Molina Healthcare Jobs - Page 20 | CareerArc

Jobs at Molina Healthcare - Page 20

297 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 286 - 297 of 297

Lead Analyst, Healthcare Analytics - PowerBI

Molina Healthcare - Albuquerque, NM

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 • Develo...

Lead Analyst, Configuration Information Management (REMOTE)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to ...

Pharmacy Technician - Prior Authorizations

Molina Healthcare - Midvale, UT

Job Description Job Summary Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state ...

Lead Analyst, Provider Data Managment

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to ...

Regional Director of State Affairs (Location: MA or NY)

Molina Healthcare - North Syracuse, NY

Job Description Job Summary Identify key issues in current Molina Healthcare markets and draft MHI federal policy initiatives aimed at passing healthcare reforms that would ensure sustainable funding for government-sponsored programs, expansion of those programs, and private-sector participation in the programs. Knowledge/Skills/Abilities • Provide governme...

Case Manager (RN)

Molina Healthcare - San Antonio, 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...

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 • Develo...

Specialist, Community Engagement - Remote/Field in Irving, TX

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Knowledge/Skills/Abilities • Under limited supervision, responsible for carryi...

LVN Case Manager (Brownsville)

Molina Healthcare - Edinburg, 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...

Supervisor, Care Management

Molina Healthcare - Bothell, WA

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...

Lead Analyst, Healthcare Analytics (Power BI & HEDIS Quality)

Molina Healthcare - Long Beach, CA

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 • Develo...

Actuarial, Analyst

Molina Healthcare - Fairfax, VA

Job Description Job Summary Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Knowledge/Skills/Abilities • Collaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions. • Analy...