Jobs at Molina Healthcare - Page 3

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Case Manager, LTSS

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 ...

Case Manager

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...

Specialist, Quality Interventions (Provider Engagement): Field

Molina Healthcare - Troy, 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 measure...

Associate Learning Facilitator

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryAnalyzes and determines training needs and problems. Develops, administers and implements all training programs in accordance with the Business' initiatives and strategies. Conducts special courses designed for training selected groups of employees.Knowledge/Skills/Abilities• Facilitates large portions of as...

Sr Proposal Writer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides content development, compilation, editing and submission of proposals for government sponsored managed care programs or health care related areas. Works across the organization to develop specific response-focused, technically accurate content. Supports RFP, RFA, and RFI response projects, while contributing to procur...

Medical Director, Behavioral Health - Psychiatrist

Molina Healthcare - Columbus, OH

Job Summary Bring your clinical psychiatric experience and desire to affect behavioral health on a large scale to our health plan in Ohio. If you have experience in utilization review and specialty in substance use disorders, all the better. The BH team provides leadership and guidance for utilization management and case management programs for mental health and chemical...

Director, Health Plan Quality Interventions

Molina Healthcare - Bothell, WA

Job DescriptionJob Summary The Director, Health Plan Quality Interventions is responsible for implementing quality improvement interventions and acting as the subject matter expert for the health plan. Key activities include implementing, monitoring and analyzing the effectiveness of a comprehensive intervention strategy and facilitating stakeholder input ...

Health Manager, LVN

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for working with members and providers to assess, facilitate, plan and coordinate the delivery of care across the continuum for members with potential risk for high cost and high utilization. Responsible for leading project initiatives aimed at reducing the cost of care and quality improvement. Oversees the develo...

RN Supervisor, Care Review Prior Authorization

Molina Healthcare - Doral, FL

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 ...

Analyst, Data

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryDesigns and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstruct...

Associate Rep, Provider Inquiry R&R

Molina Healthcare - Albuquerque, NM

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.

Delegation Oversight Nurse (LPN)

Molina Healthcare - Columbus, OH

Job DescriptionJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement.Knowledge/Skills/Abilities

Sr Engineer, Applications

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryDesigns, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and st...

Lead Analyst, Config Info Mgmt

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible 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...

Member Health Assessor, 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...