Jobs at Molina Healthcare - Page 5

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Sr. Quality Interventions Specialist

Molina Healthcare - Oak Brook, IL

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...

Assoc Project Manager

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Associate Project Manager will manage people who are responsible for 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 schedules as well as project budgets. Monitors the project from inception...

Specialist, Quality Interventions/ QI Compliance

Molina Healthcare - Irving, TX

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...

Sr Specialist, Quality Interventions/QI Compliance

Molina Healthcare - North Charleston, SC

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...

Clinical Programs Mgr, Behavioral Health

Molina Healthcare - Bothell, WA

Job Description Job Summary Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. Knowledge/Skills/Abilities • Assists senior management as requ...

Regional Director State Affairs

Molina Healthcare - Washington, DC

Job Summary Identify key issues in current Molina Healthcare markets and draft MHI state policy initiatives aimed at passing healthcare reforms that would ensure sustainable funding for government-sponsored programs, expansion of those programs, and private-sector participation in the programs. Knowledge/Skills/Abilities • Provide governmenta...

Dir, Healthcare Services

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...

Case Manager - Remote (Mason County Only)

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...

Field Case Manager, Behavioral Health Metro East-Southern IL

Molina Healthcare - Oak Brook, IL

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 Processor

Molina Healthcare - Cincinnati, OH

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...

Community Behavioral Health Liaison

Molina Healthcare - Spokane, WA

Job Description Job Summary Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. Knowledge/Skills/Abilities • Serves as liaison between plan an...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Bothell, WA

Job Description Job Summary Molina'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...

Analyst, Data

Molina Healthcare - Long Beach, CA

Job Description Job Summary Accountable for enrollment to premium related analysis for the organization. Responsible to ensure accurate and timely reconciliation and reporting of premium for month-end to management and corporate accounting for journal entries. Additionally responsible for creating queries to support reporting for accounting and enrollment & prem...

Analyst, Provider Configuratio

Molina Healthcare - Columbus, OH

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...

Medical Claim Review Nurse

Molina Healthcare - Troy, MI

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...