Jobs at Molina Healthcare - Page 5

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Specialist, Risk Adjustment

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryRisk Adjustment is responsible for quality measurement and process improvement in the application of regulatory requirements.Knowledge/Skills/Abilities• Assist with implementation and monitoring local risk adjustment coordination efforts.• Assist with implementation of risk adjustment strategy in conjun...

Associate, Risk Adjustment

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryRisk Adjustment is responsible for quality measurement and process improvement in the application of regulatory requirements.Knowledge/Skills/Abilities• Helps support day to day operations• Helps under supervision to support Risk Adjustment related projects, including goals, objectives, milestones and d...

Bilingual Receptionist

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryProvides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in support of the functional processes, programs and/or services. Also provides the administration of variou...

Pharmacist, Clinical/MTM

Molina Healthcare - Midvale, UT

Job Description Job 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 wit...

Sr Analyst, Finance

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryResponsible 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 forecas...

Pharmacy Service Rep

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryHandles provider phone calls regarding pharmacy claims processing in a call center setting. Satisfactorily resolve calls within expected response time standards.Knowledge/Skills/Abilities• Handles inbound pharmacy call volume.• Responds to incoming calls mainly from providers, as required to meet...

Sr 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...

RN or LICSW Case Manager (Field: WA / ID)

Molina Healthcare - Spokane, WA

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 ...

Director, Government Contracts

Molina Healthcare - Springfield, IL

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

Associate Representative, Provider Services - EDI/HIPAA

Molina Healthcare - Charleston, WV

Job DescriptionJob SummaryResponsible for answering all calls from providers regarding claims issues, eligibility and benefits, and website assistance in a call center setting, and to satisfactorily resolve calls within expected response time standards. Additional responsibilities include providing assistance on accessing and navigating the web portal, electroni...

Executive Assistant, Government Contracts

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryProvides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site.Knowledge/Skills/Abilities• Composes and types routine memos and corresp...

Manager, Provider Contracting

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryProvides contracting expertise in the realm of providers.Knowledge/Skills/Abilities• Plans, organizes, and assists in the supervision of the activities of the Provider Contracts for the business.• Manages provider networks to ensure adequacy, quality, and access.• Prepares provider contracts in conce...

National Benefit Advisor

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryTelesales role. Responsible for taking and making telephone calls with prospective members with the intent to educate them on benefits of Molina products and then conducts enrollment into product of choice over the phone or other sales enrollment channel desired.Knowledge/Skills/Abilities• Strong working kno...

Specialist, Public Relations

Molina Healthcare - Long Beach, CA

The Public Relations Specialist coordinates local, hands-on volunteer opportunities for Molina employees that align with the company's mission to help the populations that are served by the company (e.g. low income families, seniors, persons with disabilities, veterans, etc.) Helping Hands is Molina's employee volunteer program.Plans and conducts public relations a...

Rep, Pharmacy

Molina Healthcare - Midvale, UT

Job Description Job 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 wit...