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Sr Specialist, Government Contracts (Must Reside in NM) - REMOTE

Molina Healthcare

Albuquerque, New Mexico

13 days

JOB DESCRIPTIONJob SummaryResponsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to pro...

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Director, Customer Experience (IT Solutions - QNXT & Salesforce) - REMOTE

Molina Healthcare

Long Beach, California

21 days

Job DescriptionJob SummaryThis role on the Customer Experience team will be responsible for technically based projects like liaising with IT to upgrade Salesforce or create visions for technical solutions that......

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Director, Data Analytics (Customer Experience)

Molina Healthcare

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25 days

Job SummaryAs a member of the Customer Experience team, the Director, Data Analytics ensures timely creation of key Executive and Health plan management reports, as well as providing critical analytical......

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Rep, Member Engagement (Remote - NY candidates preferred)

Molina Healthcare

New York, New York

1 month

JOB DESCRIPTIONJob SummaryProvides 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 a...

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Community Reinvestment Manager - Remote Must reside in Michigan

Molina Healthcare

Detroit, Michigan

1 month

Job DescriptionJob SummaryEnsures the health plan meets its Community Reinvestment obligations under the Medicaid and HIDE SNP contracts while supporting the needs of the communities served across its footprint. Leads......

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Case Manager (BH RN) (Must Reside in Ohio)

Molina Healthcare

Cincinnati, Ohio

28 days

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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Provider Contracts Manager

Molina Healthcare

Albuquerque, New Mexico

14 days

***Remote and must live in the Albuquerque area***Job DescriptionJob SummaryMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial...

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Data Analyst - Remote - CA

Molina Healthcare

Long Beach, California

27 days

***The candidates must reside in CA*****JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and......

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Facilitated Enroller (In Field - Brooklyn, NY)

Molina Healthcare

Brooklyn, New York

15 days

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...

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Sr Engineer, Applications - AI - Remote

Molina Healthcare

Louisville, Kentucky

7 days

Job Description Job Summary Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes......

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Field Family Nurse Practitioner WA- 10k Sign On Bonus

Molina Healthcare

Vancouver, Washington

7 days

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...

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Case Manager (RN): Population / Public Health, Travel Required in Clark County NV

Molina Healthcare

Las Vegas, Nevada

14 days

POPULATION / PUBLIC HEALTH NURSE CASE MANAGERWe are looking for a Case Manager who must reside and be able to drive within CLARK COUNTY NEVADAMust have experience with chronic conditions......

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Sr Analyst, Config Info Mgmt

Molina Healthcare

Louisville, Kentucky

7 days

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...

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Specialist, Quality Interventions/QI Compliance (Remote)

Molina Healthcare

Washington, District of Columbia

14 days

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...

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Manager, HCS-RN/LVN/MSW-must reside in NY

Molina Healthcare

Brooklyn, New York

6 days

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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Director, Provider Contracts / Dental Market Segment - REMOTE

Molina Healthcare

Bowling Green, Kentucky

7 days

KNOWLEDGE/SKILLS/ABILITIESPlans, organizes, staffs, and coordinates the Provider Contracts activities for contracts at a National Level. Works with direct management, senior leadership/management, Corporate, and staff to ...

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Analyst, Business (Claims)

Molina Healthcare

,

18 days

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...

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Transition of Care Coach (RN) Remote with field travel in King or Pierce County

Molina Healthcare

,

7 days

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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Case Manager LCSW or LCISW Remote with Field Travel in Spokane Whitman or Stevens County WA

Molina Healthcare

Spokane, Washington

22 days

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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IRIS SDPC (RN) - TMG (Milwaukee County, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Milwaukee, Wisconsin

6 days

Job DescriptionJob SummaryAre you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives that they choose? Then youll......

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Inpatient Review (RN) Case Manager, California Pacific Hours

Molina Healthcare

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15 days

INPATIENT REVIEW : REGISTERED NURSEFor this position we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge......

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Field Case Manager (non-RN) - Peoria and Woodford Counties - Illinois

Molina Healthcare

Peoria, Illinois

27 days

JOB DESCRIPTIONOpportunity for a degreed, experienced Case Manager to join Molina as a Field Case Manager. Candidates with Waiver Population will be given priority. Responsibilities for this role includes conducting......

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Case Manager, LTSS - Field Travel in Milwaukee County, WI

Molina Healthcare

Milwaukee, Wisconsin

1 month

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...

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Provider Claims Adjudicator - WI ONLY

Molina Healthcare

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18 days

Job DescriptionJob SummaryThe Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This ...

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Sr Specialist, Medicare Member Engagement

Molina Healthcare

, Kentucky

6 days

Job SummaryThe Sr. Specialist Member Engagement representative is responsible for monitoring and evaluating member interactions to ensure that the concierge agents adhere to established quality standards. The role involve...

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Sr. Analyst, HRIS (Oracle HCM Cloud / Oracle Time & Labor) - REMOTE

Molina Healthcare

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27 days

JOB DESCRIPTIONJob SummaryThe Senior HRIS Analyst is responsible for technical operations of Oracle HCM Cloud system including data analysis and reporting, system administration, and project management. This role helps pr...

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Sr Data Management Analyst (Quest Analytics)

Molina Healthcare

Louisville, Kentucky

6 days

Job DescriptionJob SummaryUnder general supervision, this position has lead responsibilities for accessing, integrating, data compilation, data management, data analysis, data quality controls and reporting from various M...

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Program Manager - Texas Direct Payment Program/Medicaid - Remote

Molina Healthcare

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26 days

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...

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Field Case Manager, LTSS (RN)

Molina Healthcare

Dallas, Texas

1 month

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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Field Case Manager, LTSS (RN) - Vietnamese Speaking ONLY - Dallas County

Molina Healthcare

Dallas, Texas

20 days

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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Community Connector (Must Commute in Columbus, OH)

Molina Healthcare

Columbus, Ohio

20 days

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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Mgr, Learning & Development (Instructional Design) - REMOTE

Molina Healthcare

,

1 month

JOB DESCRIPTIONJob SummaryAnalyzes and determines training needs and problems. Develops, administers, and implements all training programs in accordance with the Business' initiatives and strategies. Conducts special cour...

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LTSS Support Specialist - Remote must reside in Texas

Molina Healthcare

Mc Allen, Texas

26 days

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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Care Review Processor

Molina Healthcare

Louisville, Kentucky

7 days

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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Lead Analyst, Config Info Mgmt - QNXT

Molina Healthcare

,

1 month

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...

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Case Manager, LTSS (RN)

Molina Healthcare

Dallas, Texas

1 month

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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Sr Specialist, Quality Interventions/QI Compliance (Remote in Arizona)

Molina Healthcare

, Arizona

15 days

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...

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Field Family Nurse Practitioner (Los Angeles, CA)

Molina Healthcare

Los Angeles, California

26 days

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...

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AVP, Medicare Call Center Operations (REMOTE)

Molina Healthcare

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1 month

Job DescriptionJob OverviewThe Associate Vice President of Call Center Operations plays a critical role in managing and optimizing call center operations, with a focus on supporting Medicare-related services. As an......

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RN Inpatient Review Case Manager California: NIGHT SHIFT

Molina Healthcare

Long Beach, California

12 days

EMERGENCY ROOM ADMISSIONS REVIEW NURSEPERMANENT SHIFT WILL BE :12 hour NIGHT SHIFT:7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC HOURS NON EXEMPT, 3 days a week will rotate.This......

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Account Rep, Medicare-South Carolina

Molina Healthcare

Charleston, South Carolina

6 days

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 ...

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AVP, Call Center Operations (Member Services)

Molina Healthcare

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5 days

Job DescriptionJob SummaryProvides new and existing members as well as providers with the best possible service in relation to general service needs including questions about benefits, billing inquiries, service requests,...

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Account Rep, Medicare-Tacoma, WA

Molina Healthcare

Tacoma, Washington

5 days

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 ...

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Data Analyst (Healthcare Required) - CA ONLY - REMOTE

Molina Healthcare

, California

5 days

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 within M...

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Field Family Nurse Practitioner (Clarksdale, MS)

Molina Healthcare

Jackson, Mississippi

today

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...

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Case Manager RN - Transition of Care Coach

Molina Healthcare

Detroit, Michigan

today

JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI.Case Manager RN will......

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Sr Medical Records Collector - Remote

Molina Healthcare

Long Beach, California

today

Job Description Job SummaryMolina's HEDIS/Quality Improvement Sr. Medical Records Collector is a team member with several years experience in working collaboratively with outreaching to providers in order to pursue medica...

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Field Case Manager, LTSS (RN)

Molina Healthcare

Harlingen, Texas

6 days

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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Case Manager (RN) (Must Reside in SC)

Molina Healthcare

Columbia, South Carolina

19 days

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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Associate Analyst, Provider Configuration

Molina Healthcare

Louisville, Kentucky

7 days

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...

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Field Case Manager, LTSS (RN)

Molina Healthcare

Beaumont, Texas

6 days

JOB DESCRIPTIONCase Manager needed in the Beaumont, TX service area. Applicants must reside in this community or surrounding communities and hold a TX RN license in good standing to be......

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Care Review Processor

Molina Healthcare

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15 days

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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Mgr, Growth & Comm Engagement (San Bern or Riverside Only)

Molina Healthcare

Riverside, California

18 days

Molina Healthcareis hiring a Manager of Growth and Community Engagement in the Riverside or San Bernardino area.For over 40 years, Molina Healthcare has been a purpose-driven company committed to improving......

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Manager, Medical Economics - REMOTE

Molina Healthcare

,

20 days

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 other end users for op...

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Account Rep, Medicare-Bilingual-Massachussets

Molina Healthcare

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13 days

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 ...

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Sr Bus Enterprise Risk & Controls (SOX Compliance Audit) - REMOTE

Molina Healthcare

Louisville, Kentucky

7 days

JOB DESCRIPTIONJob SummaryThe Business Control Process Design and Implementation Senior, under the direction of Mgr, IT Controls and ERM, is responsible for developing a risk based process design approach for......

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Transition of Care Coach LPN, LICSW, LMHC, LMHCA, Remote in WA state Utilization Management Experience

Molina Healthcare

Seattle, Washington

7 days

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, ...

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Account Rep, Medicare-Bilingual-Massachussets

Molina Healthcare

,

13 days

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 ...

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Analyst, Data - Texas Medicaid/Databricks/SQL/Power BI - Remote

Molina Healthcare

,

26 days

JOB DESCRIPTION Job Summary Designs 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......

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Provider Relations Manager

Molina Healthcare

Lincoln, Nebraska

12 days

***Remote and must live in Nebraska***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignmen...

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Sr Analyst, Tech Config Info Mgmt - Claims Research/Data Analyst Sr (QNXT/SQL)

Molina Healthcare

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1 month

JOB DESCRIPTIONJob Summary Responsible for accurate and timely production review of issues reported within our claims intake and processing ecosystem (QNXT, Edifecs, etc.). Gains understanding of solution functionality t...

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Field Family Nurse Practitioner -Spokane, WA- 10K Sign On Bonus

Molina Healthcare

Spokane, Washington

7 days

*We have an extensive training program for new Grads**Molina Student Loan Repayment program available for Nurse Practitioners*JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preve...

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Registered Nurse Case Manager Remote with Field Travel in Spokane Whitman or Stevens WA

Molina Healthcare

Spokane, Washington

15 days

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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Spc, Growth & Comm Engagement - Remote (NY)

Molina Healthcare

Rochester, New York

11 days

JOB DESCRIPTIONJob SummaryResponsible for achieving established goals improving Molinas enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the enterprise to impr...

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Assoc Specialist, Corp Credentialing

Molina Healthcare

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27 days

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...

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Sr Engineer, Applications - .Net/AI - Remote

Molina Healthcare

Bowling Green, Kentucky

7 days

Job DescriptionJob SummaryDesigns, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes key pri...

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Community Connector - Remote with Field Travel in Onondaga County

Molina Healthcare

Syracuse, New York

1 month

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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Home Health Care Coordinator (RN) Remote with Field Travel in King County

Molina Healthcare

Bothell, Washington

22 days

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,...

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Sr Medical Records Collector (Hybrid - Socal)

Molina Healthcare

Long Beach, California

6 days

This is a hybrid role. Candidates must reside in Southern California (LA/OC/IE Counties)Job DescriptionJob SummaryMolina's HEDIS/Quality Improvement Sr. Medical Records Collector is a team member with several years experi...

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Auditor, Elig. Screening - TMG (Milwaukee County, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Milwaukee, Wisconsin

15 days

Job Description Job SummaryThe Auditor, Eligibility Screening is responsible for providing support to the TMG IRIS Consultant Agency (ICA) Long Term Care Functional Screening team with processes and coordinating activiti...

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Auditor, Clinical Services - Must reside in TX

Molina Healthcare

Dallas, Texas

6 days

KNOWLEDGE/SKILLS/ABILITIES Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Dise...

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Field Case Manager, LTSS - TEXAS LMSW, LBSW required

Molina Healthcare

Dallas, Texas

14 days

JOB DESCRIPTIONOpportunity for Social Worker to provide Case Management services to our Medicaid members in the Dallas Service Delivery Area. Applicants must hold either a LBSW or LMSW in the......

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Specialist, Provider Network Admin

Molina Healthcare

Long Beach, California

6 days

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...

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Analyst, Business

Molina Healthcare

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29 days

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...

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IT Sr. Systems Analyst Compliance & Legal

Molina Healthcare

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1 month

*** The candidate must be able to work PST hours.******The IT Sr. Systems Analyst is responsible for the analysis, design, and implementation of IT Healthcare Compliance & regulatory systems to......

