Jobs at Molina Healthcare

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Administrative Assistant

Molina Healthcare - Troy, MI

Job DescriptionJob SummaryAs the Administrative Assistant, you will provide administrative level support to management and/or division team members. Prioritize management/client requests in order to meet business objectives as well as support the day-to-day administrative operations of a department and/or site.Knowledge/Skills/Abilities

Sr. Abstractor, HEDIS Training (2 positions)

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary The Senior Abstractor/Trainer contributes to the HEDIS projects by ensuring all medical records abstraction team members are trained consistently. Molina's HEDIS training team functions are to oversee regional/plan training in preparation for HEDIS and HEDIS like projects; ensures maintenance of training materials/job ai...

Lead, Provider Inquiry R&R

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.

Specialist, Quality Interventions/ QI Compliance

Molina Healthcare - Bothell, WA

Job DescriptionJob Summary The Specialist, Quality Interventions/ QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance. Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education...

Representative, Member Engagement

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member rela...

Senior Specialist, Provider Contracts

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryResponsible 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 ...

Clerk

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryProvides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in support of the functional processes, programs and/or services. Also provides the administration of variou...

Supv, Member Services

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member rela...

Sr Care Review Clinician - Speech Pathologist

Molina Healthcare - San Antonio, 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 ...

Case Manager (RN)

Molina Healthcare - Columbus, OH

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 ...

(LPN) Care Review Clinician, Prior Authorization

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...

Administrative Assistant

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryProvides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site.Knowledge/Skills/Abilities• Provides confidential administrative and of...

RN Clinical Services Auditor - Remote

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...

Sr Specialist, Delegation Oversight

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.Knowle...

Clinical Services Trainer (RN) South Carolina

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...