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Jobs at Molina Healthcare

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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 Manager, LTSS

Molina Healthcare - Troy, MI

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...

Waiver Support Specialist

Molina Healthcare - San Antonio, 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 desi...

Sr. Community Engagement Specialist (COLUMBUS)

Molina Healthcare - Columbus, OH

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 • This position requires to hold Accident a...

Director, Compliance

Molina Healthcare - Albuquerque, NM

Job Description Job Summary Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Car...

Director, Quality Improvement

Molina Healthcare - Albuquerque, NM

Job Description Job Summary Molina'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 activitie...

Director, Member & Community Engagement

Molina Healthcare - Albuquerque, NM

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 • In partnership with executive leadership...

Sr Analyst, Data

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 f...

Associate Actuarial Analyst

Molina Healthcare - Long Beach, CA

Job Description Job Summary: Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Knowledge, Skills & Abilities: • Support the development of the IBNR estimates and rate adequacy studies. Document assumptions.

Director, Transformation

Molina Healthcare - Long Beach, CA

Job Description Job Summary The role, reporting directly to the VP of Transformation, is a critical member of the Transformation team, which supports senior executives in executing corporate, business unit, and local strategies as well as driving key strategic initiatives to transform the Company. Range of responsibilities include developing and executing plans for...

Analyst, Data

Molina Healthcare - Long Beach, CA

Job Description – Data Analyst 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 un...

Director, Projects

Molina Healthcare - Jackson, MS

Job Description Job Summary Manages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and...

Mgr, Data Analytics

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities • Ensure timely creation of Executive and Health plan management reports • Ensure data integrity • Interact with various departments including, but not limited to, IT; Finance; Claims, Call Centers; and UM. • Manages team of Data Analysts • Acts as a liaison to all other internal and external customers on behalf of Molina and enrollment da...

Sr Analyst, Data

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 f...

Sr Payroll Specialist

Molina Healthcare - Long Beach, CA

Job Description Job Summary Individual Contributor role responsible for administering & processing of company payroll as part of the corporate payroll team. Knowledge/Skills/Abilities Accurate calculation and payment processing of employee wages, commissions and bonus payments; ensure accurate benefit deductions are made and compliant taxation occu...