Jobs at Molina Healthcare

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Specialist, Health Plan Communications

Molina Healthcare - Milwaukee, WI

Job Description Job SummaryResponsible for the development of communications and marketing activities aimed at brand and message management. Develops, implements, and manages communications programs.Knowledge/Skills/Abilities• With minimal supervision, writes and develops content to support the creation of internal and external communi...

RN Care Review Clinician, Inpatient Review

Molina Healthcare - Doral, FL

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 ...

Case Manager

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...

Sr Rep, Enrollment

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections....

Rep, Provider Services

Molina Healthcare - Albuquerque, NM

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...

Care Review Processor

Molina Healthcare - Irving, 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 ...

Provider Services Rep (MMS)

Molina Healthcare - Augusta, ME

Job DescriptionJob SummaryResponsible for answering all calls from providers regarding claims issues, eligibility and benefits, and website assistance in a call center setting, and to satisfactorily resolve calls within expected response time standards. May also answer and resolve calls from members.Knowledge/Skills/Abilities• Inter...

Case Manager -LTSS (Registered Nurse or Licensed Social Worker)

Molina Healthcare - Troy, MI

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...

VP, Encounters

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesThe Encounters Vice President oversees and monitors claims & encounters processes, including partnering with cross-functional teams (Plan or MHI) to prevent encounter rejections via root cause analysis and resolution. • Monitors and/or assigns encounter workflow queues; ensures volume and aging are current. • Oversees researching of claim...

VP, Core Operations

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Hires, coordinates training and manages staff involved in creating controls, documents and tools within the Corporate Claims, Shared Services, Corporate Ops PMO or Configuration Teams or other Corporate Operations areas reporting to the Core Ops Team in order to manage work in any of the assigned Corporate Operations areas for all lines of busi...

Transition of Care Coach

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...

Director, Government Contracts

Molina Healthcare - Columbus, OH

Job DescriptionJob SummaryResponsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.Knowledge/Skills/Abilities• Responsible ...

Case Manager, Substance Use Disorder (Chelan, Douglas, Grant County)

Molina Healthcare - Spokane, 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 ...

Program Manager

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesActive collaborator with 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 en...

HR Business Partner Manager

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryProvides strategic and operational HR consultation to assigned client groups, which may be located in multiple States. Responsible for the assessment of HR initiatives to support business strategies. Collaborates with Centers of Expertise (COEs) to develop and implement HR programs to meet business objectives. Provides compreh...