JOB DESCRIPTIONJob SummaryResponsible for the preparation and distribution of financial reports on a timely and accurate basis for both internal and external use. Duties include preparation and distribution of periodic......
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...
JOB DESCRIPTIONSocial Worker Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South Carolina. Case Manager will be......
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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JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
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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...
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, i...
JOB 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......
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...
Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mis...
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicare members in the San Antonio service delivery area; candidates should reside in Bexar County. Part of......
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...
Washington, District of Columbia
21 days
***Remote and must live in Washington***JOB DESCRIPTIONJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs sp...
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, i...
JOB DESCRIPTION*Must be able to work 8am-8:15pm PST time.Job SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs......
JOB DESCRIPTIONJob SummaryResponsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated ...
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, i...
Job DescriptionJob SummaryThe Sr Proposal Writer is responsible for creating, revising, and editing proposal content that supports Molinas response to Requests for Proposal (RFP). Will continuously strive to increase know...
***Remote and must live in Mississippi***Job DescriptionJob SummaryThe Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes t...
San Bernardino, California
16 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...
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......
Job DescriptionJob Summary Responsible for planning, developing and directing the implementation of techniques to ensure the maintenance of performance and quality levels in the Business' products and processes. Reviews ...
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
JOB 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 MI.This position will support......
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
Job DescriptionJob SummaryThe Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care experience to clinically evaluate the member based on formal assessment and...
Mississippi City, Mississippi
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...
Must be able to work Hybrid at below locationHours: 8:30am - 5pm ESTAddress: 348 Grant Blvd. Syracuse, NY 13206Job SummaryProvides customer support and stellar service to meet the needs of......
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, i...
JOB DESCRIPTIONMust be able to work at the below location in Suffolk, Brentwood and hours.Hours: 8:30am - 5pmESTAddress: 757B Suffolk Avenue Brentwood, NY 11717Job SummaryProvides customer support and stellar service......
*** RN licensure must be valid for California. California is not a compact state.Candidates who do not live in California must have CA licensure and must be willing to work......
JOB DESCRIPTIONJob SummaryThis role is on the Corporate Financial Planning and Analysis team primarily supporting G&A submissions. The successful candidate in this position will assist in the management of G&A......
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...
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...
Job DescriptionJob SummaryFocuses on the alignment of strategic goals and organization objectives to the business project portfolio. Provides direct input into the governance cycle that supports the achievement of key......
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Fort Worth service delivery area. Part of the responsibilities of the role is......
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...
***Remote but must live in Utah***JOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in......
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 ...
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the San Antonio service delivery area. Part of the responsibilities of the role is......
***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...
JOB DESCRIPTIONJob SummaryResponsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases...
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Brownsville/Harlingen service delivery area. Part of the responsibilities of the role is to......
JOB DESCRIPTIONJob 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...
Job DescriptionJob SummaryMolina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the compan...
Wisconsin Dells, Wisconsin
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...
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
JOB DESCRIPTIONJob SummaryProvider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence...
Job DescriptionJob SummaryThe Mgr, SDPC Oversight Agency is responsible for providing professional and quality-focused management and leadership to the SDPC Field Team and managing day-to-day activities and initiatives in...
JOB DESCRIPTIONMust be able to work at below location Mon - FriHours: 8:30am - 5pm ESTLocation: 41-46 Main Street Flushing, NY 11355Job SummaryProvides customer support and stellar service to meet......
Job DescriptionJob SummaryThe Sr. Clinical Performance Consultant is responsible for the successful execution of clinical transformation, performance & process improvement initiatives that result in operational effici...
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...
***Remote and must live in the United States***JOB DESCRIPTIONJob SummaryMolina National Level Contracting jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provid...
Job DescriptionJob SummaryResponsible for supporting the Market Growth & Retention team staff, in driving exceptional member experience, leading to member retention and quality improvements. Support the team in addre...
***Remote and must live in the United States***Job DescriptionJob SummaryMolina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina Healthcare successfully...
JOB DESCRIPTIONJob SummaryThe Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business......
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, i...
***Remote and must live in the United States***Job DescriptionJob SummaryMolina National Level Contracting jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provid...
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, i...
Job DescriptionJob SummaryThe Principal Proposal Writer is responsible for directly supporting the development of compelling content and sections of proposals for government sponsored managed care programs or health care ...
JOB DESCRIPTIONProgram Manager for Healthcare Services available for either RN or a Behavioral Health Specialist who has a license in good standing in their state of residence. The person hired......
Molina Healthcare of Iowa is hiring for a Program Manager of Rural Health. This position will be be remote, but candidates must reside in Iowa.This role will be responsible for......
JOB DESCRIPTIONJob SummaryResponsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated ...
JOB DESCRIPTIONJob 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...
**New Mexico residents preferred. Qualified candidate must reside and must be willing to travel in McKinley County and San Juan County NEW MEXICO.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with......
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, i...
Job DescriptionJob 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...
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, i...
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
JOB DESCRIPTIONJob SummaryDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people......
JOB DESCRIPTIONJob SummaryMolina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthca...
JOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Frisco, TX service delivery area. Part of the responsibilities of the role is......
JOB DESCRIPTIONJob SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values....
JOB DESCRIPTIONJob SummaryResponsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Pla...
Job DescriptionJob SummaryProvides new and existing members as well as providers with the best possible service in relation to general service needs including questions about benefits, billing inquiries, service requests,...
Molina Healthcare is hiring for a Sr. Corporate Paralegal. This position is remote and can be worked from a variety of locations within the US. This role will be working......
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...
JOB DESCRIPTIONCase Manager will work in remote and field setting supporting our Medicaid Population. Case Manager will be required to physically go to members homes to complete Face to Face......
***Remote and must live in Nevada***Job DescriptionJob SummaryMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance a...
Job Description Job SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog a...
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...
Washington, District of Columbia
1 month
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...
Job DescriptionJob SummaryThe AVP Proposal Strategy is dedicated to maximizing Molinas likelihood of winning Medicaid RFPs. The AVP must have the executive presence and communication skills required to build trust......
JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the envir...
JOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated deli...
JOB 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......
Job DescriptionJob SummaryThe Sr. Consultant, Leaves and Accommodations is responsible for providing direct support to employees and leaders related to requests for leaves of absence and for the timely and......
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...
*REGISTERED NURSE, qualified candidate must live and be willing to travel in California.JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess...
JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse or LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Manager will support a team......
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...
Washington, District of Columbia
1 month
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...
JOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated deli...
JOB DESCRIPTION*Must be able to work 8am-8:15pm PST time.Job SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs......
JOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated deli...
JOB DESCRIPTION*Must be able to work 8am-8:15pm PST time.Job SummaryProvides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs......
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