Jobs at Molina Healthcare - Page 2

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LMHC/LMSW Case Manager-(BH)

Molina Healthcare - Syracuse, NY

Job DescriptionNew York Plan Specific. The contract with the New York plans requires for this role to be have what is listed below. This role cannot be staffed with a Registered Nurse. Minimum of Associates Degree or Advanced Degree in Behavioral Health field, example a LMHC or LMSWThis license needs to be unrestricted license to practice ind...

Government Contracts Specialist

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryResponsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.Knowledge/Skills/Abilities• Performs government contracts activities i...

Provider Contracts Manager

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryNegotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.Knowledge/Skills/Abilities• In conjunction with Director/Manager Provider Contracts,...

Provider Contracts Manager

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryNegotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.Knowledge/Skills/Abilities• In conjunction with Director/Manager Provider Contracts,...

Admin, IT Systems

Molina Healthcare - Trenton, NJ

Job DescriptionJob SummaryTroubleshoots hardware and software problems, assists users with desktop applications and provides user training. Utilizes applications such as Altiris to track user requests from trouble-ticket generation through problem resolution. Escalates a problem to other network or system support personnel when the problem is not easily identified...

Senior Project Manager

Molina Healthcare - Midvale, UT

Job Description Manages complex internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs task schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external ven...

Manager, Claims Production

Molina Healthcare - Detroit, MI

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.Knowledge/Skil...

Community Connector

Molina Healthcare - Flint, 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 toward desir...

Transition of Care Coach (RN)

Molina Healthcare - El Paso, 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 ...

Assistant General Counsel

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for providing legal advice and service concerning legal rights, obligations, and privileges of the Business Responsible for handling a variety of general corporate and commercial legal projects for the organization. Duties span reviewing information and data, researching laws, regulations, and precedents, and preparing recomme...

Executive Recruiter

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAttract and obtain top talent for Molina Healthcare's Director and above level positions.Knowledge/Skills/Abilities • Find & attract executive level passive candidates using multiple & complex sourcing methodologies.• Confer with senior leadership to identify personnel needs, workforce planning strategies, and search...

Coordinator, Health Plan Credentialing

Molina Healthcare - North Charleston, SC

Job DescriptionJob SummaryMolina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria in order to minimize liability to the company and to maximize safety for members.Knowledge/Skills/AbilitiesResponsible for coordinating assigned provider credent...

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...

Registered Nurse Case Manager

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 toward desir...

LPN/CHW/LISW Community Connector Dayton Area

Molina Healthcare - Cincinnati, OH

Job DescriptionOhio Plan Specific. This role will be the outreach to members in Dayton Ohio. This is a perfect role for someone who likes to personally connect with members. It is a very community outreach based role. Job SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan...