Jobs at Molina Healthcare - Page 2

299 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 16 - 30 of 299

Pharmacy Technician

Molina Healthcare - Troy, MI

Job Description Job SummaryMolina 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 al...

Sr Auditor, Call Center Qualit

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes and measures the effectiveness of existing contact center processes and develops sustainable, repeatable and quantifiable process improvements. Collects and analyzes contact center activity data and initiates, develops and recommends improvements to systems, processes and procedures to increase productivity and reduc...

Auditor, Call Center Quality

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes and measures the effectiveness of existing contact center processes and develops sustainable, repeatable and quantifiable process improvements. Collects and analyzes contact center activity data and initiates, develops and recommends improvements to systems, processes and procedures to increase productivity and reduc...

Call Center Quality Auditor

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes and measures the effectiveness of existing contact center processes and develops sustainable, repeatable and quantifiable process improvements. Collects and analyzes contact center activity data and initiates, develops and recommends improvements to systems, processes and procedures to increase productivity and reduc...

Auditor, Quality

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms auditing activities in the Medicaid environment to ensure work is performed in accordance with internal and client expectations. Provides operational quality assurance and testing activities. Works with cross functional teams to identify and implement business process improvement opportunities. Monitors quality assur...

Analyst, Provider Configuration - Healthcare

Molina Healthcare - Troy, MI

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...

Supervisor, Provider Configuration Management

Molina Healthcare - Troy, MI

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...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina's Quality Improvement Sr. Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards.Knowledge/...

Sr. Abstractor, HEDIS/Quality Improvement - (4 Positions)

Molina Healthcare - Salt Lake City, UT

Job DescriptionJob SummaryMolina's Quality Improvement Sr. Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. The Senior Abstracto...

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 ...

Correspondence Processor

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 ...

Case Manager (RN/LSW) Long Term Services and Support

Molina Healthcare - Cincinnati, 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 ...

Auditor, Call Center Quality

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes and measures the effectiveness of existing contact center processes and develops sustainable, repeatable and quantifiable process improvements. Collects and analyzes contact center activity data and initiates, develops and recommends improvements to systems, processes and procedures to increase productivity and reduc...

Operational Excellence Process Consultant: Lean Certified / Six Sigma Black Belt

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryLeads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHU's business process improvement methodology and in the implementation of a business process improvement capability.Knowledge/Skills/Abilities• Respo...

Associate, Risk Adjustment

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryRisk Adjustment is responsible for quality measurement and process improvement in the application of regulatory requirements.Knowledge/Skills/Abilities• Helps support day to day operations• Helps under supervision to support Risk Adjustment related projects, including goals, objectives, milestones and de...