Jobs at Molina Healthcare

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Rep, Member Engagement (Healthcare Retention)

Molina Healthcare - Syracuse, NY

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...

Analyst, Finance

Molina Healthcare - Syracuse, NY

Job Description Job Summary Responsible 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 forecasts and analy...

Specialist, Community Engagement (FIELD MARKETING REP - Broome County)

Molina Healthcare - Cortland, NY

Job Description Job Summary Responsible 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...

Specialist, Community Engagement (FIELD MARKETING REP - Broome County)

Molina Healthcare - Cortland, NY

Job Description Job Summary Responsible 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...

Specialist, Community Engagement (FIELD MARKETING REP - Broome County)

Molina Healthcare - Cortland, NY

Job Description Job Summary Responsible 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...

Pharmacy Technician

Molina Healthcare - Syracuse, NY

Job Description Job Summary Molina 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 with all federal a...

Medical Records Collector

Molina Healthcare - Syracuse, NY

Job Description Job Summary Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects. Knowledge/Skills/Abilities • Under the direction of ...

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

Medical Records Collector

Molina Healthcare - Syracuse, NY

Job Description Job Summary Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects. Knowledge/Skills/Abilities • Under the direction of ...

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - Syracuse, NY

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...

Community Connector (Field Base)

Molina Healthcare - Syracuse, NY

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...

Nurse Practitioner: Field /Syracuse, NY (Onondaga County)

Molina Healthcare - Syracuse, NY

Job Description Job Summary Molina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans serving fifteen states. During the time of expansion we have never lost sight of the mission that defines us; to serve the most financially vuln...

Case Manager - Behavioral Health

Molina Healthcare - Syracuse, NY

Job Description New York Plan Specific. The contract with the New York plans requires for this role to be have what is listed below. This role cannot be staffed with a Registered Nurse. Minimum of Associates Degree or Advanced Degree in Behavioral Health field, example a LMHC or LMSW This license needs to be unrestricted license to practice ...

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 t...

Senior Analyst, Healthcare Analytics (Syracuse or Columbus)

Molina Healthcare - Syracuse, NY

Job Description Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. SQL knowledge and daily working with de...