Jobs at Molina Healthcare

299 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 1 - 15 of 299

LTSS Support Specialist

Molina Healthcare - Boise, ID

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...

Sr Analyst, Healthcare Analytics

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms 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/Abili...

Program Manager

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryManages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May...

Representative, Provider Services

Molina Healthcare - Irving, TX

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. Provi...

Program Manager

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryManages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May...

Specialist, Delegation Oversight

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.Knowle...

Assoc Specialist, Corp Credentialing

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryMolina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria in order to minimize liability to the company and to maximize safety for members.Knowledge/Skills/AbilitiesResponsible for coordinating assigned aspe...

Administrative Assistant

Molina Healthcare - Troy, MI

Job DescriptionJob SummaryAs the Administrative Assistant, you will provide administrative level support to management and/or division team members. Prioritize management/client requests in order to meet business objectives as well as support the day-to-day administrative operations of a department and/or site.Knowledge/Skills/Abilities

Sr. Abstractor, HEDIS Training (2 positions)

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary The Senior Abstractor/Trainer contributes to the HEDIS projects by ensuring all medical records abstraction team members are trained consistently. Molina's HEDIS training team functions are to oversee regional/plan training in preparation for HEDIS and HEDIS like projects; ensures maintenance of training materials/job ai...

Lead, Provider Inquiry R&R

Molina Healthcare - Long Beach, CA

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.

Specialist, Quality Interventions/ QI Compliance

Molina Healthcare - Bothell, WA

Job DescriptionJob Summary The Specialist, Quality Interventions/ QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance. Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education...

Representative, Member Engagement

Molina Healthcare - Syracuse, NY

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 Specialist, Provider Contracts

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 ...

Clerk

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryProvides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in support of the functional processes, programs and/or services. Also provides the administration of variou...