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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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Account Rep, Medicare-Sacramento, Bilingual (Spanish)

Molina Healthcare

Sacramento, California

11 days

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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Care Review Processor-Utilization Management-PST times (Remote)

Molina Healthcare

California

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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Medicare Member Engagement Spc, Remote PST Hours

Molina Healthcare

Long Beach, California

1 day

Job DescriptionJob SummaryResponsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving member impact and engagement including: New Member ...

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Upcoming Career Fairs for Veterans

Tampa Veterans Job Fair

Thursday, January 16, 2025

Joint Base Langley-Eustis Area Veterans Job Fair

Thursday, January 16, 2025

Western Region Virtual Career Fair for Veterans

Tuesday, January 28, 2025

See all career fairs for veterans

Supv, Care Management : California

Molina Healthcare

Long Beach, California

18 days

**California residents preferred. In office requirement Long Beach, CA / HYBRID.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facili...

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Delegation Oversight Nurse (CA LVN License)

Molina Healthcare

Los Angeles, California

7 days

JOB DESCRIPTIONJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirem...

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Care Transition Case Manager (RN) California

Molina Healthcare

Los Angeles, California

6 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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Field Family Nurse Practitioner (Bakersfield, CA)

Molina Healthcare

Bakersfield, California

26 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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Manager, Provider Relations

Molina Healthcare

Long Beach, California

11 days

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

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Dir, Healthcare Services (CA)

Molina Healthcare

California

9 days

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Medical Director- Medicare (Licensed in CA)

Molina Healthcare

Long Beach, California

9 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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Program Manager, HCS California

Molina Healthcare

California

13 days

**California residents preferred; Pacific Time Zone hours.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordin...

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Sr Community Engagement Specialist (Cantonese / Mandarin) LA County

Molina Healthcare

San Gabriel, California

21 days

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

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Clinical Services Auditor (LVN/ LPN) California

Molina Healthcare

California

1 day

***California residents preferred.**Out of state candidates must be licensed for CA and must be willing to support PACIFIC TIME ZONE business hours.KNOWLEDGE/SKILLS/ABILITIES Performs monthly auditing of registered nurse ...

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Care Review Processor-UM experience-PST

Molina Healthcare

California

4 days

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Care Review Processor

Molina Healthcare

California

1 month

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Field Family Nurse Practitioner (Fresno, CA)

Molina Healthcare

Fresno, California

23 days

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Inpatient Review Case Manager (RN); California 10AM to 7PM

Molina Healthcare

California

4 days

**California residents preferred. California RN licensure required. Work Schedule: Monday thru Friday, 10:00AM to 7:00PM with some weekends and holidays. Pacific Time Zone business hours required.JOB DESCRIPTIONJob Summar...

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Specialist, Provider Quality & Practice Transformation (Remote in CA)

Molina Healthcare

Los Angeles, California

29 days

JOB DESCRIPTIONJob SummaryMolinas Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures m...

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Bilingual Community Outreach & Engagement Specialist (LA County)

Molina Healthcare

Los Angeles, California

26 days

**Candidates for this position must live in or near the LA County** Bilingual (Any Language) Highly DesiredAre you passionate about serving your community? Do you have established relationships within the......

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RN CASE MANAGER: Care Transition CALIFORNIA

Molina Healthcare

Riverside, California

1 month

Qualified candidate must live in Southern CALIFORNIAJOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an...

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Transition Care Case Manager (RN): Southern California

Molina Healthcare

San Diego, California

6 days

Candidates must reside and willing to travel in SAN DIEGO COUNTY, RIVERSIDE COUNTY, OR SAN BERNARDINO COUNTY, in the state of California.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members,......

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Manager, Provider Contracts

Molina Healthcare

California

16 days

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