Molina Healthcare Jobs - Page 7 | CareerArc

Jobs at Molina Healthcare - Page 7

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Specialist, Member Appeals & Grievances

Molina Healthcare - Columbus, OH

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

Appeals & Grievances Trainer

Molina Healthcare - Long Beach, CA

Job Description Job Summary Conducts training for the entire site including training the client on our systems. Works with cross functional teams to identify and implement training improvement opportunities. Assists in the deployment, adherence, and execution of the Training Plan framework. Occasionally, designs and/or modifies courses and curriculums to satisfy tra...

Director, Health Plan Operations

Molina Healthcare - Long Beach, CA

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. Knowled...

Appeals & Grievances Trainer

Molina Healthcare - Long Beach, CA

Job Description Job Summary Conducts training for the entire site including training the client on our systems. Works with cross functional teams to identify and implement training improvement opportunities. Assists in the deployment, adherence, and execution of the Training Plan framework. Occasionally, designs, modifies, develop courses and curriculums to satisfy ...

AVP, Transformation (Remote)

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities •Work directly with the VP, Transformation and Stakeholders. The role provides and requires extensive interaction with the Company's executive leadership team •Undertake business analyses, business requirement gathering, project management, governance and control and delivery activity across transformational projects •Interact and collaborate wi...

Training Specialist (Organizational Development/HR)

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Training Specialist is responsible for supporting various learning & development initiatives. Candidate should possess strong organizational skills, project management skills, and some experience facilitating in-person and virtual training sessions. Knowledge/Skills/Abilities • Manage program logistics and c...

Director, Healthcare Analytics

Molina Healthcare - Louisville, KY

Job Description Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities ...

Analyst, Finance

Molina Healthcare - Louisville, KY

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...

Lead Analyst, Healthcare Analytics

Molina Healthcare - Louisville, KY

Job Description Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities ...

Sr Analyst, Finance

Molina Healthcare - Louisville, KY

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...

Sr Actuarial Analyst

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Knowledge/Skills/Abilities • Collaborate with Actuarial staff to complete IBNR estimates and rate adequacy studies. Document assumptions.

Tribal Liaison

Molina Healthcare - Albuquerque, NM

Job Description Job Summary: Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the development/maintenance of Member Materials. Knowledge/Skills/Abili...

Program Manager (Enrollment & Eligibility SME)

Molina Healthcare - Long Beach, CA

Job Description Job Summary: Program Manager with strong analytic and organizational skills. This is a hybrid role that requires Program Management and Sr. Business Analyst skills. Responsibilities include troubleshooting, analyzing and project managing assigned issues to resolution, including post monitoring. Building and maintaining strong...

Sr Analyst, Business

Molina Healthcare - Louisville, KY

Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifica...

Sr Analyst, Healthcare Analytics

Molina Healthcare - Louisville, KY

Job Description Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities ...