Jobs at Molina Healthcare

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Assoc Rep, Provider Services

Molina Healthcare - Augusta, ME

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. Provider Services...

NOC Supervisor, IT Services

Molina Healthcare - Long Beach, CA

Job Description Required Skills• All Senior Engineer skills, including: o Strong interpersonal and communication skills o Ability to solve problems quickly and automate processes o A solid understanding of an operating system o A solid understanding of networking/distributed computing environment concepts o A solid understanding of pr...

Case Manager, LTSS (Columbus)

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...

Case Management Processor

Molina Healthcare - North Charleston, SC

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...

Dir, Healthcare Services IL

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 toward desired o...

Case Management and Utilization Management (RN)

Molina Healthcare - Milwaukee, WI

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...

Supervisor, Care Review - RN (Remote)

Molina Healthcare - Bothell, 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 toward d...

Pharmacy Service Rep.

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryHandles provider phone calls regarding pharmacy claims processing in a call center setting. Satisfactorily resolve calls within expected response time standards.Knowledge/Skills/Abilities• Handles inbound pharmacy call volume.• Responds to incoming calls mainly from providers, as required to meet departmental goals....

AVP, Health Plan Quality Improvement

Molina Healthcare - Columbus, OH

Job Summary The AVP, Health Plan Quality Improvement will serve as a leader of the health plan Quality strategy and activities, including but not limited to leadership and primary Molina interface with state agencies, leadership of local Quality committees and oversight of intervention activities intended to improve quality measures and outcomes, You will collaborate with MHI Qual...

Healthcare Analytics Analyst

Molina Healthcare - Columbus, OH

Performs 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/AbilitiesDevelop ad-hoc reports using...

Sr Analyst, Healthcare Analytics

Molina Healthcare - Syracuse, NY

Performs 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.Experience in Medical Economics and Strong Knowledge of Performa...

Sr Analyst, Healthcare Analytics

Molina Healthcare - Columbus, OH

Performs 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.Experience in Medical Economics and Strong Knowledge of Performa...

Analyst, Healthcare Analytics

Molina Healthcare - Albuquerque, NM

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/Abilities...

QA Auditor/Trainer

Molina Healthcare - Boise, ID

Knowledge/Skills/Abilities• Works with assigned managers, supervisors, or other team members to identify training needs.• Delivers training as applicable to assigned teams, including job specific training for new hires.• Stays abreast of changes in the organization and new requirements. Performs training as necessary.• Classifies quality audit criteria based upon cont...

Supv, Care Management

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...