Jobs at Molina Healthcare - Page 4

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Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Midvale, UT

Job Description Job Summary Molina'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/Skills/Abili...

Call Center Member Services Rep (Multiple Openings)

Molina Healthcare - Bothell, WA

Job Description Job Summary Provides 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 relationships. R...

Sr Program Manager

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 ...

Bilingual Member Services Rep (Call Center)

Molina Healthcare - Albuquerque, NM

Job Description Job Summary Provides 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 relationships. R...

Sr. Abstractor, HEDIS Training

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina's HEDIS training team functions are to oversee regional/plan training in preparation for HEDIS and HEDIS like projects; ensures maintenance of training materials/job aids/processes in accordance with NCQA technical specifications as well as auditor standards. Knowledge/Skills/Abilities The Senior Abstractor/Trainer...

Medical Records Collector

Molina Healthcare - Oak Brook, IL

Job Description Job Summary Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects. Knowledge/Skills/Abilities • Under the direction of ...

Assoc Analyst, Provider Config

Molina Healthcare - Columbus, OH

Job Description Ohio Plan Specific: Job Description Job Summary Responsible for accurate and timely maintenance of critical provider information in Provider Online Database. Makes outreach to providers to validate existing data housed on provider databases. Triages information to determine correct usage and submits for data to be updated acco...

Project Manager, HEDIS/Quality

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Project Manager will be responsible for planning and directing schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program ...

Sr. Quality Interventions Specialist

Molina Healthcare - Oak Brook, IL

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 Project Manager

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Associate Project Manager will manage 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...

Specialist, Quality Interventions/ QI Compliance

Molina Healthcare - Irving, TX

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...

Sr Specialist, Quality Interventions/QI Compliance

Molina Healthcare - North Charleston, SC

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...

Clinical Programs Mgr, Behavioral Health

Molina Healthcare - Bothell, WA

Job Description Job Summary Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. Knowledge/Skills/Abilities • Assists senior management as requ...

Regional Director State Affairs

Molina Healthcare - Washington, DC

Job Summary Identify key issues in current Molina Healthcare markets and draft MHI state policy initiatives aimed at passing healthcare reforms that would ensure sustainable funding for government-sponsored programs, expansion of those programs, and private-sector participation in the programs. Knowledge/Skills/Abilities • Provide governmenta...

Dir, Healthcare Services

Molina Healthcare - Bothell, WA

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...