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...
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...
**REGISTERED NURSE Must be licensed for the state of South Carolina.Work Schedule: EASTERN daytime business hoursKNOWLEDGE/SKILLS/ABILITIES Performs monthly auditing of registered nurse and other clinical functions in Uti...
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 SummaryEnhances the departments ability to effectively and efficiently manage the performance of the National and State vendors over which it provides delegation oversight; also, may be assigned other.....
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 Design Manager is responsible for the development of graphic art and visual materials for proposal and non-proposal documents. Ensures the accuracy, quality, and timeliness of design elements...
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JOB DESCRIPTIONJob SummaryPlans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and......
**California residents preferred. Travel is required in Southern California, County of Los Angeles.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team member...
***Remote and must live in California***Job DescriptionJob SummaryMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performan...
JOB DESCRIPTIONJob SummaryFocuses on project management, driving work to completion, and other processes related to business implementations. Project management includes planning, scheduling, and driving implementation wo...
***Remote and must live in Mississippi***Job DescriptionJob SummaryThe Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effec...
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 DESCRIPTIONJob SummaryFocuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, pla...
JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Case Manager will work in remote and......
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.This position will support......
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Fresno/Rosharon service delivery area. Part of the responsibilities of the role is to......
***Remote and must live in California***Job DescriptionJob SummaryMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performan...
Job DescriptionJob SummaryThe Program Manager, Business Continuity Management (BCM), is responsible for executing and maintaining the business continuity management lifecycle for Molina. Implements and deploys right-sized...
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...
*Qualified candidate must reside and be willing to travel in the state of ILLINOIS. We will consider candidates who live in: Peoria county, Henry county, Bureau county, Stark County, Putnam......
JOB DESCRIPTIONOpportunity for TX licensed RN residing in the Dallas service delivery area to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the......
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Frisco, TX service delivery area. Part of the responsibilities of the role is......
JOB DESCRIPTIONCase Manager RN will work in remote and field setting supporting our Medicaid Population (Including Maternity and Pediatric Population. Complete assessments, create care plans, and provides educations to ou...
JOB DESCRIPTIONOpportunity for Texas licensed RN to join Molina as a Case Manager working with our Medicaid members in the Dallas service delivery area. Part of the responsibilities of the......
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicare members in the Houston service delivery area. Part of the responsibilities of the role is to......
JOB DESCRIPTIONOpportunity for Texas licensed RN to join Molina as a Case Manager working with our Medicaid members in the Fort Worth (Tarrant County), TX service delivery area. Part of......
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 DESCRIPTIONFor this position we are seeking a Case Manager who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Case Manager will work in remote and field......
JOB DESCRIPTIONJob SummaryBecome a member of the Clinical Value Hub team as we guide the implementation of the Clinical Operations vision throughout the Molina enterprise. This position offers the opportunity......
JOB DESCRIPTIONOpportunity for TX licensed LVN or an experienced non-RN case manager residing in the service delivery area of Donna and Mercedes, TX, to join our LTSS Team as a......
Job DescriptionJob SummaryThe Risk & Quality Performance Manager position will support Molinas Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molin...
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 DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Case Manager will work in remote and......
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 DescriptionOpportunity open for a KY licensed Social Worker (LCSW, LPC, LPCC, LMFT) to join our health plan in the state of Kentucky. Applicants should have experience working with persons......
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 DESCRIPTIONOpportunity for an experienced, Illinois Licensed Behavioral Healthcare Professional to join our LTSS Team working with our Medicaid members in the Illinois Counties of Peoria and Woodford Counties. The......
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.This position will support......
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 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...
HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an in...
JOB DESCRIPTIONRN Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South Carolina. Case Manager will be required......
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 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 DESCRIPTIONPartnership 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 SummaryManages people who are responsible for internal business projects and programs involving contact center department or cross-functional teams of subject matter experts, delivering products through...
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's Quality Improvement Lead Overreader conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data ...
Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. This position is remote and can be worked from a variety of locations within the US.Molina Pharmacy Services/Management......
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 SummaryThis role will execute the enterprise data governance strategy and roadmap in alignment with the company's vision. This role is within the company's Enterprise Information Management (EIM) organi...
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 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 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 SummaryMolinas Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensures quality monitoring audits and investigation...
Job DescriptionJob SummaryLeads solution design architectures for several applications mapping business requirements to high level design covering technologies, services, and products. Design, describe, and manage the so...
Job SummaryThe position will oversee and manage the Vendor Management team responsible of managing and coordinating the vendor activities between contracted entities and Molina Healthcare to support enrollment, claims, co...
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 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 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 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 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 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 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 the development of communications and marketing activities aimed at brand and message management. Develops, implements, and manages communications programs.KNOWLEDGE/SKILLS/ABILIT...
***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...
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 SummaryUnder direct supervision of the Manager, SIU, the Team Lead is responsible to lead a small team of investigators and provide oversight on daily investigative activities as a......
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 DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who must have a current active unrestricted RN license in the state of CA.Case Manager RN will work in......
JOB DESCRIPTIONJob SummaryResponsible for the development of communications and marketing activities aimed at brand and message management. Develops, implements, and manages communications programs.KNOWLEDGE/SKILLS/ABILIT...
Job DescriptionJob Summary Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business ...
Washington, District of Columbia
1 day
***Remote and must live in Washington***JOB DESCRIPTIONJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs sp...
Washington, District of Columbia
1 day
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, ...
JOB DESCRIPTIONMust be in office for 3 months of initial training after training 2 days per month in officeJob SummaryProvides customer support and stellar service to meet the needs of......
JOB DESCRIPTIONJob SummaryResponsible for planning, developing, and directing the implementation of techniques to ensure the maintenance of performance and quality levels in the Business' products and processes. Reviews o...
Job DescriptionJob SummaryAs the Senior Consultant, Investigations, you will be a member of Molina Healthcares Investigations and Health & Safety team, reporting to the Director. This role will be primarily......
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 SummaryDesigns and builds company specific enterprise application systems and technology expertise across multiple disciplines.Applies and promotes key principles (e.g., stability, scalability, performa...
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*Must be able to work 8am-8:15pm PST time.Job SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs......
***Remote and must live in Mississippi***Job DescriptionJob SummaryThe Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes t...
Job DescriptionJob Summary Designs and builds company specific enterprise application systems and technology expertise across multiple disciplines. Applies and promotes key principles (e.g. stability, scalability, perfor...
***Remote and must live in Mississippi***Job DescriptionJob SummaryThe Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes t...
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 SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healt...
***Remote and must live in Texas***Job DescriptionJob SummaryMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance an...
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 SummaryThe Proposal Writer is responsible for creating, revising, and editing proposal content that supports Molinas response to Requests for Proposal (RFP). Supports the development of response-focused...
JOB DESCRIPTIONJob SummaryProvides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform...
Job DescriptionJob SummaryThe Sr Proposal Writer is responsible for creating, revising, and editing proposal content that supports Molinas response to Requests for Proposal (RFP). Will continuously strive to increase know...
JOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healt...
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 SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healt...
JOB DESCRIPTIONJob SummaryMolina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise wide. It is a centralized corporate function supporting compliance activities at individ...
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