Jobs at Molina Healthcare - Page 6

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Sr Technical Writer, Enrollment Accounting

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyses user information requirements including understanding the user experience in relation to company products. Defines strategy for effective communication. May provide feedback and suggestions to product development. Employs company brand standards and creates standards applicable to technical documentation. Writes and r...

Supervisor, Provider Services (Dental)

Molina Healthcare - Plano, TX

Job DescriptionJob SummaryMolina 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. Provi...

Case Manager, LTSS (Registered Nurse or Licensed Social Worker)

Molina Healthcare - Troy, MI

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 d...

Principal Security Engineer

Molina Healthcare - Troy, MI

Job Description Molina is seeking a highly motivated and experienced security principle engineer to drive, design and contribute maturing the technology for their defense in depth. The role will work alongside the security operations team and possesses strong technical skills and eagerness to modernize security controls through automation on detection, co...

Principal Security Analyst

Molina Healthcare - Troy, MI

Job Description Molina Healthcare seeks an Incident Analyst to work in our security operations center that possesses strong technical skills and an eagerness to detect, contain, and remediate cyber security threats. Candidates will need to apply their forensics, log analysis, and malware triage skills to solve advanced threats discovered on the Molina network. Th...

Provider Services Rep

Molina Healthcare - Grand Rapids, MI

Job Description Job SummaryMolina 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. Provid...

Assoc Rep, Provider Inquiry Research and Resolution

Molina Healthcare - Columbus, OH

Job DescriptionJob SummaryMolina 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.

Coding Analyst, Claim Disputes

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryEstablish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the...

Sr Rep, Enrollment Services - Managed Care

Molina Healthcare - San Antonio, TX

Strong ability to use MS Excel of reviewing created spreadsheets, sorting, finding, filtering, extracting data.Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to reco...

Sr. Data Analyst

Molina Healthcare - Long Beach, CA

Job Summary With limited supervision, the Sr. Data Analyst will be responsible for data compilation, data management, data analysis, and reporting as well as designs 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. You will Gain insight into k...

Case Manager (RN)

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 ...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryMolina'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/...

Nurse Practitioner (Remote: San Bernardino Cty, CA)

Molina Healthcare - San Bernardino, CA

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 facili...

Field Case Manager ( Coeur d'Alene, 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 ...

Adjuster, Claims Medicare and Healthcare

Molina Healthcare - Long Beach, CA

Claims Adjustments - knowledge of healthcare and managed care claims processes, review, correction. Medicare knowledge and experience a plus Job SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog ...