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Sr Analyst, Config Info Mgmt - Remote - Michigan

Molina Healthcare

Michigan

14 days

JOB DESCRIPTION*****Candidates based in Michigan are highly preferred. ******Job SummaryResponsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical in...

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IRIS Consultant TMG (West Bend, WI) (Fieldwork/Hybrid) (No Holidays No Weekends, No After Hours)

Molina Healthcare

West Bend, Wisconsin

14 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 Risk & Quality Performance Manager (Remote)

Molina Healthcare

Arizona

14 days

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......

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Lead Risk & Quality Performance Manager (Remote)

Molina Healthcare

Arizona

14 days

Job DescriptionJob SummaryThe Lead Risk and Quality Performance Manager supports Molinas Risk & Quality Solutions (RQS) team by overseeing large programs and multiple projects supporting Molinas Risk Adjustment and Qu...

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Specialist, Functional Screen - MCW - Field travel in Dane County, WI

Molina Healthcare

Madison, Wisconsin

14 days

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......

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

Molina Healthcare

Milwaukee, Wisconsin

14 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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Assoc Analyst, Data - Claims

Molina Healthcare

Long Beach, California

18 days

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...

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Specialist, Config Oversight

Molina Healthcare

Arizona

13 days

Job Description****** This position will require a start time at 7:30am PST or later (must).*******Job Summary Responsible for conducting various audits including, but not limited to; vendor, focal, audit the......

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COE UM Program Director

Molina Healthcare

Arizona

13 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 Consultant - TMG (Milwaukee, WI) (Fieldwork/Hybrid) (No Holidays, No Weekends, No After Hours)

Molina Healthcare

Milwaukee, Wisconsin

27 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 Analyst, Healthcare - Remote

Molina Healthcare

Arizona

20 days

Knowledge/Skills/AbilitiesPerforms 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...

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Case Manager (RN)

Molina Healthcare

Troy, Michigan

18 days

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......

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Facilitated Enroller (In Field - Queens, NY)

Molina Healthcare

Queens, New York

18 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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Case Management Processor - Remote (must work PST Time)

Molina Healthcare

Arizona

18 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, Workforce Risk (Health & Safety)

Molina Healthcare

Arizona

10 days

Job DescriptionJob Summary As the Manager, Workforce Risk, you will be a member of Molina Healthcares Protection Services Operations Center, reporting to the AVP. This role will be responsible for......

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Manager, Configuration (EDI - Claims)

Molina Healthcare

Arizona

10 days

JOB DESCRIPTIONJob SummaryManages a team of professional Configuration Analysts. Responsible for operational activities for the assigned team, including accurate and timely implementation and maintenance of critical infor...

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Sr Project Manager (Managed Care) - Remote NV

Molina Healthcare

Las Vegas, Nevada

11 days

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...

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Case Manager - Behavioral Health

Molina Healthcare

Wisconsin

11 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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Field Family Nurse Practitioner (Boise/Twin Falls, ID)

Molina Healthcare

Boise, Idaho

12 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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Mgr, Actuarial Svcs (KY Health Plan) - REMOTE

Molina Healthcare

United States

12 days

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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Field Family Nurse Practitioner

Molina Healthcare

Yakima, Washington

12 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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Principal Data Scientist - Generative AI, Machine Learning, Python, R - Remote

Molina Healthcare

Arizona

9 days

Job DescriptionJob SummaryResponsible for overseeing data science projects, managing and mentoring a team, and aligning data initiatives with business goals. Lead the development and implementation of data models, collabo...

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

Molina Healthcare

Milwaukee, Wisconsin

9 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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Mgr, QNXT Configuration

Molina Healthcare

Arizona

9 days

JOB DESCRIPTIONJob SummaryManages a team of professional Configuration Analysts. Responsible for operational activities for the assigned team, including accurate and timely implementation and maintenance of critical infor...

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Pharmacy Technician, Clinical/MTM (Bilingual in Spanish, Mandarin, Korean, and Vietnamese Preferred) - Remote PST Hours

Molina Healthcare

Arizona

5 days

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......

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Sr Program Manager - Network Solutions and Operations

Molina Healthcare

Arizona

5 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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Mgr, Provider Config. (Production / Claims Management)

Molina Healthcare

Arizona

5 days

JOB DESCRIPTIONJob SummaryThis position will be supporting the Kentucky and New Mexico Health plansResponsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Mai...

