Jobs at Molina Healthcare - Page 2

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Program Director

Molina Healthcare - Long Beach, CA

Job Description Job Summary Manages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and ...

Architect, MITA Business

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for all PeopleSoft, Kronos and ESS functions, determining staffing needs, hiring and mentoring staff members, annual reviews, and managing day-to-day allocation of activities for the team and preparing reports to Sr Management levels. Knowledge/Skills/Abilities • Provides advanced leadership and solution desig...

Assoc Analyst, Config Info Mgm

Molina Healthcare - Boise, ID

Job Description Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adhe...

Admin, IT Systems

Molina Healthcare - Boise, ID

Job Description Job Summary Troubleshoots hardware and software problems, assists users with desktop applications and provides user training. Utilizes applications such as Altiris to track user requests from trouble-ticket generation through problem resolution. Escalates a problem to other network or system support personnel when the problem is not easily identified...

Sr Business Relationship Mgr,

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for leveraging the technology for the benefit of the business. Interface and manage strategic relationships with business partners by representing & promoting IM capabilities Knowledge/Skills/Abilities Manages and provides direct oversight of all health plan IT activities, by providing process expertise, manag...

Lead, HCS Central Programs (Non-Clinical)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Healthcare Services (HCS) Central Programs Department 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 Central Programs staff work ...

Accountant

Molina Healthcare - Columbus, OH

Use of general accounting principles and rules to create financial reports and analysis. Duties include all aspects of the Accounting function, such as, control of accounts and records, recording of transactions, analysis of financial data, preparation budgets, forecasts, financial statements and accounting schedules/reports, and auditing responsibilities. Knowledge/Skills/Abilit...

Program Manager (Value Based Care)

Molina Healthcare - Bothell, WA

Job Description: Responsible for projects and programs involving cross functional teams to implement value based care strategies with contracted provider groups. Communicates and collaborates with health plan's and provider groups' quality, care management and network teams to analyze performance metrics, identify improvement needs and convert related performance goals into p...

Transition of Care Coach (RN)

Molina Healthcare - Troy, MI

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...

Correspondence Processor

Molina Healthcare - El Paso, TX

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...

Mgr, Provider Inquiry R&R

Molina Healthcare - Doral, FL

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, Community Engagement

Molina Healthcare - Doral, FL

Job Description Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Knowledge/Skills/Abilities • Under limited supervision, responsible fo...

Mgr, Financial Operations

Molina Healthcare - North Charleston, SC

Job Description Job Summary Manages the on-site Financial Operations team responsible for the day-to-day activities of the projects financial accounting. The Financial Operations team handles all accounts payables and account receivables as well as ongoing development for the MMIS, as well as works with and provides analysis for the flexi financial system. Requires ...

Analyst, Healthcare Analytics

Molina Healthcare - Doral, FL

Job Description Job Summary 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 ...

Supv, Appeals & Grievances

Molina Healthcare - Doral, FL

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