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

Molina Healthcare

Milwaukee, Wisconsin

today

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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Field Case Manager, LTSS

Molina Healthcare

Conroe, Texas

today

JOB DESCRIPTIONOpportunity for TX licensed RN residing in the service delivery area of Conroe, Magnolia, and The Woodlands to join our LTSS Team as a Case Manager working with our......

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

Molina Healthcare

United States

today

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

Molina Healthcare

Janesville, Wisconsin

today

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

today

***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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Sr Actuarial Analyst - REMOTE

Molina Healthcare

United States

today

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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Investigator, Coding SIU (Remote)

Molina Healthcare

United States

today

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

United States

today

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

today

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

United States

today

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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Sr Specialist, Government Contracts (Must Reside in NM) - REMOTE

Molina Healthcare

Albuquerque, New Mexico

today

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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Intern, Customer Experience - REMOTE

Molina Healthcare

Arizona

today

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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Case Manager, LTSS (RN)

Molina Healthcare

Columbus, Ohio

today

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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Social & Health Equity Navigator - Petersburg VA

Molina Healthcare

Petersburg, Virginia

1 day

Job DescriptionWe are looking for a Social Health Equity Navigator to work and support the Virginia Medicaid health plan as well as members within the community. This position requires you......

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AVP, Health Plan Operations (Florida)

Molina Healthcare

Florida

today

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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Sr Engineer, Applications - AI - Remote

Molina Healthcare

Louisville, Kentucky

today

Job Description Job Summary Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes......

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Training Specialist-Salesforce (Remote)

Molina Healthcare

United States

today

Job DescriptionJob SummaryThe Training Specialist is responsible for supporting various Training initatives. Utilizes strong organizational skills, project management skills, and experience facilitating in-person and virt...

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

Molina Healthcare

United States

today

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 Processor, Payables

Molina Healthcare

United States

today

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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Rep, Member Engagement (Remote - NY candidates preferred)

Molina Healthcare

New York, New York

today

JOB DESCRIPTIONJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions, and complaints. Resolves member inquiries and complaints fairly a...

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

Molina Healthcare

Madison, Wisconsin

today

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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Intern, Customer Experience - REMOTE

Molina Healthcare

Arizona

today

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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Eligibility Screener - TMG (Grant, WI, Crawford, WI, Richland, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours)

Molina Healthcare

Boscobel, Wisconsin

today

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

Molina Healthcare

Queens, New York

today

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

today

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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Provider Contracts Manager

Molina Healthcare

Albuquerque, New Mexico

today

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

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Care Review Clinician, Inpatient Review (RN): Kentucky

Molina Healthcare

Louisville, Kentucky

today

CARE REVIEW CLINICIAN INPATIENT REVIEW REGISTERED NURSE: KENTUCKY REMOTE(2 openings)For this position we are seeking a Registered Nurse with previous Utilization Review / Utilization Management and knowledge of Interqual ...

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Field Family Nurse Practitioner (San Diego, CA)

Molina Healthcare

San Diego, California

today

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 Case Manager, LTSS (RN)

Molina Healthcare

Wharton, Texas

today

JOB DESCRIPTIONOpportunity for TX licensed RN to join our LTSS Team as a Case Manager working with our Medicaid members. This Case Manager will provide services to members in Wharton,......

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REMOTE Case Manager, LTSS: Lake County ILLINOIS

Molina Healthcare

Long Grove, Illinois

today

This Case Manager role will cover home visits in LAKE COUNTY, ILLINOIS.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, pla...

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Manager, Risk & Quality Systems (Remote)

Molina Healthcare

United States

today

Job DescriptionJob SummaryThe Manager, Risk and Quality Systems supports Molinas Risk & Quality Solutions (RQS) team by overseeing daily operations, managing team performance, and driving achievement of goals. This ro...