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Licensed Social Worker - Case Manager - Behavioral Health

Molina Healthcare

Michigan

5 days

Job DescriptionFor this position we are seeking Licensed Social worker who must live and have a current active unrestricted license in the state of MIWe are looking Case Manager who......

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Medical Assistant (Bilingual Required) - REMOTE

Molina Healthcare

Arizona

5 days

JOB DESCRIPTIONJob SummaryThe Medical Assistant Care Connections will communicate with members after appointments and services to ensure that they are receiving quality care. They will function as a liaison to......

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Facilitated Enroller (In Field/Long Island, NY - Bilingual Punjabi, Urdu and Hindi)

Molina Healthcare

New York, New York

5 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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Investigator, SIU RN (Remote)

Molina Healthcare

Arizona

5 days

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...

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Medical Director (Based in SC)

Molina Healthcare

Charleston, South Carolina

5 days

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...

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Bilingual Community Outreach Specialist - Bilingual Mandarin - San Gabriel Valley CA

Molina Healthcare

San Gabriel, California

5 days

***Candidates For This Position Must Reside in/near the San Gabriel Valley or Pomona*** **Bilingual Mandarin/ or other Asian Languages Needed**Are you passionate about serving and helping your community? Do you......

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Community Connector - Hybrid (Must reside in Washington West Coast))

Molina Healthcare

Washington, District of Columbia

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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Sr Business Systems Analyst

Molina Healthcare

Arizona

5 days

JOB DESCRIPTIONJob SummaryA successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ability to work independently, self-navigate organizatio...

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Case Management Processor- Remote

Molina Healthcare

Illinois

5 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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Field Family Nurse Practitioner (Grand Rapids, MI)

Molina Healthcare

Grand Rapids, Michigan

3 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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Field Family Nurse Practitioner (Richland, SC)

Molina Healthcare

3 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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Care Review Clinician, Prior Auth (RN)

Molina Healthcare

Arizona

3 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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Program Manager, Clinical Programs Design RN

Molina Healthcare

United States

3 days

JOB TITLE: Program Manager: HCS, Clinical Program Design, REGISTERED NURSEJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordi...

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Healthcare Analytics Analyst - REMOTE

Molina Healthcare

Arizona

3 days

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...

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Director, Data Governance (Data Lake)- REMOTE

Molina Healthcare

Arizona

4 days

Job DescriptionJob SummaryThe Director of Data Governance will build and execute the enterprise data governance strategy and roadmap in alignment with the company's vision. This role is within the company's......

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Facilities Case Manager (non-RN) - Chicago, IL ONLY

Molina Healthcare

Chicago, Illinois

4 days

JOB DESCRIPTIONNon-RN Case Manager position available in Chicago, IL service delivery area. Applicants should reside in the community and have experience working as a case manager in nursing facilities. Part......

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(OB or NICU) Complex Case Manager RN : must reside in Nebraska

Molina Healthcare

Lincoln, Nebraska

4 days

For this role, we are seeking a RN Complex Case Manager. Must reside and be licensed for the state of NEBRASKA.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers......

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Sr. Analyst, Reporting & Analytics (Medicare/Clinical) - REMOTE

Molina Healthcare

Arizona

4 days

JOB DESCRIPTIONJob SummaryUnder supervision, applies software engineering methods and techniques to the design, development, integration, qualification and/or support of Microsoft Reporting Services, SQL stored procedures...

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Sr Analyst, Network Solutions & Operations

Molina Healthcare

Arizona

4 days

JOB DESCRIPTIONJob SummaryResponsible for managing and overseeing KPI and SLA reporting for the department, ensuring accuracy, timeliness, and quality in delivery and synergy across reporting platforms. Briefs executives ...

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RN Transition of Care Coach - TX Licensure

Molina Healthcare

Texas

4 days

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

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Manager, Process Improvement (SQL/Databricks/Informatics/Medicare) - REMOTE

Molina Healthcare

Arizona

4 days

Knowledge/Skills/Abilities Responsible for program development, implementation, and management of process improvement initiatives. Coordinates, directs, and manages the activities of the department and the process improve...

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Rep, Customer Experience Inbound - Hybrid (Must reside in Madison WI area)

Molina Healthcare

Madison, Wisconsin

4 days

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....

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Case Manager (RN)

Molina Healthcare

Arizona

4 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, Reporting & Analytics (Care Management Analytics) - REMOTE

Molina Healthcare

Arizona

4 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 provider networks and o...

