JOB DESCRIPTIONMust be able to work at below location Mon - FriHours: 8:30am - 5pm ESTLocation: 41-46 Main Street Flushing, NY 11355Job SummaryProvides customer support and stellar service to meet......
Job DescriptionJob SummaryThe Sr. Clinical Performance Consultant is responsible for the successful execution of clinical transformation, performance & process improvement initiatives that result in operational effici...
JOB DESCRIPTIONJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirem...
***Remote and must live in the United States***JOB DESCRIPTIONJob SummaryMolina National Level Contracting jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provid...
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JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...
Job DescriptionJob SummaryResponsible for supporting the Market Growth & Retention team staff, in driving exceptional member experience, leading to member retention and quality improvements. Support the team in addre...
***Remote and must live in the United States***Job DescriptionJob SummaryMolina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina Healthcare successfully...
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JOB DESCRIPTIONJob SummaryThe Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business......
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, i...
***Remote and must live in the United States***Job DescriptionJob SummaryMolina National Level Contracting jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provid...
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Brownsville/Harlingen service delivery area. Part of the responsibilities of the role is to......
Job DescriptionJob SummaryThe Principal Proposal Writer is responsible for directly supporting the development of compelling content and sections of proposals for government sponsored managed care programs or health care ...
JOB DESCRIPTIONJob SummaryResponsible 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 p...
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
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, i...
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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, i...
JOB DESCRIPTIONJob SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values....
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, i...
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
JOB DESCRIPTIONJob SummaryProvider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence...
Job DescriptionJob SummaryThe Mgr, SDPC Oversight Agency is responsible for providing professional and quality-focused management and leadership to the SDPC Field Team and managing day-to-day activities and initiatives in...
Job DescriptionJob SummaryMolina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the compan...
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, i...
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, i...
Knowledge/Skills/Abilities Responsible for program development, implementation, and management of process improvement initiatives. Coordinates, directs, and manages the activities of the department and the process improve...
JOB DESCRIPTIONJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to loc...
***Remote and must live in the United States***Job DescriptionJob SummaryMolina's Value Based Provider Contracting function provides guidance, signature support services, standards and resources to help Molina Healthcare ...
JOB DESCRIPTIONWe are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of UTThis position will support our Medicaid Population......
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, i...
JOB DESCRIPTIONJob SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers.Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values i...
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 membe...
JOB DESCRIPTIONJob SummaryUnder general direction, this position is responsible for supporting total quality methods, processes, and procedures for the Call Center division. This position will help preserve service excell...
Job DescriptionJob SummaryAccount Manager II, Vendor Management, is responsible for providing communication support and programmatic coordination to multiple complex and high dollar vendors to ensure operational efficienc...
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
JOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated deli...
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, i...
Job DescriptionJob SummaryThe Sr IRIS Operations Specialist is responsible for leading and executing activities and initiatives to support IRIS program operations and field staff in the areas of referrals, enrollments,......
**New Mexico residents preferred. Must reside and must be willing to travel in Bernalillo County New Mexico.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary te...
**Remote. The qualified candidate must be licensed as a RN for the state of NEVADA and will work PACIFIC business hours.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers......
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
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, i...
Job DescriptionJob SummaryMolina MTM Pharmacy Services staff work to ensure that Molina members have access to Medicare Star medications and those meds are used in a cost-effective, safe manner. These......
Job SummaryDevelops clinical and administrative policies and processes for the Medicare line of business to ensure CMS and other regulatory requirements are met. Coordinates policy and procedural requirements between Medi...
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 Healt...
JOB DESCRIPTIONJob SummaryMolina 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......
JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...
Job DescriptionJob SummaryThe Nurse Practitioner / Physician Assistant (NP/PA) MCW is responsible for completing in-home history and physical assessments for enrolled members in health plan products to coordinate a medic...
JOB DESCRIPTIONJob SummaryPlans and directs all activities related to Consumer Directed Services with the Fiscal Employer Agent. Monitors the services from inception through delivery and appropriate payment. Acts as the.....
JOB DESCRIPTIONJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to loc...
Job DescriptionJob SummaryThe Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molinas Risk & Quality Solutions (RQS) team and program......
JOB DESCRIPTIONJob SummaryThe Care Connections Representative primary focus is to conduct outbound calls to Molina members and schedule appointments with our Nurse Practitioners. As part of Molina's benefit package, the.....
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, i...
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, i...
JOB DESCRIPTIONJob SummaryThe Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easi...
Job DescriptionRemote and must live in WisconsinJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment wit...
JOB DESCRIPTIONJob SummaryWe are seeking a highly motivated and skilled Senior Business Analyst to join our dynamic team. The ideal candidate will be responsible for analyzing business processes, identifying gaps,......
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, i...
***Remote and must live in Michigan***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignmen...
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, i...
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, i...
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, i...
Job DescriptionHome Health Care, Hospice Care, Palliative Care, Long Term Care, RehabNo weekends, No afterhours support, No holidaysJob DescriptionJob SummaryAre you seeking a unique nursing position that gives you a......
***Remote and must live in San Diego County***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in ...
Job DescriptionJob SummaryThe Lead Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize perf...
***Remote and must live in Nevada***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment ...
Job DescriptionJob SummaryThe IRIS Operations Specialist provides support to IRIS program operations and field staff in the areas of referrals, enrollments, disenrollments, workload assignments, ongoing eligibility, servi...
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
JOB DESCRIPTIONOpportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior authorization requests for transplants; the ideal candidate will have.....
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
Job DescriptionJob SummaryThe SIU Senior Investigator position is primarily responsible for supporting the day to day operations and initiatives of the Special Investigations Unit (SIU).Knowledge/Skills/Abilities Respond ...
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
JOB DESCRIPTIONJob SummaryResponsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operati...
JOB DESCRIPTIONJob SummaryThe Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easi...
JOB DESCRIPTIONJob SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values....
***Remote and must in Greater New York. This role will support the Manhattan and surrounding area***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, ne...
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
JOB DESCRIPTIONJob SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values....
*** New Mexico residents preferred. Travel is required in either Bernalillo County or Dona Ana County New Mexico.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplina...
JOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKI...
Job DescriptionJob SummaryResponsible for the oversight and performance of the Market Growth Retention team, focused on our Medicaid, CHP AND Essential plan products, driving strategic solutions that impact member retenti...
JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...
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, i...
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, i...
Job Description****Employee for this role must reside in the state of CT****Job SummarySupports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides daily.....
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, i...
JOB DESCRIPTIONJob SummaryTMG by Molina Healthcare is seeking a remote IRIS Consultant Supervisor for Milwaukee County.IRIS Consultant Supervisors provide leadership management and supervision to a team of IRIS Consultant...
Job DescriptionJob SummaryThis role is responsible for driving business development efforts with a specific focus on managing national, state, and local conferences, events, seminars, and meetings that align with Molinas....
Job DescriptionJob SummaryCollects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and deploying reports to provider networks and o...
JOB DESCRIPTIONRemote: Inbound calls. Must be flexible to work below PST Hours 7:30am - 4pm 7:45am - 4:15pm 8am - 4:30pm 9am - 5:30pm 10am - 6:30pm Job SummaryProvides customer......
***California residents preferred. Must be licensed as a LVN for the state of CaliforniaJOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess...
Job DescriptionJob SummaryActive collaborator providing bi-lateral support around the redlining; negotiating; formal execution of contractual obligations between outside party and Molina Healthcare. Serves as key role pla...
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
Job DescriptionJob SummaryThe Lead Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize perf...
Job DescriptionJob SummaryMolina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all medically necessary prescription drugs and those drugs are used in a......
JOB DESCRIPTIONJob SummaryFocuses on process improvement, organizational change management, project management, market implementations and other processes relative to the business. Project management includes estimating, ...
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 ...
Job DescriptionJob SummaryMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in align...
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