Jobs at Molina Healthcare - Page 3

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Case Manager RN-Med Surg Experience

Molina Healthcare - Independence, OH

Job Description This role must be a Registered Nurse who will help us manage our ever growing Northeast Ohio population. Preference given to someone who has worked in a med/surg hospital setting. Also preference given to someone from a Managed Care organization. Knowledge of Epic and other Managed Care systems is helpful but not required. We use CCA/QNXT. Job Summary

VP, Health Plan Operations

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of 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 regulatory requirements.

Lead Analyst, Market Place Enrollment Accounting

Molina Healthcare - Long Beach, CA

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 • Provides healthcare analysis including quantificat...

Lead Analyst, Healthcare Enrollment Accounting

Molina Healthcare - Long Beach, CA

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 • Provides healthcare analysis including quantificat...

Sr Specialist, Quality Improvement (RN) (Plan Due Study Act Model)

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina'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...

Assoc Member Health Assessor

Molina Healthcare - Long Beach, CA

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...

Dir, Reporting & Analytics

Molina Healthcare - Long Beach, CA

Job Description Job Summary Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and deploying reports to provider networks and other end users for operational and strategic analysis. Knowledge/Skills/Abilities The Director of Reporting & Analytics is a key...

Case Manager (RN) Community Well

Molina Healthcare - Columbus, OH

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...

Case Manager (RN)

Molina Healthcare - Cincinnati, OH

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...

Specialist, Facilities

Molina Healthcare - San Antonio, TX

Job Description Job Summary Molina's Facilities function is responsible for the efficient planning, design, integration and operation of the different elements that make up a work environment. Depending on location, this includes: day-to-day facility operations management and administrative services (e.g., mailroom, reception, relocation/move support, maintenance/re...

Nurse Practitioner, Field (San Diego Cty, CA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans serving fifteen states. During the time of expansion we have never lost sight of the mission that defines us; to serve the most financially vulnerab...

Nurse Practitioner, Field (Imperial/San Diego Cty, CA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans serving fifteen states. During the time of expansion we have never lost sight of the mission that defines us; to serve the most financially vulnerab...

Nurse Practitioner, Field (San Diego Cty, CA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans serving fifteen states. During the time of expansion we have never lost sight of the mission that defines us; to serve the most financially vulnerab...

Nurse Practitioner, Field (San Bernardino/Victorville, CA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans serving fifteen states. During the time of expansion we have never lost sight of the mission that defines us; to serve the most financially vulnerab...

Nurse Practitioner, Field (Hemet/Lake Elsinore, Riverside Cty, CA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans serving fifteen states. During the time of expansion we have never lost sight of the mission that defines us; to serve the most financially vulnerab...