Jobs at Molina Healthcare - Page 3

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Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Bothell, WA

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/...

LSW - Clinical Services Trainer - Remote

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Provides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. • Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of ...

RN Clinical Services Trainer - Remote

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of trai...

LSW Clinical Services Trainer - Remote

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Provides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. • Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of ...

Executive Assistant

Molina Healthcare - Sacramento, CA

Job DescriptionJob SummaryProvides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site.Knowledge/Skills/Abilities• Composes and types routine memos and correspondence ...

Sr Rep, Provider Services

Molina Healthcare - Syracuse, NY

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...

Administrative Assistant

Molina Healthcare - Milwaukee, WI

Job Description Job SummaryProvides administrative level support to management and/or division team members support such as answer and forward calls, file management, ordering office supplies and processing of incoming and outgoing mail. May also perform a variety of functions in support of the health plan as needed by various departments. May also be re...

Provider Contracting Manager

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryNegotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.Knowledge/Skills/Abilities• In conjunction with Director/Manager Provide...

Lead, Core Ops

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.Kn...

Assoc Analyst, Provider Configuration

Molina Healthcare - Columbus, OH

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 ...

Analyst, Provider Configuratio

Molina Healthcare - Columbus, OH

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 ...

Analyst, Provider Configuratio

Molina Healthcare - Columbus, OH

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 ...

Analyst, Provider Configuratio

Molina Healthcare - Columbus, OH

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 ...

Sr. Analyst, Reporting & Analytics

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryUnder supervision, applies software engineering methods and techniques to the design, development, integration, qualification and/or support of Microsoft Reporting Services, SQL stored procedures and developing areas of expertise. Knowledge/Skills/Abilities• Creates reports to meet user requirements using Mi...

Certified Pharmacy Technician

Molina Healthcare - Long Beach, CA

Job DescriptionMust be a Certified Pharmacy Technician Job SummaryMolina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's ph...