Jobs at Molina Healthcare

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Specialist, HEDIS/ Quality Reporting

Molina Healthcare - Doral, FL

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 activities...

Pharmacy Technician

Molina Healthcare - Irving, TX

Job Description Job Summary Molina 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 all federal a...

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...

Care Review Clinician, Inpatient Review (RN)

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, Inpatient Review (BH)

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...

Analyst, HEDIS/ Quality Reporting - SQL Developer

Molina Healthcare - Long Beach, CA

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 activities...

Specialist, Claims Recovery - Healthcare

Molina Healthcare - Spokane, WA

Job Description Job Summary Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards. Knowledge/Skil...

Assoc Specialist, Claims Recov

Molina Healthcare - Spokane, WA

Job Description Job Summary Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards. Knowledge/Skil...

Assoc Analyst, Provider Config

Molina Healthcare - Midvale, UT

Job Description Job Summary Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on...

Analyst, Coding

Molina Healthcare - Troy, MI

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 Care...

VP, Network Mgmt & Ops

Molina Healthcare - Jackson, MS

Job Description Job Summary Molina Health Plan Operational Leadership roles provide overall direction and administration of the Plan's operational departments, programs and services. Responsibilities include: implementing programs that are in alignment with Molina Healthcare's strategic and operating plan; providing day-to-day leadership and management of th...

Executive Recruiter

Molina Healthcare - Long Beach, CA

Job Description: Develops and implements staffing strategies including development of sourcing approaches, interview and selection processes and company branding. Knowledge/Skills/Abilities: 3 – 5 years Executive Recruiting experience in a corporate and/or agency environment Confers with hiring managers to identify personnel needs, search assignments. V...

Senior Corporate Recruiter

Molina Healthcare - Long Beach, CA

Job Description: Develops and implements staffing strategies including development of sourcing approaches, interview and selection processes and company branding. Knowledge/Skills/Abilities: 3 – 5 years Corporate Recruiting experience in a corporate and/or agency environment Confers with hiring managers to identify personnel needs, search assignments. V...

Project Manager, PMO

Molina Healthcare - Long Beach, CA

Job Description Job Summary Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management. Knowledge/Skills/Abilities • Proven depth of understanding and demonstrable results for effecti...

HR Business Partner Manager

Molina Healthcare - Columbus, OH

Job Description Job Summary Provides 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 comprehensive suppo...