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Jobs at Molina Healthcare

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Analyst, Medical Economics (Healthcare experience required)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Influence change and assist in imparting bestpractices around trend mitigation activities and processes. Responsible for conducting analyses ofinsured medical populations with the goal of identifying opportunities toimprove financial performance. Extracts, analyzes, and synthesizes data fromvarious sources to identify risks and opportunit...

Analyst, Business

Molina Healthcare - Jackson, MS

Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifica...

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - Jackson, MS

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 desir...

Care Review Clinician, Inpatient Review (RN) 11AM to 8PM

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 desir...

Case Manager, LTSS

Molina Healthcare - Champaign, 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 desir...

Care Review Processor

Molina Healthcare - Long Beach, CA

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 desir...

Care Review Clinician, Prior Authorization (LVN)

Molina Healthcare - Long Beach, CA

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 desir...

Nurse Practitioner - Bellingham, WA

Molina Healthcare - Everett, WA

Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. As a clinician, you will have the rewarding experience of providing needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, a...

Corp Clinical Trainer (RN) Case Management - Remote - West Coast

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities • Develop and implement standardized training & orientation modules for Health Care Services staff that drive operational efficiencies and meet all NCQA certification, regulatory requirements and MHI business needs. • Participate in designing and developing systems training materials as needed for enhancements/transitions to ensure operation...

Lead Analyst, Provider Data Managment

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 adhe...

Sr. Graphic Designer (Remote - please read job description)

Molina Healthcare - Long Beach, CA

Job Description Job Summary: The Sr. Graphic Designer will beresponsible for taking strategic marketing plans and interpreting them into“big ideas” throughout a variety of platforms and will direct and oversee allcreative output. Not only will this position need a strong design backgroundwith a well-developed graphic sense, but they will need exceptionalorganization and co...

Case Manager

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 desir...

Assoc Specialist, Appeals & Grievances

Molina Healthcare - Midvale, UT

Job Description Job Summary Molina Healthcare's Appeals & Grievances jobs are responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. Knowledge/Skills/Abilities • Enters denia...

Regional Director of State Affairs (Location: MA or NY)

Molina Healthcare - Syracuse, NY

Job Description Job Summary Responsible for leading government affairs growth initiatives in states including positioning Molina Healthcare Inc. (MHI) with state officials. Identify key issues in current Molina Healthcare markets and draft MHI state policy initiatives aimed at passing healthcare reforms that would ensure sustainable funding for government-sponsored ...

Care Review Processor

Molina Healthcare - Bothell, WA

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 desir...