Job Description Job Summary Secures enterprise information by determining security requirements; planning, implementing, and testing security systems; preparing security standards, policies, and procedures; mentoring tea...
JOB DESCRIPTIONJob SummaryMolina Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall...
JOB DESCRIPTIONJob SummaryThis position is responsible for supporting development and pricing of Medicare products, which include MA-PD, D-SNP and MMP.KNOWLEDGE/SKILLS/ABILITIESThe Director Medicare Product Development is...
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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Molina 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, including behavioral health...
Job DescriptionJob SummaryMolinas Medicare Stars function oversees, plans, and implements new and existing healthcarequality improvement initiatives and education programs; supporting Medicare Star Ratings improvement. Re...
Job Description Job SummaryMolina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. Th...
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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 leading strategic government affairs growth initiatives in states including positioning Molina Healthcare Inc. (MHI) with state officials. Identify and impact key public policy is...
JOB DESCRIPTIONJob SummaryAnalyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people...
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 SummaryIdeal candidates would have large scale Medicaid and/or Medicare implementation experience.The Vice President, Enterprise Integration, will provide critical operational analysis, analytics and ac...
Job DescriptionJob SummaryTelesales role. Responsible for taking and making telephone calls with prospective members with the intent to educate them on benefits of Molina products and then conducts enrollment into......
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 DESCRIPTIONCare Review Clinician, Inpatient Review- Behavioral HealthFor this position we are seeking a LPC or LCSW who lives in and must be licensed for the state they reside. Strong......
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...
Job DescriptionJob SummaryManages the activities of the Data Analytics and Operations team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and.....
JOB DESCRIPTIONWill be supporting enrollment data (and 834 EDI transactions). Ideal candidate will have experience working at an MCO supporting staff on enrollment issues, working with Finance to identifying enrollment......
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...
JOB DESCRIPTIONJob SummaryThe Sr. HIPAA Program Manager position is primarily responsible for investigation known or suspected privacy incidents. KNOWLEDGE/SKILLS/ABILITIES Respond to allegations of privacy and/or securit...
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