Molina Healthcare Jobs - Page 10 | CareerArc

Jobs at Molina Healthcare - Page 10

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Displaying results 136 - 150 of 297

Sr Program Manager (Medicare Ops/Admin)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee ...

Sr Program Manager - HEDIS - Regional OH-KY

Molina Healthcare - Columbus, OH

Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external ven...

Sr Analyst, Healthcare Analytics

Molina Healthcare - Columbus, OH

Job Description Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities • De...

Manager, HEDIS Performance Measurement

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and pro...

Case Manager (RN)

Molina Healthcare - Houston, TX

Job Description Job Summary 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 and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcom...

Provider Contracts Manager

Molina Healthcare - Irving, TX

Job Description Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. Knowledge/Skills/Abilities • In conjunction with Director/Manager Provider Contracts, negotia...

Account Rep, Medicare-Remote-Washington State

Molina Healthcare - Bothell, WA

Job Description Job Summary Responsible 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 revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and proce...

Medical Director (Medicare- WA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible 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 provision of medical staff services. Maintains a working knowledge of applicable national, state and local laws and regulatory requirements affecting the m...

Analyst, A&G Reporting & Analytics

Molina Healthcare - Columbus, OH

Job Description Job Summary Collects, 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 other end users for operational and strategic analysis. Knowledge/Skills/Abilities • Performs research and analyses on a variety of topic...

Medical Director, Behavioral Health/Child & Adolescent Psychiatry

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina'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 implementing integrated Behavioral Health care management programs. Knowledge/Skills/Abilities Provides Psychiatric leadership for utiliza...

Case Manager (RN)

Molina Healthcare - El Paso, TX

Job Description Job Summary 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 and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcom...

Provider Services Rep

Molina Healthcare - Laredo, TX

Job Description Job Summary Molina Health Plan 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 mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Services staff ar...

Sr Specialist, HEDIS Quality Interventions - East Kentucky Area

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and pro...

Care Review Clinician, Inpatient Review

Molina Healthcare - Long Beach, CA

Job Description Job Summary 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 and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcom...

Sr Examiner, Claims

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards. Knowledge/Skills/Abilities • Meets and consistently maintains production standards for Claims...