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Molina Healthcare

Phoenix, Arizona

1 day

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

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

Molina Healthcare

Milwaukee, Wisconsin

1 day

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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Clinical Informatics Analyst (BI Developer/Engineer) - REMOTE

Molina Healthcare

Arizona

1 day

Job DescriptionReporting to the Director of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and maintenance of critical business repor...

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Field Case Manager, LTSS - LVN or Social Worker

Molina Healthcare

Conroe, Texas

1 day

JOB DESCRIPTIONOpportunity for TX licensed LVN or an experienced case manager residing in the service delivery area of Conroe, Magnolia, and The Woodlands to join our LTSS Team as a......

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Sr Project Manager (Claims / Configuration) Remote Eastern Time Zone

Molina Healthcare

New York, New York

1 day

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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Specialist, Provider Network Admin

Molina Healthcare

New York, New York

1 day

***Remote and must live in United States***JOB DESCRIPTIONJob SummaryProvider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and...

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Pharmacy Technician, Clinical/MTM - Remote

Molina Healthcare

Louisville, Kentucky

1 day

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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Case Manager, LTSS (RN) - Field travel in Rock County, WI

Molina Healthcare

Janesville, Wisconsin

1 day

JOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated deli...

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Provider Relations Representative

Molina Healthcare

Dallas, Texas

1 day

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

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Field Family Nurse Practitioner (Sacramento, CA)

Molina Healthcare

Sacramento, California

1 day

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Sr Actuarial Analyst - REMOTE

Molina Healthcare

Arizona

1 day

JOB DESCRIPTIONJob SummaryThe role is responsible for establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting the Molina Marketplace ACA individual prici...

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AVP, Arizona Health Plan Operations (Must reside in AZ)

Molina Healthcare

Phoenix, Arizona

1 day

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

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Investigator, Coding SIU (Remote)

Molina Healthcare

Texas

1 day

JOB DESCRIPTIONJob SummaryThe SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits...

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Sr Program Manager - Network Solutions and Operations

Molina Healthcare

Arizona

1 day

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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Intern, Quality Improvement (Remote on Eastern Time Zone)

Molina Healthcare

Arizona

1 day

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......

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Mgr, Provider Configuration Management

Molina Healthcare

Arizona

1 day

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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Intern, Customer Experience - REMOTE

Molina Healthcare

Arizona

1 day

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.....

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Dir, Process Improvement & Op Excellence

Molina Healthcare

United States

1 day

Job DescriptionJob SummaryLeads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement me...

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Case Manager, LTSS (RN)

Molina Healthcare

Columbus, Ohio

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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Field Family Nurse Practitioner (Palm Springs, CA)

Molina Healthcare

Palm Springs, California

1 day

JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...

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Sr Analyst, Quality Interventions/QI Compliance (Remote)

Molina Healthcare

United States

1 day

JOB DESCRIPTIONJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for membe...

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AVP, Health Plan Operations (Florida)

Molina Healthcare

Florida

1 day

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

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

Molina Healthcare

Milwaukee, Wisconsin

1 day

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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Senior Provider Relations Representative

Molina Healthcare

Syracuse, New York

1 day

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

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Sr Processor, Payables

Molina Healthcare

Arizona

1 day

Job DescriptionJob SummaryGeneral accounting tasks for tracking, processing, and payment of invoices for services or goods purchased from vendors. Responsibilities include ensures all disbursements are made under good fin...

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Intern, Customer Experience - REMOTE

Molina Healthcare

Arizona

1 day

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.....

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

Molina Healthcare

Queens, New York

1 day

Job DescriptionJob SummaryThe Advisor, Essential Plan is a field-based role that directly impacts membership growth and retention through sales activities and Business to Business opportunities that support the Essential ...

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Facilitated Enroller (In Field - Brooklyn, NY)

Molina Healthcare

Brooklyn, New York

1 day

JOB DESCRIPTIONJob SummaryThe Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easi...

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Field Family Nurse Practitioner (San Diego, CA)

Molina Healthcare

San Diego, California

1 day

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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Assoc Specialist, Claims Recov (Spokane)_office

Molina Healthcare

Spokane, Washington

1 day

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog an...

