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Jobs at Molina Healthcare

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Case Manager (RN)

Molina Healthcare - Irving, TX

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)

Molina Healthcare - Irving, TX

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 or LSW)

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...

Sr Rep, Enrollment

Molina Healthcare - San Antonio, TX

Job Description Job Summary The Sr Rep, Enrollment handles all processes related to membership eligibility inquiries and ensures membership accuracy within the system. Represents Enrollment Operations as a subject matter expert (SME) and works collaboratively with external clients and internal partners to resolve membership issues. Utilizes multiple applications and...

Assoc Rep, Provider Appeals & Disputes

Molina Healthcare - Bothell, WA

Job Description Job Summary Molina 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. Provide...

Supv, Long Term Services & Supports LTSS- (RN/LSW)

Molina Healthcare - Cincinnati, 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...

Manager, Sales - Healthcare Medicare - Remote/Field in Michigan

Molina Healthcare - Troy, MI

Job Description Job Summary Provides leadership and direction to their Sales channels in all approved Molina markets. Serve as the primary contact for their channel's distribution of assigned Molina products, and resolution of operational issues, by either directly handling or escalating to the attention of the AVP so appropriate action can be taken. Works directly ...

Broker Coord

Molina Healthcare - Midvale, UT

Job Description Job Summary Manage, research and correct AOR issues for brokers. Assisting and educating brokers and Broker agencies on Commissions and CMS requirements/ market guidelines. Knowledge/Skills/Abilities • Handles new broker applications, enrollment forms. • Educates Brokers on plan benefits in all markets. • ...

Sr. Business Analyst - Payment Integrity

Molina Healthcare - Long Beach, CA

Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifica...

Community Engagement Specialist (North Sound)

Molina Healthcare - Bothell, WA

Job Description Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Knowledge/Skills/Abilities • Under limited supervision, responsible fo...

Sr. Data Analyst - Payment Integrity (remote)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Designs 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...

Medicaid Case Manager - King County, WA

Molina Healthcare - Long Beach, CA

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...

Care Review Clinician, Prior Authorization (RN)

Molina Healthcare - Oak Brook, IL

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...

Care Connections Rep

Molina Healthcare - Long Beach, CA

Job Description Job Summary Care Connections, a division of Molina Healthcare, seeks Outreach Agents to join its growing team which will contribute to the company mission to bring quality health care to the underserved. The Care Connections Representative primary focus is to conduct outbound calls to Molina members and schedule appointments with our Nurse Practition...

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - Syracuse, NY

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...