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Inpatient Case Manager (RN) REMOTE 10:00AM to 7:00PM PACIFIC HOURS

Molina Healthcare

,

6 days

JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSEFor this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/ Utilization Review /......

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Field Case Manager RN, LTSS - Waiver

Molina Healthcare

Cincinnati, Ohio

25 days

JOB DESCRIPTIONWe are seeking RN (Registered Nurse), who must live in the CINCINNATI OHIO area, and must be licensed for the state of OHIO. Excellent computer skills and attention to......

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Specialist, Quality Interventions/QI Compliance- Remote

Molina Healthcare

Louisville, Kentucky

1 month

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...

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Program Manager - Healthcare Quality (Remote)

Molina Healthcare

Louisville, Kentucky

21 days

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...

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IRIS Consultant - TMG (South Milwaukee, WI, Glendale, Mequon) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Milwaukee, Wisconsin

6 days

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......

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Sr. Specialist, Provider Engagement (Remote in New Mexico)

Molina Healthcare

, New Mexico

15 days

Job SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of ...

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Case Manager - Field Travel in Milwaukee County, WI

Molina Healthcare

Milwaukee, Wisconsin

7 days

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...

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Field Family Nurse Practitioner -Bremerton, WA-10K Sign On Bonus

Molina Healthcare

Bremerton, Washington

7 days

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...

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Sr Business Solutions Consultant (Remote in Eastern Time Zone)

Molina Healthcare

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1 month

Job Description Job SummaryBusiness Strategy Leader managing relationships and providing process expertise with Molina health plan leadership, corporate leadership, business subject matter experts (SMEs), business and IT ...

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Encounters Analyst - REMOTE

Molina Healthcare

Louisville, Kentucky

6 days

Job DescriptionJob SummaryThe Analyst, Encounters is responsible for monitoring inbound and outbound encounters processes and ensuring timely, accurate, and complete encounter submissions for low- to moderate-complexity m...

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Care Review Clinician, Inpatient Review (RN)

Molina Healthcare

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11 days

For this position we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.......

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Field Case Manager, LTSS (RN)

Molina Healthcare

Dallas, Texas

1 month

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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Coordinator, Physician Service

Molina Healthcare

Louisville, Kentucky

6 days

Job SummaryProvides support to the clinic operations by adding assistance when applicable. Helps ensure satisfaction is achieved for patients.Knowledge/Skills/Abilities Responsible for the administrative support to the re...

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Care Review Clinician, Inpatient Review (RN)

Molina Healthcare

Bowling Green, Kentucky

12 days

For this position we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.......

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Transition of Care Coach LPN, LICSW, LSWAIC, LMHC, LMHCA Remote with Field Travel in Pierce/Thurston WA

Molina Healthcare

Tacoma, Washington

22 days

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, ...

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Case Manager (RN)

Molina Healthcare

Louisville, Kentucky

7 days

JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse residing and licensed in state of Ohio.Case Manager will work in remote and field setting supporting Ohio plan supporting......

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Field Family Nurse Practitioner (Modesto, CA)

Molina Healthcare

Modesto, California

28 days

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...

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Project Manager, PMO (Must have Managed Care experience)

Molina Healthcare

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1 month

JOB DESCRIPTIONJob SummaryFocuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, pla...

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Account Rep, Medicare-Michigan

Molina Healthcare

Detroit, Michigan

6 days

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 ...

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Facilitated Enroller- In Field - New York, NY (Bi-Lingual - Mandarin)

Molina Healthcare

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7 days

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...

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Field Family Nurse Practitioner (Sacramento, CA)

Molina Healthcare

Sacramento, California

21 days

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...

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Sr Analyst, Provider Data (Project Management) - Remote

Molina Healthcare

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13 days

JOB DESCRIPTIONJob SummaryThis position is a project management role focused on supporting provider data solution and processes. Contributing to accurate and timely maintenance of critical provider information on all clai...

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AVP, Health Plan Operations (New Mexico Health Plan)

Molina Healthcare

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1 month

Job DescriptionJob SummaryMolina Health Plan Operations jobs are responsible for the development and administration of State Health Plan's operational departments, programs and services, in alignment with Molina Healthcar...

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Marketplace Contracting Program Director (Western Region - PST Time Zone) - REMOTE

Molina Healthcare

,

4 days

Job DescriptionJob SummaryThe Program Director, Marketplace Contracting is responsible for managing the Marketplace provider contracting process for the assigned regions. Leads the Marketplaces provider strategy, while de...

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Transition of Care Coach LPN LMSW or LCSW Remote with field travel in King/ Snohomish counties

Molina Healthcare

Seattle, Washington

2 days

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, ...

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