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Case Manager, LTSS (RN) - Field travel in Dane County, WI

Molina Healthcare

Madison, Wisconsin

1 day

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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Case Manager, LTSS (RN): Dona Ana County NEW MEXICO

Molina Healthcare

Doña Ana, New Mexico

1 day

**The qualified candidate must reside and be willing to travel in Dona Ana County, NEW MEXICOJOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to.....

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Behavioral Health Clinician (Utilization Management) KENTUCKY

Molina Healthcare

Lexington, Kentucky

1 day

For this position we are seeking a Registered Nurse or Licensed Social Worker with PSYCH / BH Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.STATE OF......

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Sr Medical Records Collector - Remote (PST)

Molina Healthcare

Long Beach, California

1 day

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

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Registered Nurse Case Manager, LTSS Remote with Field Travel in Boise Idaho

Molina Healthcare

Boise, Idaho

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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Registered Nurse Case Manager Remote with Field work in Omaha Nebraska

Molina Healthcare

Omaha, Nebraska

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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Director, HCS (CM) Remote in MS

Molina Healthcare

Mississippi

1 day

Candidate must be an RN/BSN, LMFT, LPCC, LCSWJOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integr...

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Supervisor, Care Management RN, LMHC, LMSW, LMFT, or LCSW Remote in New York:

Molina Healthcare

New York

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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Field Family Nurse Practitioner (Greenville, SC) PART TIME

Molina Healthcare

Greenville, South Carolina

1 day

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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Intern, LTSS Care Management (Must reside in Wisconsin)

Molina Healthcare

Wisconsin

1 day

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......

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Sr Rep, Enrollment - Remote - (Must reside in Wisconsin)

Molina Healthcare

Wauwatosa, Wisconsin

1 day

JOB DESCRIPTIONJob SummaryThe Sr Rep, Enrollment handles all processes related to membership eligibility inquiries and ensures membership accuracy within the system. Represents Enrollment Operations as a subject matter ex...

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Behavioral Health Case Manager - Richmond VA

Molina Healthcare

Richmond, Virginia

1 day

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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Field Case Manager, LTSS (RN)

Molina Healthcare

Mission, Texas

1 day

JOB DESCRIPTIONOpportunity for TX licensed RN residing in the service delivery area of Hildago and Mission, TX, to join our LTSS Team as a Case Manager working with our Medicaid......

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Sr Rep, Enrollment - Remote

Molina Healthcare

Louisville, Kentucky

1 day

JOB DESCRIPTIONJob SummaryThe Sr Rep, Enrollment handles all processes related to membership eligibility inquiries and ensures membership accuracy within the system. Represents Enrollment Operations as a subject matter ex...

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Program Manager (Remote)

Molina Healthcare

Arizona

1 day

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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Care Review Processor (Remote)

Molina Healthcare

United States

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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Field Case Manager, LTSS - LVN or Social Worker

Molina Healthcare

Brownsville, Texas

1 day

JOB DESCRIPTIONOpportunity for TX licensed LVN or Social Worker residing in Brownsville, TX area to join our LTSS Team as a Case Manager working with our Medicaid members. Part of......

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Intern, Sales and Marketing Analytics - REMOTE

Molina Healthcare

Arizona

1 day

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......

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

Molina Healthcare

Milwaukee, Wisconsin

1 day

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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Program Manager, Clinical Value

Molina Healthcare

Arizona

1 day

JOB DESCRIPTIONJob SummaryWorking closely with Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics and Finance teams, drive, plan and manage a comprehensive program foc...

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VP, Enterprise Integration (REMOTE)

Molina Healthcare

Arizona

1 day

Job DescriptionJob SummaryThe Vice President, Enterprise Integration, will provide critical operational analysis, analytics and actionable intelligence and information to Molina's senior leadership team to facilitate prud...

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Case Manager ToC Coach LPN, LICSW, LMHC, LMHCA, Remote with field travel in Seattle, Tacoma or Everett WA

Molina Healthcare

Seattle, 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, ...