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RN Case Manager - Behavioral Health (Must Reside in FL or SC)

Molina Healthcare

Arizona

4 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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Manager, Medical Economics - REMOTE

Molina Healthcare

Arizona

4 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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Associate Specialist, Provider Network Admin

Molina Healthcare

California

3 days

***Remote and must live in California***Job DescriptionJob SummaryProvider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and pr...

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Supv, Healthcare Services Operations Support (Pacific Hours 11:30AM to 8:30PM)

Molina Healthcare

Arizona

3 days

Work Schedule: Monday thru Friday 11:30AM to 8:30PM PACIFIC HOURSCandidates who do not live in the Pacific Time Zone must work Pacific Hours.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with......

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Customer Service Representative, Medicare Pharmacy

Molina Healthcare

Arizona

2 days

JOB DESCRIPTIONJob SummaryMolina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all medically necessary prescription drugs and those drugs are used in a......

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Pharmacist, Utilization Mgmt (UM)

Molina Healthcare

Arizona

2 days

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......

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Sr Paralegal (Corporate) Remote, PST Hours

Molina Healthcare

United States

2 days

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......

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RN Case Manager LTSS

Molina Healthcare

Lynchburg, Virginia

1 day

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......

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Community Connector Behavioral Health Remote with Field Travel in Seattle, Spokane, Olympia or Tacoma

Molina Healthcare

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, i...

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

Molina Healthcare

Olympia, Washington

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, i...

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Telephonic Licensed Case Manager - Behavioral Health - ILLINOIS ONLY

Molina Healthcare

Illinois

1 day

Job DescriptionOpportunity in Illinois to join our case management team working with our Medicaid members with a Behavioral Health diagnosis. This is open to qualified candidates across the state; applicants......

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Behavioral Health Case Manager - SUD

Molina Healthcare

Ohio

2 days

Job DescriptionFor this position we are seeking Licensed Social worker who must live and have a current active unrestricted license in the state of OH.We are looking for a Licensed......

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Facilities Case Manager, LTSS - Licensed Social Worker ONLY

Molina Healthcare

Springfield, Illinois

2 days

JOB DESCRIPTIONOpportunity for an experienced, Illinois Licensed Social Worker to join our LTSS Team working with our Medicaid members currently in nursing facilities in the Illinois Counties of Sangamon, Madison,......

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Case Manager (RN) OHIO

Molina Healthcare

New Franklin, Ohio

today

null Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level....

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

Molina Healthcare

Milwaukee, Wisconsin

24 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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Sr Analyst, Quality Analytics & Performance Improvement (Remote)

Molina Healthcare

Arizona

24 days

Job DescriptionJob SummaryThe Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Id...

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

Molina Healthcare

Milwaukee, Wisconsin

14 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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Community Connector, Tobacco Cessation, Remote in LexingtonFayette

Molina Healthcare

Lexington, Kentucky

13 days

Molina Healthcare of Kentuckyis hiring for Community Connectors for our Tobacco Cessation program.This role is remote; however candidates should live in or near the Lexington-Fayette metropolitan area.These roles will be....

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Peer Support Specialist (Remote in MS)

Molina Healthcare

Mississippi

13 days

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...

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Case Manager - Behavorial Health

Molina Healthcare

Arlington, Virginia

12 days

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......

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Transition of Care Coach, BH (Remote in MS)

Molina Healthcare

Mississippi

12 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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Nurse Practitioner (PMHNP) Yakima, WA

Molina Healthcare

Yakima, Washington

14 days

JOB DESCRIPTIONJob SummaryThe Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific popul...

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Interfaith Chaplain (REMOTE IN MS)

Molina Healthcare

Mississippi

14 days

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......

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IRIS Consultant - TMG (Barron, WI), (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Rice Lake, Wisconsin

14 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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Case Manager - Behavioral Health

Molina Healthcare

Columbus, Ohio

11 days

Job DescriptionFor this position we are seeking Licensed Social worker who must live and have a current active unrestricted license in the state of OH.We are looking for a Licensed......

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Case Manager Behavioral Health - Severe Mental Illness

Molina Healthcare

Columbus, Ohio

11 days

Job DescriptionFor this position we are seeking Licensed Social worker who must live and have a current active unrestricted license in the state of OH.We are looking for a Licensed......

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Broker Coord

Molina Healthcare

Arizona

11 days

Job DescriptionJob SummaryManage new broker applications, enrollment forms, educating on plan benefits in all markets and making sure CMS requirements are being met in these processes. Knowledge/Skills/Abilities Handles n...

