Jobs at Molina Healthcare - Page 9

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Director, Account Management

Molina Healthcare - Long Beach, CA

Job Description Job Summary MMS site operation responsibility for the overall direction and administration of the programs and services provided as the fiscal intermediary for the State Medicaid program. Responsibilities include implementing programs that are in alignment with Molina's strategic plan for MMS business; providing day-to-day leadership and management t...

Director, Implementation

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for managing large scale multi-million dollar projects or programs on behalf of State Medicaid Agencies. Supports the sales process by actively identifying opportunities and accurately scoping projects in the sales process. Knowledge/Skills/Abilities • Manages all aspects of very large system implementation pr...

Manager, Operations

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provides leadership and direction to MMS Operational Units management staff (e.g., Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network), for management and supervision of daily functional operations to insure compliance to contract requirements. Knowledge/Skills/Abilities • Ov...

Rep, Provider Services

Molina Healthcare - Baton Rouge, LA

Job Description Job Summary Molina 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...

Manager, IT Services

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for all information technology operations activities, including computer operations, data and operations support. Monitor budgets and expenses within department and accountable for meeting budget goals. Recommends input to policy principles and budget constraints. Provides expertise to departments regarding policies and proced...

Case Manager (RN)-Pediatric

Molina Healthcare - Bothell, WA

Job Description Job Summary Molina 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 (RN)-Pediatric

Molina Healthcare - Vancouver, WA

Job Description Job Summary Molina 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 -BH, SW, LPC, RN

Molina Healthcare - Columbus, OH

Job Description Job Summary Molina 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...

Supervisor, Healthcare Services - Remote Pierce County

Molina Healthcare - Bothell, WA

Job Description Job Summary Works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge. Assesses members for care needs, and develops treatment plan with practitioners, providers, members and support system. Ensures quality member care is provided. Ensures patient is progressing towar...

Provider Contracts Manager-Behavioral Health

Molina Healthcare - Bothell, WA

Job Description Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. Knowledge/Skills/Abilities • In conjunction with Director/Manager Provider Contracts,...

Provider Contracts Manager-Behavioral Health

Molina Healthcare - Bothell, WA

Job Description Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. Knowledge/Skills/Abilities • In conjunction with Director/Manager Provider Contracts,...

Provider Contracts Manager-Behavioral Health

Molina Healthcare - Bothell, WA

Job Description Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. Knowledge/Skills/Abilities • In conjunction with Director/Manager Provider Contracts,...

Specialist, Appeals & Grievances

Molina Healthcare - Irving, TX

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

Specialist, Appeals & Grievances

Molina Healthcare - Irving, TX

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...

Assoc Engineer, EIS

Molina Healthcare - Long Beach, CA

Job Description Job Summary Builds company specific systems and technology expertise across multiple infrastructure and development disciplines Knowledge/Skills/Abilities • Responsible for task management and adherence to process controls. • Contributes to troubleshooting and incident resolution for support functions. • Contributes to on-call ...