider offices and/or home and documentation at home. Ratio of time...

Family Medicine Physician - Clinic (Everett, WA)

Molina Healthcare - Bothell, WA

KnowledgeActs as team leader- leads in setting the quality and productivity of comprehensive medical care provided to Molina patientsProvides primary medical care within the standard of care for family medicine patientsOrders laboratory and radiology tests as appropriate- being mindful of an environment of limited resourcesConsults with specialists ...

Director, Enrollment Services - Healthcare

Molina Healthcare - San Antonio, TX

Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received v...

Assoc Medical Dir

Molina Healthcare - Jackson, MS

Job DescriptionJob SummaryThe Associate Medical Director (AMD) position is divided 50/50 with direct patient care (primary care) and administrative responsibilities as outlined below. Time is divided between centers and off site meetings, such as coordination meetings with Molina Medical Group Leadership and the Molina Health Plans. Availability for evening meetin...

Sr. Specialist, Quality Interventions/QI Compliance - (REMOTE)

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 measurement activities...

Sr. Specialist, Quality Interventions/QI Compliance

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 measurement activities...

Care Review Clinician, PA - (LPN/LVN)

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 toward desir...

Information Security Compliance Associate (Remote)

Molina Healthcare - Long Beach, CA

Job Summary Responsible for ensuring Molina compliance with IT industry standards, and legal and regulatory requirements, responding to physical, and cyber security audits, and healthcare and insurance agency exams. The position integrates cyber security and information technology services with healthcare systems development and operations, and enforces sound and sustainable s...

Case Manager, LTSS

Molina Healthcare - Troy, MI

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...

Manager, Healthcare Services Behavioral Health

Molina Healthcare - San Antonio, 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 toward desir...

RN Case Manager - San Diego Office

Molina Healthcare - San Diego, 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 toward desir...

RN Case Manager - San Bernardino Office

Molina Healthcare - San Bernardino, 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 toward desir...

Sr Analyst, Healthcare Analytics Syracuse, NY

Molina Healthcare - Syracuse, NY

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.SQL knowledge and daily working with developing ad-hoc reports using SQL p...