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 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,...
Molina Healthcare is hiring for a Sr. Corporate Paralegal. This position is remote and can be worked from a variety of locations within the US. This role will be working......
Ideal Candidate for this Remote position will reside in: Los Angeles, Orange, Riverside, San Bernardino, San Diego, Santa Barbara or Ventura, CA and will have experience with California Regulations, IPA/MSO's.JOB......
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Wednesday, March 19, 2025
JOB DESCRIPTIONOpportunity for a Texas licensed LVN or licensed social worker to join Molina to work with our Medicaid members in the central Houston service delivery area covering zip codes......
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 DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicare members in the Mission, Weslaco, Edinburg, and McAllen, TX service delivery areas. Part of the responsibilities......
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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 DESCRIPTIONMust be able to work at below location Mon - FriHours: 8:30am - 5pm ESTMust be in office 3 days a week.Location: 41-46 Main Street Flushing, NY 11355Job SummaryProvides......
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 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......
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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 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 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 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 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 Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensu...
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 SummaryManages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design pro...
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 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 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 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 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 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, ...
***Remote and must live in Mississippi***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in align...
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 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 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 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...
WORK SCHEDULE: Tuesday thru Saturday 10:00AM to 7:00PM, CENTRAL Time zone hours**candidates who do not live in Central, must be willing to work Central hours.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS)......
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 ...
WORK SCHEDULE: Tuesday thru Saturday 10:00AM to 7:00PM, CENTRAL Time zone hours**candidates who do not live in Central, must be willing to work Central hours.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS)......
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 to join Molina to work with our Medicaid members in the central Houston service delivery area covering zip codes 77002, 77003, 77004, and......
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the East Houston service delivery area covering zip codes 77078, 77044, and 77028. Part......
null Pay Range: $49,430.25 - $107,098.87 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level....
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 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 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 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 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 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 SummaryThe Specialist, Functional Screen - MCW is responsible for completing the Long-Term Care Functional Screen (LTCFS) for MCW Family Care and Family Care Partnership members, as required, and......
***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 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 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 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 SummaryMolina's Quality Improvement Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data c...
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 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...
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...
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...
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 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...
Molina Healthcare of Arizona is hiring for a Housing Specialist in the greater Phoenix /Maricopa County area.This role will be a combination of field-based and remote. Candidates must live within......
Job DescriptionJob SummaryResponsible for supporting and validating Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Perform financi...
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 Los Angeles County***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, i...
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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