Jobs at Molina Healthcare - Page 4

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Lead, Call Center

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member rela...

Actuarial Analyst

Molina Healthcare - Long Beach, CA

Office Location: Open to Remote or in any Molina Office locationsResponsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.Knowledge/Skills/Abilities• Collaborate with Actuarial staff to perform IBNR estimates and rate adequacy studie...

Case Manager

Molina Healthcare - Champaign, 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 toward desir...

Mgr, Financial Planning & Anal

Molina Healthcare - Jackson, MS

Job DescriptionJob SummaryDesigns, develops and executes objectives of the corporate FP&A group. Manager role, responsible for leading a team that develops financial analytics of internal and external data, variance analysis, drivers analysis, scenarios analysis, modeling and forecasting & budgeting.Knowledge/Skills/Abilities• Manages timely sub...

Care Review Clinician, Inpatient Review (RN)-E

Molina Healthcare - Columbus, OH

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 (RN) E

Molina Healthcare - Columbus, OH

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 (RN)E Field Nursing Facility Cincinnati Area

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: Molina Healthcare of Ohio State Plan requires that this role be covered by a Registered Nurse. The purpose of the role is to visit the Molina Member in the Nursing Facility and sometimes the homes to facilitate Case Management for them. This is a field position in Cincinnati area. Although it is meant to be remote in nature, the first s...

Director, Government Contracts

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryResponsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.Knowledge/Skills/Abilities• Responsible ...

Medical Director - Part-Time (Healthplan)

Molina Healthcare - Syracuse, NY

Job SummaryBring your physician leadership experience to our growing healthplan and not only perform utilization reviews, but affect population health in New York state. You will serve as the primary liaison between administration and medical staff and assure the ongoing development and implementation of policies and procedures that guide and support the provision of medical sta...

Nurse Practitioner:Remote (Syracuse, NY)

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryCare Connections, a division of Molina Healthcare, seeks Nurse Practitioners to join its growing team which will contribute to the company mission to bring quality health care to the underserved. The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings....

Sr Analyst, Healthcare Analytics

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryPerforms 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...

AVP, Data Management

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryOversee data management activities with the aim of maximizing the business value of the company's data. Establish data policies, standards, organization and enforcement. Oversee and report on data metrics. Collaborate with leadership team and CIO to align and prioritize business and technology initiatives related to data management.

Case Manager, LTSS

Molina Healthcare - Champaign, 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 ...

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - Albuquerque, NM

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 ...

Pharmacy Technician

Molina Healthcare - Midvale, UT

Job DescriptionJob 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 pharmacy benefit programs in accordance with a...