Jobs at Molina Healthcare

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VP, Encounters

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesThe Encounters Vice President oversees and monitors claims & encounters processes, including partnering with cross-functional teams (Plan or MHI) to prevent encounter rejections via root cause analysis and resolution. • Monitors and/or assigns encounter workflow queues; ensures volume and aging are current. • Oversees researching of claim...

VP, Core Operations

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Hires, coordinates training and manages staff involved in creating controls, documents and tools within the Corporate Claims, Shared Services, Corporate Ops PMO or Configuration Teams or other Corporate Operations areas reporting to the Core Ops Team in order to manage work in any of the assigned Corporate Operations areas for all lines of busi...

Transition of Care Coach

Molina Healthcare - Oak Brook, 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...

Director, Government Contracts

Molina Healthcare - Columbus, OH

Job DescriptionJob SummaryResponsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.Knowledge/Skills/Abilities• Responsible ...

Case Manager, Substance Use Disorder (Chelan, Douglas, Grant County)

Molina Healthcare - Spokane, WA

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 ...

Program Manager

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesActive collaborator with 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 en...

HR Business Partner Manager

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryProvides strategic and operational HR consultation to assigned client groups, which may be located in multiple States. Responsible for the assessment of HR initiatives to support business strategies. Collaborates with Centers of Expertise (COEs) to develop and implement HR programs to meet business objectives. Provides compreh...

Sr. Healthcare Process Improvement Analyst

Molina Healthcare - Columbus, OH

Job DescriptionOhio Plan Specific: This role is part of the Operational Excellence team, which leads continuous improvement activities within Molina Healthcare's Ohio Plan. Healthcare Services is the largest division of the Ohio Plan, which has a total of over 1100 employees. This role would focus on small-to-medium scale process improvement projects...

Director, Projects (Agile Project Management)

Molina Healthcare - Jackson, MS

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...

Case Manager, LTSS

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 ...

Case Manager

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...

Specialist, Quality Interventions (Provider Engagement): Field

Molina Healthcare - Troy, MI

Job Description Job SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measure...

Principal Architect, Info Secu

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAs a principal security architect you will be responsible to help evolve cyber security architecture program. The role will entail working with various information security groups, enterprise architects and business groups to define the security architecture function in order to support strategic business direction and priorit...

Associate Learning Facilitator

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryAnalyzes and determines training needs and problems. Develops, administers and implements all training programs in accordance with the Business' initiatives and strategies. Conducts special courses designed for training selected groups of employees.Knowledge/Skills/Abilities• Facilitates large portions of as...

Case Manager (RN)

Molina Healthcare - Oak Brook, 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...