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 a Texas licensed RN join Molina to work with our Medicaid members in the El Paso service delivery area. Part of the responsibilities of the role is......
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Rosharon service delivery area. Part of the responsibilities of the role is to......
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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***Remote but must live in Utah***JOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in......
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the South Houston service delivery area. Part of the responsibilities of the role is......
JOB DESCRIPTIONJob SummaryManages a process that blends standard actuarial modeling, medical economics, and financial reporting and analytics. Analyzes data for cost savings opportunities and performance improvement initi...
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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...
*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 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 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 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...
Washington, District of Columbia
2 days
***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...
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 DESCRIPTIONSocial Worker 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......
JOB DESCRIPTIONJob SummaryMolina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with im...
JOB DESCRIPTIONJob SummaryThis role is on the Corporate Financial Planning and Analysis team primarily supporting G&A submissions. The successful candidate in this position will assist in the management of G&A......
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 MICase Manager RN will......
JOB DESCRIPTIONJob SummaryMolina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthca...
JOB DESCRIPTIONJOB SUMMARYThe Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns.....
JOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns....
Molina Healthcare of Nevadais seeking a dynamicBilingual Community Engagement & Growth Sr Specialistin/near theClark Countyarea.Bilingual in any language, with Asian languages being a plus!This role will help drive ch...
Job DescriptionJob SummaryProvides direct spiritual care and support for members of all lines of business, patients, families and staff from all religious/faith backgrounds and belief systems for Molina Health Plan......
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 SummaryPreferred Work Location - Pacific or Mountain Time ZonesResponsible for the Management of internal business projects for National Network and programs involving department or cross-functional tea...
Washington, District of Columbia
2 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...
JOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns....
Job DescriptionJob SummaryTMG is on the lookout for our next great Eligibility Screener! If you love doing meaningful work that helps others live their best lives, we want to hear......
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 or LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Manager will support a team......
JOB DESCRIPTIONJob SummaryClinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance standards.KNOWLEDGE/SKILLS/ABILITIES The Clinical Appeals Nurse (RN) p...
Job DescriptionJob SummaryThe Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensu...
North Charleston, South Carolina
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, 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 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 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......
Washington, District of Columbia
today
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...
** REGISTERED NURSE , must reside and be willing to travel by car in South New Mexico: Dona Ana, Otero, Luna County.Mileage is reimbursed.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works......
Job DescriptionJob SummaryResponsible for the completion Community Health Assessment (CHA) formerly the UAS (Uniform Assessment System) Initial Assessments and Reassessments based on New York State requirements, guideline...
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 ...
Molina Healthcare of Mississippi is hiring for a Manager of Social & Health Equity. This position can be worked remotely within the state of Mississippi.The Manager of Social & Health......
Job DescriptionJob Summary Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Knowledge...
JOB DESCRIPTIONOpportunity for a TX licensed RN with at least two years of experience in Behavioral Health or Substance Abuse Disorder in any type of setting to work with our......
JOB DESCRIPTIONJob SummaryResponsible for Enrollment related internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process...
JOB DESCRIPTIONJob SummaryThe Manager, Delegation Oversight position is responsible for the management of staff and oversight of delegated activities, ensuring compliance with State, Federal, NCQA, and Molina delegation s...
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Houston/Cypress service delivery area. Part of the responsibilities of the role is to......
JOB DESCRIPTIONJOB SUMMARY (Purpose of the Job & high-level summary):The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future......
Washington, District of Columbia
2 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...
**REGISTERED NURSE, must reside and be willing to travel in FRANKLIN COUNTY OHIO area, including but not limited to: Franklin, Delaware, Pickaway, Madison, and Union.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (H...
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 DESCRIPTIONLicensed Social Worker 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......
JOB DESCRIPTIONJob SummaryAssist business teams with developing requirements for major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues rel...
***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 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...
Fiscal Employer Agency SpecialistJob 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 ar...
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 Summary Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Knowledge...
This position is 100% remote. Working hours are M-F 7:30am-4:30pm must work PST hoursMust have Claims Examiner or Claims Adjustment exp and had process High dollar claims in Healthcare.Job DescriptionJob......
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...
Mississippi City, Mississippi
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, 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 TX licensed RN to join Molina as a Case Manager working with our Medicaid members in the service delivery area covering Conroe, East Houston, and The Woodlands,......
JOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns....
Job DescriptionJob SummaryProvide prospective and existing members with assistance (telephonically inbound and outbound) completing state required applications, for the purpose of obtaining and maintaining healthcare cove...
**REGISTERED NURSE, South Carolina residents in proximity to Cayce, Columbia, or Charleston preferred. Must be licensed for the state of South Carolina. There will be a small percentage of travel......
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...
Job DescriptionJob Summary Molina'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 comp...
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 SummaryFocuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, 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 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 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 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 SummaryThis position will be responsible for supporting the execution of merger and acquisition transactions and will actively contribute in advancing Molina Healthcares overall growth strategy. The rol...
JOB DESCRIPTIONJOB SUMMARYThe Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns.....
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 Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for......
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 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 SummaryResponsible for leading Medicare and duals internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design...
Washington, District of Columbia
2 days
JOB DESCRIPTION*** This position is remote and employee must reside in the state of Washington. Role will have up to 10% travel in the state of WA.Job SummaryMolina Healthcare Services......
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 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 ...
Job DescriptionJob SummaryWork Location - Remote within the state of TexasResponsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace...
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