Jobs at Molina Healthcare - Page 8

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Assoc Rep, Member Services

Molina Healthcare - Columbus, OH

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...

Call Center Supervisor, Member Services

Molina Healthcare - Doral, FL

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 rela...

Senior Data Analyst

Molina Healthcare - Long Beach, CA

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 unstructured data fr...

Lead Applications Engineer - REMOTE Position

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for designing, developing, coding, unit testing, and debugging new software and producing significant enhancements to existing software.Conducts business process analysis, participates in design sessions with Architects in order to align information technology solutions with business initiatives....

Field Representative, Provider Services (Central San Diego County, CA)

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...

Remote Sr Analyst, Config Info Mgmt SSIS, SSRS

Molina Healthcare - Long Beach, CA

Design and develop SSIS packages. Use SQL to build complex reports. Use SQL to update configuration data in a SQL Server database. Work with BA to understand requirements of SSIS packages, reports and configuration updates. Execute and maintain SSIS packages. Q/A results of reports, scripts, and SSIS packages. Write technical and user documentation for queries, reports, and SSIS pac...

Bilingual Call Center Representative (Medicare Preferred, Multiple Openings)

Molina Healthcare - Irving, TX

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...

Call Center Representative (Multiple Openings)

Molina Healthcare - Columbus, OH

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...

Call Center Representative (Multiple Positions)

Molina Healthcare - Doral, FL

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...

Assoc Buyer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for all aspects of purchasing goods and services required by the business, and collaborates with suppliers to determine price and purchasing schedule.Knowledge/Skills/Abilities• Coordinate/Manage Requisition queue in ERP/Procure-to-Pay system.• Assist in RFP process at direction of Procurement Team.•...

Case Manager (Licensed Social Worker)

Molina Healthcare - Independence, 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 toward desir...

Director Claims Adjustments

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.Knowledge/Skil...

Project Manager, PMO

Molina Healthcare - Augusta, ME

Job DescriptionJob SummaryFocuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management.Knowledge/Skills/Abilities• Proven depth of understanding and demonstrable results for effecti...

Director Finance & Analytics

Molina Healthcare - Troy, MI

Director Finance & AnalyticsLocation: Troy, MichiganLeads the financial analysis of the health plan's performance. Lead and support financial and operational analysis for Medical Management and Provider Contracting. Review, evaluate and improve company business logic and data sources. Ensure timely creation of management reports. Ensure data integrity. Assist in developing,...

Remote Sr Analyst, Config - Market Place Benefits

Molina Healthcare - Long Beach, CA

Market Place Benefits Configuration Responsible for accurate and timely implementation and maintenance of critical information on claims databases as it relates to Market Place benefit configuration. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Val...