Jobs at Molina Healthcare - Page 11

355 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 151 - 165 of 355

Care Review Clinician, Inpatient Review (RN)

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...

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...

Mgr, Healthcare Services (RN)

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...

Director, Health Plan Long Term Svcs & Supports (LTSS)

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...

Telephonic Case Manager (RN)

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...

Telephonic Case Manager (RN)

Molina Healthcare - Grand Rapids, 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...

IT Systems Administrator

Molina Healthcare - Boise, ID

Job SummaryLevel 2 system administration and troubleshooting of hardware and software issues, supporting users with enterprise level applications and databases. Utilizes ticketing applications to track user requests from trouble-ticket generation through problem resolution. Escalates a problem to other network or system support personnel when necessary.Knowledge/Skills/...

Sr Rep, Provider Services

Molina Healthcare - Syracuse, NY

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...

Lead, Healthcare Claims Recovery

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible 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.Kn...

Software Engineer - Mainframe

Molina Healthcare - Baton Rouge, LA

Job Description Job SummaryUnder general direction, develops software and modification enhancements to a MMIS (Medicaid Management Information System) through all phases of a system lifecycle. Contributes to the company's success through excellent customer service and meeting or exceeding performance objectives. Knowledge/Skills/Abilitie...

Claims Specialist, Provider Inquiry Research and Resolution

Molina Healthcare - Bothell, WA

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.

Care Connections Representative (Customer Service)

Molina Healthcare - Bothell, WA

Job DescriptionJob Summary• Accurately record all calls in QNXT or other systems as applicable • Responds to internal and external customers in a timely and accurate manner, treating them with respect and courtesy• Advise callers of outstanding HEDIS services needed• Assists callers with Web Portal registration and utilization• Ad hoc r...

Senior Specialist, Claims Delegation Oversight (Field Position)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated claims 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.

Healthcare Serv. Project Deliverable Manager

Molina Healthcare - Syracuse, NY

Job DescriptionNew York Plan Specific: The person who takes this role does not need to be an RN or LPN in the State of New York. This role would be very appealing to a present or past clinician who has orchestrated integrated delivery of care within their healthcare company. It would also be appealing to someone who has been a lead or manager of healthcare...

Sr Specialist, Provider Contracts

Molina Healthcare - Long Beach, CA

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 ...