Jobs at Molina Healthcare - Page 7

368 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 91 - 105 of 368

Member Services/Claims Reps (Call Center)

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryProvides 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 Rep, Enrollment - Enrollment Accounting

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible 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 records, research and resolve enrollment system rejections. Address a v...

Supv, Care Management

Molina Healthcare - Bothell, 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 toward desir...

Specialist, Quality Interventions/QI Compliance

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryMolina'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...

Vice President Treasury - Healthcare

Molina Healthcare - Long Beach, CA

The VP Treasury is responsible for setting and implementing Treasury policy in support of the Company's strategic and operating objectives. Manages and executes all treasury functions including but not limited to: maintenance of bank relationships; cash and investment management; cash forecasting; debt servicing and compliance; and investment related financial reporting and analysis.

Associate Representative, Provider Network Services - Support

Molina Healthcare - San Diego, CA

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. Provider Services...

Broker Channel Manager

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryResponsible for the development and maintenance of an effective and efficient broker channel for assigned geographical region. Work in collaboration with other Broker Channel Managers, Field Sales Managers, Directors, and AVPs as needed in assigned states. Develop a high functioning, high performing broker network which is strategically a...

Assoc Rep, Provider Inquiry R&R

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.Provide...

Care Review Processor

Molina Healthcare - Long Beach, CA

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 desir...

Case Manager, LTSS - Field

Molina Healthcare - Syracuse, NY

Job DescriptionNew York Plan Specific: This role requires a Registered Nurse with an unrestricted license. You will be helping our members to connect with the Long Term Services, which may include Skilled Nursing Facilities, Home Health, Assisted Living and other community resources. We use UAS as a screening tool for our LTSS Evaluations. Experience with this tool is extremely ...

Correspondence Processor

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 desir...

Telephonic Complex Case Manager (RN) Troy Office

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 desir...

Claims, Disputes and Appeals Specialist (Provider Inquiry R&R)

Molina Healthcare - Bothell, WA

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.Provide...

Senior Network Engineer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryBuilds company specific systems and technology expertise across multiple infrastructure and development disciplinesKnowledge/Skills/Abilities• Responsible for support troubleshooting and incident resolution.• Contributes to on-call rotation schedules and off-hour support activities. • Provides expertise ...

Specialist, Provider Contracts

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on...