Job DescriptionJob SummaryResponsible for leading strategic government affairs growth initiatives in states including positioning Molina Healthcare Inc. (MHI) with state officials. Identify and impact key public policy is...
JOB DESCRIPTIONCare Review Clinician, Inpatient Review- Behavioral HealthFor this position we are seeking a LPC or LCSW who lives in and must be licensed for the state they reside. Strong......
JOB DESCRIPTIONJob SummaryResponsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and sim...
Job DescriptionJob Description****This job position will work EST business hours******Job SummaryThe Analyst, Encounters is responsible for monitoring inbound and outbound encounters processes and ensuring timely, accurat...
Upcoming Career Fairs for Veterans
For this position we are seeking a California (RN) Registered Nurse with 3 years+ Concurrent Review/Utilization Review / Utilization Management and must have Interqual, and MCG guidelines experience. CURRENT RN......
JOB DESCRIPTIONJob SummaryResponsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and sim...
Job Description Job SummaryManager, Risk Adjustment - Predictive Analytics is responsible for leading, organizing and directing Molina's Risk Adjustment Predictive Analytics team. Provides oversight and support in the des...
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JOB DESCRIPTIONJob SummaryField Travel in Webster, Kossuth, Humboldt and Cerro Gordo CountiesMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan an...
Job DescriptionJob SummaryThis position is responsible for timely completion of Medicare and Medicaid applications for new and existing providers, reviewing, and verifying information for Care Connections providers for su...
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...
JOB DESCRIPTIONJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care...
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 SummaryThis position requires residence in the state of Nevada. Please only apply if you are open to relocation, or reside in the state of Nevada. Responsible for continuous......
For this position we are seeking a California (RN) Registered Nurse with 3 years+ Concurrent Review/Utilization Review / Utilization Management and must have Interqual, and MCG guidelines experience. CURRENT RN......
JOB DESCRIPTIONJob SummaryThe Marketplace Business Analyst role will report to the Director of National Customer Experience, Marketplace Communications. This candidate will work cross-functionally to operationalize Market...
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 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 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 SummaryDesigns and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gai...
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......
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