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

Molina Healthcare

Doña Ana, New Mexico

today

**The qualified candidate must reside and be willing to travel in Bernalillo 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

today

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

today

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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Field Case Manager, LTSS - LVN or Social Worker - Dallas County

Molina Healthcare

Dallas, Texas

today

JOB DESCRIPTIONOpportunity for experienced, non-RN Case Manager to join our LTSS Team working with our Medicaid members in the Dallas County service delivery area. Part of the responsibilities of the......

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Pharmacy Technician (National & State License)

Molina Healthcare

Louisville, Kentucky

today

JOB DESCRIPTION***This remote position (anywhere in the US) will work primary M-F with rotating weekends & holidays***Job SummaryMolina Pharmacy Services/Management staff work to ensure that Molina members have access...

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Case Manager, LTSS Field travel in Monroe County, WI

Molina Healthcare

Black River Falls, Wisconsin

today

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 Management Processor - REMOTE - TX ONLY

Molina Healthcare

Texas

today

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

today

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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Field Case Manager, LTSS (RN)

Molina Healthcare

Bay City, Texas

today

JOB DESCRIPTIONOpportunity for TX licensed RN residing in the service delivery area of Bay City, Matagorda, and Palcios to join our LTSS Team as a Case Manager working with our......

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Sr. Business Analyst (Claims Reporting) - REMOTE

Molina Healthcare

United States

today

JOB DESCRIPTIONJob SummaryThe Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and accurate reports. As the senior level team member, this role leads......

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Intern, LTSS Care Management (Must reside in Wisconsin)

Molina Healthcare

Wisconsin

today

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

today

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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Case Manager LCSW or LCISW REMOTE, must reside in WA state

Molina Healthcare

Seattle, Washington

today

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 (RN)

Molina Healthcare

Mission, Texas

today

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

today

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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Field Case Manager, LTSS - LVN or Social Worker

Molina Healthcare

Brownsville, Texas

today

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

Molina Healthcare

Ohio

today

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

Molina Healthcare

South Milwaukee, Wisconsin

today

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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Intern, Sales and Marketing Analytics - REMOTE

Molina Healthcare

Arizona

today

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

Molina Healthcare

Seattle, Washington

today

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

Molina Healthcare

Milwaukee, Wisconsin

today

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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Program Director Claims - EDI (Remote in the US)

Molina Healthcare

United States

1 day

JOB DESCRIPTIONJob SummaryResponsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process ...

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Field Case Manager, LTSS (RN)

Molina Healthcare

San Antonio, Texas

1 day

JOB DESCRIPTIONOpportunity for TX licensed RN residing in San Antonio to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the responsibilities of the......

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Field Family Nurse Practitioner -WA

Molina Healthcare

Pullman, Washington

today

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 Weekends, No Holidays, No After Hours)

Molina Healthcare

Milwaukee, Wisconsin

today

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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Field Case Manager, LTSS (RN) - IDD Population

Molina Healthcare

Hidalgo, Texas

today

JOB DESCRIPTIONOpportunity for a TX licensed RN to work as a Case Manager with our IDD members. Previous experience with this population is highly preferred. Hours are 8 AM -......

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Case Manager (RN): California, Riverside County, San Bernardino County

Molina Healthcare

San Bernardino, California

today

**The qualified candidate must live in Riverside County or San Bernardino County, CALIFORNIA.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to a...

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

Molina Healthcare

Miami, Florida

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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Field Case Manager, LTSS (RN)

Molina Healthcare

Hidalgo, Texas

today

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

Molina Healthcare

Houston, Texas

today

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

United States

today

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

today

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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Field Family Nurse Practitioner (San Diego, CA)

Molina Healthcare

San Diego, California

today

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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Representative, Customer Experience - Bilingual Spanish Required (In Office Bronx, NY)

Molina Healthcare

New York

today

JOB DESCRIPTIONJob SummaryThis Contact Center Rep role will be primarily working in office in Bronx, NY up to 75% of the time with some opportunity to work from home based......