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Peer Specialist (Must reside near Phoenix, AZ)

Molina Healthcare

Phoenix, Arizona

19 days

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...

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Advisor, Essential Plan (In Field - Westchester/Bronx, NY)

Molina Healthcare

New York, New York

18 days

Job DescriptionJob SummaryThe Advisor, Essential Plan, is a field-based role that directly impacts membership growth and retention through sales activities and pursuit of Business to Business (B2B) opportunities that supp...

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Advisor, Essential Plan (In Field - Queens, NY)

Molina Healthcare

Queens, New York

18 days

Job DescriptionJob SummaryThe Advisor, Essential Plan, is a field-based role that directly impacts membership growth and retention through sales activities and pursuit of Business to Business (B2B) opportunities that supp...

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Facilitated Enroller (In Field - Westchester, NY)

Molina Healthcare

18 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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Eligibility Screener - TMG (Dane County, WI) (Fieldwork/Hybrid) (No Holidays, No Weekends, No After Hours)

Molina Healthcare

Wisconsin

18 days

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......

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Telephonic Licensed Case Manager (RN) - ILLINOIS ONLY

Molina Healthcare

Illinois

19 days

JOB DESCRIPTIONOpportunity for Illinois licensed RN to join Molina as a telephonic Case Manager working with our Medicaid members with complex care needs. The diagnosis of the members you will......

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Case Manager, LTSS - Field travel in Jefferson County, WI

Molina Healthcare

Fort Atkinson, Wisconsin

17 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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Coord, Medicaid Entitlement-NY City

Molina Healthcare

New York, New York

16 days

Job DescriptionJob SummaryProvide screening of candidates toward identification of qualified, eligible prospects related to both long-term care needs and Medicaid coverage for enrollment. Assist our current members with r...

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Facilitated Enroller (In Field - Batavia, NY)

Molina Healthcare

Batavia, New York

5 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 Analyst, Config Info Mgmt - Claims/ Power BI

Molina Healthcare

Arizona

5 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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Field Case Manager, LTSS - Licensed Social Worker ONLY

Molina Healthcare

Peoria, Illinois

5 days

JOB DESCRIPTIONOpportunity for an experienced, Illinois Licensed Social Worker to join our LTSS Team working with our Medicaid members in the Illinois Counties of Peoria and Woodford Counties. The service......

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Case Manager - Behavioral Health (Must reside in IA, LMCHA, LICSW, LMHC, LMFT)

Molina Healthcare

Iowa

5 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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Medical Director, Behavioral Health (PST)

Molina Healthcare

Louisville, Kentucky

5 days

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...

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Field Family Nurse Practitioner (Spokane, WA)

Molina Healthcare

Spokane, Washington

5 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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Field Family Nurse Practitioner -Bremerton, WA

Molina Healthcare

Bremerton, Washington

5 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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Mgr, Growth & Comm Engagement (Must reside In Rochester, Buffalo, or Syracuse

Molina Healthcare

Buffalo, New York

5 days

Molina Healthcare is Hiring for a Manager of Growth & Community Engagement in Rochester, Buffalo, or Syracuse**To be considered for this role, applicants must live in or newar one of......

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Case Manager, LTSS - Field travel in Dane County, WI

Molina Healthcare

Madison, Wisconsin

5 days

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...

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Pharmacy Technician Remote - Prior Auth Review 10a-630p EST

Molina Healthcare

Arizona

6 days

Molina Healthcareis hiring for Pharmacy Technicians who are State Licensed/Certified and/or PTCB certified.This role is 100% remote, and the hours will be Mon-Fri 10am to 630pm Eastern Standard Time.This role......

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Specialist, Appeals & Grievances

Molina Healthcare

Arizona

6 days

JOB DESCRIPTIONJob SummaryResponsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and re...

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Care Transition Case Manager (RN) California

Molina Healthcare

Los Angeles, California

7 days

**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...

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Care Review Clinician, Inpatient Review (RN) Tues - Saturday

Molina Healthcare

Arizona

8 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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Pharmacy Technician (Medicaid/Marketplace) Remote - PST Hours

Molina Healthcare

Spokane, Washington

9 days

Molina Healthcareis hiring for aPharmacy Technicianwho is State Licensed/Certified and/or PTCB certified.This role is 100% remote, and the hours will be Mon-Fri 10am to 630pm Pacific Standard Time.This role will......

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