Jobs at Molina Healthcare - Page 7

456 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 91 - 105 of 456

Manager, Appeals and Audit

Molina Healthcare - Syracuse, NY

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid

Case Manager (RN) NF (Dayton)

Molina Healthcare - Columbus, 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...

Provider Services Rep

Molina Healthcare - Irving, TX

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...

Community Connector

Molina Healthcare - Troy, MI

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...

Provider Services Rep

Molina Healthcare - Irving, TX

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...

Regional CFO

Molina Healthcare - San Juan, Puerto Rico

Knowledge/Skills/Abilities • Premium Revenue – coordinate efforts across region with similar lines of businesses to ensure consistent processes for managing premium revenue including MLTSS revenue management and appropriate risk adjustment. Review and analyze premium rates within the region for appropriateness. Develop analysis and arguments to support rate negotiations with the s...

Supervisor, Member Services

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member relationships. R...

Sr Rep, Member Services (Enrollment)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member relationships. R...

Supv, HEDIS/ Quality Reporting

Molina Healthcare - San Antonio, 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...

Mgr, Quality

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for planning, developing and directing the implementation of techniques to ensure the maintenance of performance and quality levels in the Business' products and processes. Reviews product designs and establishes procedures and techniques for the control of quality standards. Directs inspection services in coordination with en...

Senior Quality Interventions/QI Compliance Specialist

Molina Healthcare - Boise, ID

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...

Director, Agile Center of Excellence

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities • Provides managerial and technical direction for the SDLC methodology group • May have supervisory responsibility in instructing, assigning, directing and checking the work of the resources within their section/department. • Expert in Agile, Lean, Waterfall and IT Project SDLCs • Expert in DevOps and Release Management • Expert in the method...

Case Manager (RN)

Molina Healthcare - Irving, TX

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

Molina Healthcare - San Antonio, TX

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...

Discharge Planner

Molina Healthcare - Laredo, TX

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...