Jobs at Molina Healthcare - Page 5

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Case Manager-Sarasota County

Molina Healthcare - Doral, FL

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-Lee County

Molina Healthcare - Doral, FL

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...

Community Engagement Specialist

Molina Healthcare - Spokane, WA

Job Description Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Knowledge/Skills/Abilities • Under limited supervision, responsible fo...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Columbus, OH

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...

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 ...

Associate Provider Services Rep

Molina Healthcare - San Diego, CA

Job Description Job Summary Molina 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. Provider Services...

Pharmacy Technician

Molina Healthcare - Syracuse, NY

Job Description Job Summary Molina 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 all federal a...

Case Manager (RN)

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...

Licensed Vocational Nurse (LVN) Hiring Event : January 7, 2019

Molina Healthcare - Long Beach, CA

Join us on FRIDAY JANUARY 7, 2019 for our LVN (Licensed Vocational Nurse) hiring event. Dress professionally and bring several hard copies of your resume for an opportunity to meet with our hiring managers. WE ARE HIRING FOR: LVN Care Review Clinician Prior Authorization (must have 1 - 3 years experience in Utilization Management ) LVN Member Health Assessor...

Medical Records Collector

Molina Healthcare - Syracuse, NY

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 ...

Quality Interventions Manager (Healthcare)

Molina Healthcare - Midvale, UT

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...

Mgr, Healthcare Services (RN or Licensed Social Worker)

Molina Healthcare - Troy, MI

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...

Manager, Quality Improvement Compliance (Remote - Abstraction Team)

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...

Pharmacist, Clinical/MTM REMOTE

Molina Healthcare - Columbus, OH

Job Description This is a role that supports the Ohio and Wisconsin Plans and their Market place product. In 2018 the teams were regionalize and the Ohio and Wisconsin plans were United. As we grow this role must be willing to take on those plans or others as they are added to this Region. This is an exciting time for Molina and the Pharmacy careers. The preference is that so...

Sr Project Manager, PMO

Molina Healthcare - Long Beach, CA

Job Description Job Summary Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management. Knowledge/Skills/Abilities • Deep understanding of effective project approach(es) for a variety...