Jobs at Molina Healthcare

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Generalist, Medicare Administration

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic ...

Associate Learning Facilitator

Molina Healthcare - Troy, MI

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...

Assoc Buyer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for all aspects of purchasing goods and services required by the business, and collaborates with suppliers to determine price and purchasing schedule.Knowledge/Skills/Abilities• Coordinate/Manage Requisition queue in ERP/Procure-to-Pay system.• Assist in RFP process at direction of Procuremen...

Representative, Provider Services

Molina Healthcare - Columbus, OH

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...

IT Manager - Security Incident Management (Remote)

Molina Healthcare - Long Beach, CA

Job Description Job SummaryApplies current computer science technologies to the design, development, evaluation, and integration of computer systems and networks to maintain system security. Works with commercial computer product vendors in the design and evaluation of state-of the- art secure operating systems, networks, and database products. Provid...

Care Review Processor

Molina Healthcare - Edinburg, TX

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 ...

IT Manager - Threat Intelligence & Prevention (Remote)

Molina Healthcare - Long Beach, CA

Job Description Job SummaryApplies current computer science technologies to the design, development, evaluation, and integration of computer systems and networks to maintain system security. Works with commercial computer product vendors in the design and evaluation of state-of the- art secure operating systems, networks, and database products. Provides se...

Contract Clinical Recruiter

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryDevelops and implements staffing strategies including development of sourcing approaches, interview and selection processes, university recruitment programs and company branding.Knowledge/Skills/Abilities• Confers with hiring managers to identify personnel needs, search assignments. Visits hiring managers to...

Director, Provider Contracts

Molina Healthcare - Milwaukee, WI

Knowledge/Skills/AbilitiesPlans, organizes, staffs, and coordinates the Provider Contracts activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider contracts and contracting strategies.• Monitors and reports network adequacy for Medicare and Medicaid services.

Sr Rep, Provider Services

Molina Healthcare - Milwaukee, WI

Job Description Job 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. Provid...

Sr Analyst, Tech Configuration Information Management

Molina Healthcare - Milwaukee, WI

Job Description Job SummaryResponsible 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 ...

Provider Contracts Manager

Molina Healthcare - Milwaukee, WI

Job Description Job SummaryNegotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.Knowledge/Skills/Abilities• In conjunction with Director/Manager Provider...

Windows/Citrix Systems Senior Engineer

Molina Healthcare - Long Beach, CA

Summary: The Windows/Citrix Systems Sr. Engineer is responsible for stabilizing legacy Windows (End User) environments while defining and executing an iterative migration plan to appropriate enterprise enabling technology. The Windows/Citrix Systems Sr. Engineer should have expert level experience supporting large-scale and highly complex enterprise environments, and the ...

Pharmacy Technician

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with a...

Clinical Services Trainer (RN)

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of trai...