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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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Family Nurse Practitioner (Field Visits Required)

Molina Healthcare

Orlando, Florida

2 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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Sr Analyst, Finance (Remote)

Molina Healthcare

2 days

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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Sr Growth & Comm Engagement (Flint, MI Area Only)

Molina Healthcare

Flint, Michigan

2 days

***Candidates For This Position Must Reside In/Near The Flint, MI area******Must have familiarity with Medicaid/Managed Care**Are you passionate about serving and helping your community? Do you enjoy building relationship...

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Sr. Specialist, Provider Engagement (Remote in AZ)

Molina Healthcare

Phoenix, Arizona

today

Job 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 maintenance of...

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Sr Program Manager - HIPAA Privacy

Molina Healthcare

Albuquerque, New Mexico

today

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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IRIS Consultant - TMG (Milwaukee, 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 Manager, Health Plan Operations (Remote in Nebraska)

Molina Healthcare

Omaha, Nebraska

today

JOB DESCRIPTIONThis position will offer remote work flexibility but the selected candidate must reside in Nebraska.Job SummaryThis position will own the MLTC Operational Experience. This individual will be the MLTC......

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Sr Business Analyst - Healthplan Enrollment Operations (834 EDI file experience)

Molina Healthcare

today

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......

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Claims Research Analyst (Remote)

Molina Healthcare

today

Job DescriptionJob SummaryServes as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages and leads major claims projects of con...

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Provider Contracts Specialist

Molina Healthcare

today

***Remote and must live in New York*** JOB SUMMARY: Responsibleforaccurateandtimelymaintenanceof critical providerinformationonallclaimsand providerdatabases. Maintains critical providerinformationonall claimsandproviderd...

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Care Connections Rep (Remote) Bilingual English/ Spanish

Molina Healthcare

today

JOB DESCRIPTIONJob SummaryThe Care Connections Representative primary focus is to conduct outbound calls to Molina members and schedule appointments with our Nurse Practitioners. As part of Molina's benefit package, the.....

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Remote Family Nurse Practitioner (field visits required)

Molina Healthcare

San Diego, California

today

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Case Manager, LTSS - Field Travel in La Crosse & Monroe Counties, WI

Molina Healthcare

La Crosse, Wisconsin

2 days

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Facilitated Enroller (In Field - Bronx, NY)

Molina Healthcare

, New York

2 days

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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Lead Analyst, Tech Config Info Mgmt - SQL/QNXT - Remote

Molina Healthcare

2 days

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 Appeals

Molina Healthcare

2 days

***Remote and must live in the United States***JOB DESCRIPTIONJob SummaryResponsible for leading, organizing and directing the activities of the Provider Appeals Unit that is responsible for reviewing and resolving provid...

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Lead Analyst, Config Info Mgmt - Medicare/QNXT/NetworX Pricer - Remote

Molina Healthcare

2 days

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Community Connector - Onsite - (Franklin County, Ohio)

Molina Healthcare

Columbus, Ohio

today

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Program Manager, Medicaid Quality Improvement (Remote in Michigan)

Molina Healthcare

Troy, Michigan

today

JOB DESCRIPTIONThis position will offer remote work flexibility, but the selected candidate must reside in the state of Michigan.Job SummaryResponsible for internal Quality Improvement deliverables, projects and programs ...

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