Jobs at Molina Healthcare - Page 8

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Assoc Specialist, Appeals & Grievances

Molina Healthcare - Troy, MI

Job Description Job SummaryMolina Healthcare's Appeals & Grievances jobs are 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.Knowledge/Skills/Abilities• E...

Director, Financial Plannng & Analysis (Regional - MS, FL, SC)

Molina Healthcare - Doral, FL

Job SummaryNewly created role to support 3 health plans - Florida, South Carolina & Mississippi. This Director will lead the finance, budget and analytics elements of the start-up health plan in Mississippi and support the Plan Presidents in each of the 3 states by developing short- and long-term financial plans and identifying financial opportunities to improve each pla...

Senior Network Engineer

Molina Healthcare - Long Beach, CA

Job DescriptionSenior Engineer (Network Operations) Required Skills Very strong interpersonal and communication skills; ability to write proposals or papers, act as a vendor liaison, make presentations to customers or client audiences or professional peers, and work closely with upper managementAbility to solve prob...

Manager, Provider/Member Inquiry Research & Resolution

Molina Healthcare - Long Beach, CA

Job Description Job 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....

Senior Network Engineer - Remote

Molina Healthcare - Long Beach, CA

Job DescriptionSenior Engineer (Network Operations) Required Skills Very strong interpersonal and communication skills; ability to write proposals or papers, act as a vendor liaison, make presentations to customers or client audiences or professional peers, and work closely with upper managementAbility to solve prob...

Principal Network Engineer - Remote or Long Beach, CA

Molina Healthcare - Long Beach, CA

Job Description This position can be remote or work out of our Long Beach, CA office. Principal Engineer (Network Operations) Required Skills Very strong interpersonal and communication skills; ability to write proposals or papers, act as a vendor liaison, make presentations to customers or client audiences or professio...

Lead Engineer, EIS

Molina Healthcare - Irving, TX

.QualificationsTITLE: MHI – Lead Engineer, EIS JOB DUTIES: Responsible for day-to-day operational support of the environment, which includes new storage system delivery, change requests, proactive storage availability, performance monitoring, preventative maintenance, troubleshooting and the resolution of system issues. Contributes to on-ca...

Case Manager, LTSS - Patients Visits - Champaign - Remote

Molina Healthcare - Champaign, IL

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...

RN Case Manager - Patient Visits - Peoria - Remote

Molina Healthcare - Peoria, IL

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...

Provider Contract Administrator

Molina Healthcare - Syracuse, NY

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 ...

Director, Healthcare Analytics - Medicaid

Molina Healthcare - Irving, TX

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 Directs Health Plan strategic ...

Technician, Desktop Support

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms the installation, repair and preventative maintenance of personal computer and related systems. Assists in determining suitable software to meet user requirements. Troubleshoots software and hardware failures and identifies network problems when they relate to personal (desktop or laptop) computers. May assist Network...

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...

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - Albuquerque, NM

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 ...

Assoc Rep, Provider Inquiry Research and Resolution

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.