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Telephonic Case Manager - Social Worker - Illinois Resident Only

Molina Healthcare

Illinois

1 day

JOB DESCRIPTIONExciting remote, telephonic opening for a Social Worker residing in Illinois who is looking for a new and different challenge. If you would like to use your expertise in......

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Case Manager, LTSS

Molina Healthcare

Miami, Florida

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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Care Review Clinician, Inpatient Review (RN)

Molina Healthcare

Lexington, Kentucky

1 day

CARE REVIEW CLINICIAN INPATIENT REVIEW REGISTERED NURSE: KENTUCKY REMOTEFor this position we are seeking a Registered Nurse with previous Utilization Review / Utilization Management and knowledge of Interqual / MCG......

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Field Family Nurse Practitioner -WA

Molina Healthcare

Pullman, Washington

1 day

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

Molina Healthcare

Milwaukee, Wisconsin

1 day

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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Program Manager, Clinical Vendors

Molina Healthcare

Arizona

1 day

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 completionforcl...

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Field Case Manager, LTSS (RN)

Molina Healthcare

Brownsville, Texas

1 day

JOB DESCRIPTIONOpportunity for TX licensed RN residing in the service delivery area of Hildago and Brownsville, TX, to join our LTSS Team as a Case Manager working with our Medicaid......

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Lead Analyst, Data Quality Analytics and Performance Improvement- Remote

Molina Healthcare

Arizona

1 day

Job DescriptionJob Summary*****This position will be focused on the Medicare STARS program. Please highlight your experience on your application. ******Designs and implements processes and solutions associated with a wide...

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Field Family Nurse Practitioner (Houston, Texas) Bilingual - Spanish

Molina Healthcare

Houston, Texas

1 day

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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Lead Analyst, Config Info Mgmt - QNXT

Molina Healthcare

Arizona

1 day

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

Molina Healthcare

Arizona

1 day

JOB DESCRIPTIONJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for membe...

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Lead Risk & Quality Performance Manager (Remote)

Molina Healthcare

Arizona

1 day

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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Sr. Specialist, Provider Engagement (Remote)

Molina Healthcare

United States

1 day

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

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Field Family Nurse Practitioner (San Diego, CA)

Molina Healthcare

San Diego, California

1 day

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

1 day

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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Dir, Actuarial Svcs - REMOTE

Molina Healthcare

Arizona

1 day

Job DescriptionJob SummaryWe are seeking a highly skilled and adaptable actuary responsible for pricing Molina Marketplace ACA Individual Products. The ideal candidate will thrive in a space characterized by dynamic......

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

Molina Healthcare

Brooklyn, New York

1 day

Job DescriptionJob SummaryThe Advisor, Essential Plan is a field-based role that directly impacts membership growth and retention through sales activities and Business to Business opportunities that support the Essential ...

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Intern, Provider Network-Contract Specialist (Remote in Central Time Zone)

Molina Healthcare

Texas

1 day

***Remote and must live in the Central time zone***JOB DESCRIPTIONJOB SUMMARY (Purpose of the Job & high-level summary):The Molina Healthcare Internship Program shares an objective to create a steppingstone for......

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

Molina Healthcare

Milwaukee, Wisconsin

1 day

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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IRIS Consultant - TMG (Holcombe, WI) (Fieldwork/Hybrid)

Molina Healthcare

Holcombe, Wisconsin

1 day

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 Actuarial Analyst - REMOTE

Molina Healthcare

Arizona

1 day

JOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKI...

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Community Connector - Hybrid (Must reside in Northern Michigan area)

Molina Healthcare

Interlochen, Michigan

1 day

JOB DESCRIPTIONIdeal Candidate must reside in either of following counties in Michigan.Emmet, Charlevoix, Antrim, Leelanau, Benzie, Grand Traverse, Kalkaska, Manistee, Wexford, MissaukeeJob SummaryMolina Healthcare Servic...

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Account Rep, Medicare-South Carolina

Molina Healthcare

Charleston, South Carolina

1 day

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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Business Analyst (Managed Care Required) - REMOTE

Molina Healthcare

Arizona

1 day

JOB DESCRIPTIONJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to loc...

