Jobs at Molina Healthcare - Page 6

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Director, Strategic Initiatives

Molina Healthcare - Long Beach, CA

Job Description Job Summary Star Rating National Initiatives Director works with Molina health plans/markets and multidisciplinary team members across the company to assess, facilitate, plan and coordinate initiatives both locally and nationally that increase our members receiving the best care they can, obtain the needed preventative screenings to achieve ou...

Supv, Provider Services

Molina Healthcare - Doral, FL

Job Description Job Summary Molina 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. Provider Services...

Executive Assistant

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site. Knowledge/Skills/Abilities • Composes and types routine memos and correspondence at a...

Quality Project Coordinator

Molina Healthcare - Bothell, WA

Job Description Job Summary The Project Coordinator will provide 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 in the Quality Department. ...

Specialist, HEDIS/ Quality Reporting

Molina Healthcare - Long Beach, CA

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...

Specialist, HEDIS/ Quality Reporting

Molina Healthcare - Long Beach, CA

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...

National Director, Interventions

Molina Healthcare - Long Beach, CA

Job Description Job Summary The National Director, Quality Interventions is responsible for setting the strategic direction and overseeing the implementation of effective quality improvement intervention strategies for Molina. Key activities include developing, implementing and monitoring a comprehensive intervention strategy that encompasses multi-functional areas ...

Supv, HEDIS/ Quality Reporting

Molina Healthcare - Long Beach, CA

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...

Case Manager (RN)-Pediatric

Molina Healthcare - Spokane, 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...

Program Manager, Appeals and Audit HCS

Molina Healthcare - Syracuse, NY

Job Description This Management role will Supervise a small team. It will include multiple tasking-day to day operations of the team. This team will be an instrumental part of the Clinical Appeals within the New York Plan. The successful candidate should have Clinical Appeals experience including the processing of such. You would be expected to have internal appeals audit expe...

Case Manager (RN) FIELD REMOTE

Molina Healthcare - Syracuse, NY

Job Description The State of New York Contract requires that this role be filled with a Registered Nurse with an unrestricted license in the state of New York. Remote for this role means field based or community based. Once a month meeting in office minimum. Rest of time is member visits at provider offices and/or home and documentation at home. Ratio of time...

Case Manager, LTSS (Northern Cook and Lake County ILLINOIS)

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...

Case Manager, LTSS - Field

Molina Healthcare - Syracuse, NY

Job Description New York Plan Specific: This role requires a Registered Nurse with an unrestricted license. You will be helping our members to connect with the Long Term Services, which may include Skilled Nursing Facilities, Home Health, Assisted Living and other community resources. We use UAS as a screening tool for our LTSS Evaluations. Experience with this tool is extremely ...

Senior Medical Director Clinical Decisions

Molina Healthcare - Bothell, WA

Job Description Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services. Maintains a working knowledge of applicable national, state and local laws and regulatory requirements affect...

Program Manager - Claims Encounters

Molina Healthcare - Long Beach, CA

The Program Manager, Encounters develops and oversee programs to ensure complete and accurate processing of inbound encounter from capitated providers. These programs include tools and processes to monitor the providers' encounter performance. The Program Manager, Encounters direct provider changes to align with Molina inbound encounters process and to comply with CMS, state encounter requi...