Jobs at Molina Healthcare

348 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 1 - 15 of 348

Analyst, Healthcare Analytics - 2 positions

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryThe Analyst, Healthcare Analytics will perform 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 find...

Director, Regulatory Affairs

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 ...

Specialist, Quality Interventions/ QI Compliance

Molina Healthcare - Albuquerque, NM

Job DescriptionJob 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 measurement activities...

HR Business Partner Manager : Employee Relations

Molina Healthcare - Jackson, MS

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...

Care Review Processor

Molina Healthcare - Columbus, 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...

Care Review Clinician, Prior Authorization

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 toward desir...

RN SIU Investigator - (Miami, FL)

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing revi...

RN Transition of Care Coach Patients Visits - 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 ...

Senior Analyst, IT Systems

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality.• Evaluates alternative systems solutions and recommends solution that best meets the need of the business.• Develops the BRDs along wi...

AVP, Business Development

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for research & intelligence gathering, analysis, and project management in support of Molina's business development efforts, with particular emphasis on merger and acquisition activity. Monitors activity in other markets that may develop into opportunities. Leads managed-care related business development activities for nationa...

Provider Services Representative (Field - Los Angeles County)

Molina Healthcare - Long Beach, 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. Provi...

Data Analyst - Finance & Accounting

Molina Healthcare - Long Beach, CA

Job Description Job SummaryAccountable for enrollment to premium related analysis for the organization. Responsible to ensure accurate and timely reconciliation and reporting of premium for month-end to management and corporate accounting for journal entries. Additionally responsible for creating queries to support reporting for accounting and enrollment & prem...

Senior Specialist, Delegation Oversight (Remote, Western Washington)

Molina Healthcare - Bothell, WA

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...

Sr Proposal Writer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides content development, compilation, editing and submission of proposals for government sponsored managed care programs or health care related areas. Works across the organization to develop specific response-focused, technically accurate content. Supports RFP, RFA, and RFI response projects, while contributing to procurement opport...

Call Center Learning Facilitator

Molina Healthcare - Bothell, WA

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• Consults with plan/Corporate leadership in a...