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Facilitated Enroller

Molina Healthcare

United States

1 day

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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Medical Director - Medicare

Molina Healthcare

Dallas, Texas

1 day

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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Provider Relations Manager

Molina Healthcare

Chicago, Illinois

1 day

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

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

Molina Healthcare

Bothell, 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,...

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Assoc Actuarial Analyst (Marketplace) - REMOTE

Molina Healthcare

Arizona

1 day

JOB DESCRIPTIONJob SummaryThe role is responsible for supporting the establishment of premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting the Molina Marketplace.....

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Sr. Employee Relations Consultant - REMOTE

Molina Healthcare

Arizona

1 day

Job DescriptionJob SummaryThe Sr. ER Consultant is generally responsible for the following: Mitigating risk for the organization and creating capacity for people leaders in counseling and guiding them through complex......

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Supv, IRIS Cons. Svcs - TMG (Milwaukee, Waukesha, Ozaukee, Washington, WI) (Fieldwork/Hybrid) (No Holidays, No Weekends, No After Hours)

Molina Healthcare

Milwaukee, Wisconsin

1 day

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...

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Facilitated Enroller - (In Field - Syracuse, NY)

Molina Healthcare

Syracuse, New York

1 day

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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Scheduling Analyst

Molina Healthcare

Arizona

1 day

KNOWLEDGE/SKILLS/ABILITIESDevelop and deploy workforce management strategies nationwide. Partner with leaders by strategically identifying business needs and propose solutions in line with the needs of our members and pro...

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Sr. Analyst, Business (Payment Integrity) - REMOTE

Molina Healthcare

Arizona

1 day

JOB DESCRIPTIONJob SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to loc...

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Specialist, Quality Interventions/QI Compliance- Remote

Molina Healthcare

Louisville, Kentucky

1 day

JOB DESCRIPTIONJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for membe...

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Intern, Growth & Community Engagement (Must reside in Chicago, IL)

Molina Healthcare

Illinois

1 day

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......

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Field Case Manager, LTSS (RN)

Molina Healthcare

Fort Worth, Texas

1 day

JOB DESCRIPTIONOpportunity for TX licensed RN residing in the service delivery area of Fort Worth, TX to join our LTSS Team as a Case Manager working with our Medicaid members.......

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Provider Contracts Manager

Molina Healthcare

Boise, Idaho

1 day

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

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Lead Analyst, Tech Config Info Mgmt - QA/Automation/SQL - Remote

Molina Healthcare

Long Beach, California

1 day

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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Manager, Provider Contracts (Remote in MS only)

Molina Healthcare

Jackson, Mississippi

1 day

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

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LVN Case Manager: Maternal Health Nurse

Molina Healthcare

Louisville, Kentucky

1 day

We are seeking LICENSED VOCATIONAL NURSES (LVN /LPN) NURSE CASE MANAGER.(2 positions available). Bilingual Spanish preferred but not required.Prior experience with Maternal Health preferred but not required.Central or Mou...

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Rep, Customer Experience III - Outbound (Remote - CST Shift)

Molina Healthcare

Iowa

1 day

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 i...

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

Molina Healthcare

Sheboygan, Wisconsin

1 day

JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......

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Sr. Specialist, Delegation Oversight (Analyst) - REMOTE - CA ONLY

Molina Healthcare

United States

1 day

JOB DESCRIPTIONJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including ...

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Medical Director, Behavioral Health (PST)

Molina Healthcare

Louisville, Kentucky

1 day

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 -Bremerton, WA

Molina Healthcare

Bremerton, Washington

1 day

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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Risk & Quality Performance Manager (Remote)

Molina Healthcare

Louisville, Kentucky

1 day

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...

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Remote Telephonic Case Manager RN

Molina Healthcare

Arizona

1 day

JOB DESCRIPTIONWe are seeking a (RN) Registered Nurse who have a current active unrestricted RN license in the state they reside, as well as have compact licensure.This position will support......

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