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Case Manager - (SUD)

Molina Healthcare

Troy, Michigan

today

JOB DESCRIPTIONWe are looking Case Manager who must reside in MI and will work in remotesetting supporting Medicaid Michigan Population. We are looking for candidates that have experience working with......

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AVP, Medicare Call Center Operations (REMOTE)

Molina Healthcare

United States

today

Job DescriptionJob OverviewThe Associate Vice President of Call Center Operations plays a critical role in managing and optimizing call center operations, with a focus on supporting Medicare-related services. As an......

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Dir, Actuarial Svcs - REMOTE

Molina Healthcare

United States

today

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

today

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 on Central Time Zone)

Molina Healthcare

Arizona

today

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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Peer Specialist

Molina Healthcare

United States

today

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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Business Analyst (Claims - Remote FLORIDA)

Molina Healthcare

United States

today

JOB DESCRIPTION*****This position is remote and employee must reside in Florida*****Job SummaryAnalyzes complex business problems and issues using data from internal and external sources to provide insight to decision-mak...

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Director, Provider Contracts HP (California)

Molina Healthcare

Long Beach, California

today

Job DescriptionJob SummaryPosition Location - Associates reside in the state of CaliforniaMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequ...

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Assoc Actuarial Analyst - REMOTE

Molina Healthcare

United States

today

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

today

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

today

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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Pharmacy Technician (10-6:30pm PST hours)

Molina Healthcare

Las Vegas, Nevada

today

JOB DESCRIPTION***This position is remote and work hours are 10-6:30pm PST hours M-F. Will work a Saturday or Sunday approximately every 4-6 weeks after training is completed****Job SummaryMolina Pharmacy Services/Manage...

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Provider Relations Manager

Molina Healthcare

Chicago, Illinois

today

***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

today

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

United States

today

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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Supv, IRIS Cons. Svcs - TMG (Milwaukee, Waukesha, Ozaukee, Washington, WI) (Fieldwork/Hybrid)

Molina Healthcare

Milwaukee, Wisconsin

today

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

Molina Healthcare

United States

today

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. Specialist, Provider Engagement (Remote in New Mexico)

Molina Healthcare

New Mexico

today

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

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Database Engineer, IT Recovery and Resiliency Services - SQL Always On/Azure SQL MI/Postgress/Storage/NetApp/Delphix - Remote

Molina Healthcare

United States

today

Job SummaryThe Cloud Database and Storage Engineer will be responsible for designing, implementing, and maintaining cloud-based database and storage solutions. This role involves ensuring the performance, availability, an...

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Specialist, Quality Interventions/QI Compliance- Remote

Molina Healthcare

Louisville, Kentucky

today

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

today

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 Finance Analyst (NM Health Plan) - REMOTE

Molina Healthcare

United States

today

JOB DESCRIPTIONJob SummaryResponsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and sim...

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

Molina Healthcare

Long Beach, California

today

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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Mgr, Healthcare Services

Molina Healthcare

United States

today

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, Provider Contracts (Remote in MS only)

Molina Healthcare

Jackson, Mississippi

today

***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

today

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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Supervisor, Care Management PEDS 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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Sr Project Manager, PMO - Duals - Remote

Molina Healthcare

United States

today

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...

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

Molina Healthcare

United States

today

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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Case Manager - Behavioral Health - Clark County NEVADA

Molina Healthcare

Las Vegas, Nevada

today

**The qualified candidate must reside in Clark County NEVADA. Travel by car is required in this region.Bilingual Spanish preferred.Job DescriptionJob SummaryMolina Healthcare Services (HCS) works with members, providers a...

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Medical Director, Behavioral Health

Molina Healthcare

Louisville, Kentucky

today

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 Management Processor - Remote

Molina Healthcare

United States

today

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 -Bremerton, WA

Molina Healthcare

Bremerton, Washington

today

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

today

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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Peer Specialist (Hybrid - Jefferson County)

Molina Healthcare

Louisville, Kentucky

today

This is a hybrid role. Candidates must reside in Jefferson County.JOB DESCRIPTIONJob SummaryMolina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for ...

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