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Jobs at Molina Healthcare

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Sr Analyst, Config Info Mgmt

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adh...

Case Management Processor

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 desi...

Case Manager (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 desi...

Director, Policy - Regulatory Affairs & Healthcare Experience Required (REMOTE)

Molina Healthcare - United States of America

Job Summary: The Director has responsibility to identify key issues in current Molina Healthcare markets and draft Molina policy initiatives aimed at passing healthcare reforms that would ensure sustainable funding for government-sponsored programs, expansion of those programs, and private-sector participation in the programs.The Director will also be responsible for reviewing...

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 Practitio...

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 Practitio...

Sr. Network Engineer, EIS

Molina Healthcare - Long Beach, CA

Job Description Plan, design, and implement Multi Cloud network systems, including configurations and support. Independently troubleshoot network issues and investigate underlying problems. Coordinate with vendors for the installation of required items, to include Cisco Routers, Switches and Firewalls. Evaluate and implement changes in conjun...

Community Engagement Specialist (Racine/Kenosha County)

Molina Healthcare - Milwaukee, WI

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 f...

Community Engagement Specialist (Brown County)

Molina Healthcare - Milwaukee, WI

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 f...

LSW Case Manager Community Based

Molina Healthcare - Syracuse, NY

Job Description New York Plan Specific: This role requires a Licensed Medical Social Worker licensed in the State of New York. This Social Worker who will be caring a Case Load of members and responding to their social needs along with the Registered Nurse Case Managers and Transition of Care Nurses. It is a team approach. This position is remote i...

Case Manager (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 desi...

Administrative Assistant

Molina Healthcare - Jackson, MS

Job Description Job Summary Provides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site. Knowledge/Skills/Abilities • Provides confidential administrative and office support...

Rep, Provider Inquiry R&R

Molina Healthcare - Syracuse, NY

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. Provid...

Case Manager (RN) FIELD REMOTE

Molina Healthcare - United States of America

Job Description The State of New York Contract requires that this role be filled with a Registered Nurse with an unrestricted license in the state of New York. Remote for this role means field based or community based. Once a month meeting in office minimum. Rest of time is member visits at provider offices and/or home and documentation at...

Sr Analyst, Business Systems

Molina Healthcare - Long Beach, CA

Job Description Job Summary Interfaces with the customer in developing requirements for major projects of considerable complexity; prepares system design specifications; conducts research to resolve customer initiated issues related to Medicaid claims processing; and coordinates and manages project teams in the development of large multi-system, multi-platform proj...