Jobs at Molina Healthcare - Page 9

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Community Connector

Molina Healthcare - Gulfport, MS

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...

Community Connector

Molina Healthcare - Tupelo, MS

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...

Sr Account Rep, Medicare

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryResponsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures.

LVN Case Manager: Bilingual Spanish Preferred

Molina Healthcare - Long Beach, CA

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...

Provider Contracts Manager

Molina Healthcare - San Diego, CA

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 be housed on...

Sr. Specialist, Quality Interventions/QI Compliance

Molina Healthcare - Midvale, UT

Job DescriptionJob SummaryMolina'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...

Regional Associate, Risk Adjustment

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryUnder the direction of Risk Adjustment Leadership, the Regional Associate serves as the face of the health plan and is able to clearly and effectively communicate with providers while balancing the scheduling needs of the underserved populations. Primarily responsible for assisting providers and vendors with outreach to members as well as...

Case Manager, RN (Field: Pierce County)

Molina Healthcare - Bothell, 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 toward desired o...

Case Manager RN (Monday - Friday, 08:00am to 05:00pm) Coeur d'Alene, ID

Molina Healthcare - Coeur D'alene, ID

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...

Case Manager RN (Monday - Friday, 08:00am to 05:00pm) Twin Falls, ID

Molina Healthcare - Twin Falls, ID

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...

Care Review Clinician, RN/SW New Behavioral Health Program

Molina Healthcare - Syracuse, NY

Job DescriptionWe are excited to Celebrate Molina Healthcare in the New York Market for the several years. Word is spreading and our membership is expanding and becoming more robust. We are excited to expand our Services. This role in New York is part of a larger Medicaid Behavioral Health role out under the HARP program. The main purpose is traditional Util...

Specialist, Community Engagement (FIELD MARKETING REP-Cortland/Tompkins Counties)

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryResponsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages.Knowledge/Skills/Abilities• Under limited supervision, responsible fo...

Community Connector

Molina Healthcare - Troy, 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...

Community Connector

Molina Healthcare - Troy, 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...

Claims, Disputes and Appeals Specialist (Provider Inquiry R&R)

Molina Healthcare - Bothell, WA

Job DescriptionJob SummaryMolina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.Provide...