Jobs at Molina Healthcare

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Representative Provider Services

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryMolina 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. Prov...

Nurse Practitioner (Syracuse-NY)

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryThe Nurse Practitioner will be required to work primarily in our Clinic setting and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric).The Nurse Practitioner will work in collaboration with his/her supervising physicians. He/she wil...

Medical Director (Healthplan)

Molina Healthcare - Syracuse, NY

Job SummaryBring your physician leadership experience to our growing healthplan and not only perform utilization reviews, but affect population health in New York state. You will serve as the primary liaison between administration and medical staff and assure the ongoing development and implementation of policies and procedures that guide and support the provision of medical sta...

Care Review Clinician, Inpatient Review (BH)

Molina Healthcare - Syracuse, NY

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...

Care Review Clinician, Inpatient Review (BH)

Molina Healthcare - Syracuse, NY

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...

Clinical Appeals Nurse (RN)

Molina Healthcare - Syracuse, NY

Job DescriptionJob SummaryClinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance standards.Knowledge/Skills/Abilities• The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or u...

Case Manager, LTSS-Field-Training Provided

Molina Healthcare - Syracuse, NY

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 ...