Jobs at Molina Healthcare - Page 5

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Analyst, Provider Configuratio

Molina Healthcare - Columbus, OH

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 ...

Analyst, Provider Configuratio

Molina Healthcare - Columbus, OH

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. Analyst, Reporting & Analytics

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryUnder supervision, applies software engineering methods and techniques to the design, development, integration, qualification and/or support of Microsoft Reporting Services, SQL stored procedures and developing areas of expertise. Knowledge/Skills/Abilities• Creates reports to meet user requirements using Mi...

Certified Pharmacy Technician

Molina Healthcare - Long Beach, CA

Job DescriptionMust be a Certified Pharmacy Technician 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 ph...

Healthcare Process Improvement Analyst

Molina Healthcare - Columbus, OH

Job DescriptionJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creat...

Specialist, Quality Interventions/ QI Compliance

Molina Healthcare - North Charleston, SC

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 progr...

Program Director - MarketPlace (not IT)

Molina Healthcare - Long Beach, CA

Molina Healthcare, Inc. (MOH), works with members, providers, federal and state agencies, and multidisciplinary teams to assess, plan and coordinate an integrated delivery of health care across the continuum of care. As Molina expands its operations into new states and additional markets, it aims to take concrete steps to comply with the ever dynamic market regulations. The CMS and ...

Specialist, Risk Adjustment

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryRisk Adjustment is responsible for quality measurement and process improvement in the application of regulatory requirements.Knowledge/Skills/Abilities• Assist with implementation and monitoring local risk adjustment coordination efforts.• Assist with implementation of risk adjustment strategy in conjun...

Associate, Risk Adjustment

Molina Healthcare - Midvale, UT

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 d...

Bilingual Receptionist

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...

Pharmacist, Clinical/MTM

Molina Healthcare - Midvale, UT

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 wit...

Sr Analyst, Finance

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryResponsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information; generating forecas...

Pharmacy Service Rep

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryHandles provider phone calls regarding pharmacy claims processing in a call center setting. Satisfactorily resolve calls within expected response time standards.Knowledge/Skills/Abilities• Handles inbound pharmacy call volume.• Responds to incoming calls mainly from providers, as required to meet...

Sr Analyst, Data

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryDesigns and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstruct...

RN or LICSW Case Manager (Field: WA / ID)

Molina Healthcare - Spokane, WA

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 ...