Molina Healthcare Jobs - Page 5 | CareerArc

Jobs at Molina Healthcare - Page 5

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Sr Analyst, Finance (Florida Remote Local)

Molina Healthcare - Doral, FL

Job Description Job Summary Responsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information; generating forecasts and analy...

Case Manager Home Care Coordinator ( Clark , Stevenson, or Klickitat County WA)

Molina Healthcare - Vancouver, 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...

Sr. Abstractor, HEDIS/Quality Improvement - Remote

Molina Healthcare - Long Beach, CA

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...

Case Manager (RN)

Molina Healthcare - San Diego, 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...

Medical Director, Health Plan

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities Provides medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to Plan members, targeting improvements in efficiency and satisfaction for patients and providers, as well as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regardi...

Dir, Diversity & Inclusion

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Director, Diversity and Inclusion (D&I) will direct the design and implementation of Molina's strategic company-wide D&I strategies, programs, and initiatives. This position will also be responsible for tracking and reporting D&I metrics and progress. Works cross-functionally within Human Resources and with senior leaders across the o...

Program Manager (New Mexico Products)

Molina Healthcare - Albuquerque, NM

Job Description Job Summary: 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 oversee the work of extern...

Mgr, Appeals & Grievances

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid

AVP, Membership Growth & Community Engagement

Molina Healthcare - Bothell, WA

Job Description Job Summary Responsible for achieving established goals improving Molina's enrollmentgrowth objectives encompassing all lines of business. Works collaborativelywith key departments across the enterprise to improve overall choice rates andassignment percentages. This role will have a large focus on creating strategiesto leverage our relationships with provider...

Assoc Rep, Provider Appeals & Disputes

Molina Healthcare - Bothell, WA

Job Description Job Summary Molina 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. Provide...

Credentialing Clerk

Molina Healthcare - Spokane, WA

Job Description Job Summary Clerks are responsible for entering credentialing information received from practitioners and providers into our credentialing database. Clerks work on a team that supports each other through various functions to ensure team goals are achieved. Job Functions: Complete data entry of applications in the cred...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Milwaukee, WI

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...

Case Manager (Bilingual in Spanish)

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...

Specialist, Appeals & Grievances (REMOTE)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid

Specialist, Appeals & Grievances (REMOTE)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid