Molina Healthcare Jobs - Page 5 | CareerArc

Jobs at Molina Healthcare - Page 5

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Sr Analyst, Business Systems

Molina Healthcare - Long Beach, CA

Job Description Job Summary Interfaces with the customer in developing requirements for major projects of considerable complexity; prepares system design specifications; conducts research to resolve customer initiated issues related to Medicaid claims processing; and coordinates and manages project teams in the development of large multi-system, multi-platform proj...

Project Manager (Scrum)

Molina Healthcare - Long Beach, CA

J OB SUMMARY: The Scrum Project Manager will work directly with our corporate reporting team focused on claims and payment integrity projects. This includes managing and overseeing the migration of our reporting from excel into a more modern dashboard using PowerBI into our data lake. Our ideal candidate will have strong organizational skills with Scrum experience. P...

Mgr, Healthcare Services

Molina Healthcare - San Bernardino, 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 desi...

Clinical Services Trainer (RN)

Molina Healthcare - Irving, TX

Knowledge/Skills/Abilities Provides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff. • Responsible for evaluation of...

Sr. Financial Reporting Analyst

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible 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 financial statements for users other than those directly employed by the organization, and ensuring that all reports and disclosures comply with a...

Sr. Business Analyst (Healthcare Services)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Analyzes 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 locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specificatio...

Nurse Practitioner, Field (San Bernardino, CA)

Molina Healthcare - San Bernardino, CA

Job Description Job Summary Care Connections, a division of Molina Healthcare, seeks Nurse Practitioners to join its growing team which will contribute to the company mission to bring quality health care to the underserved. The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings...

Nurse Practitioner, Field (Victorville, CA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Care Connections, a division of Molina Healthcare, seeks Nurse Practitioners to join its growing team which will contribute to the company mission to bring quality health care to the underserved. The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings...

Case Manager (RN)

Molina Healthcare - Midvale, UT

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 desi...

Delegation Oversight Nurse

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement. Knowledge/Skills/Abilities The Dele...

Analyst, HEDIS/ Quality Reporting

Molina Healthcare - Columbus, OH

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 activitie...

Administrative Assistant

Molina Healthcare - Syracuse, NY

Job Description Job Summary The Receptionist/Administrative Assistant/Facilities Coordinator is responsible for all front office activities, including the reception area, mail, purchasing requests and facilities. The Receptionist/Administrative Assistant/Facilities Coordinator will manage and coordinate the building facility maintenance and daily building operat...

HR Program Administrator

Molina Healthcare - Long Beach, CA

Job Description Job Summary Collaborates with and supports Employee Programs and Corporate Policies. Provides support to internal customers and builds positive working relationships with business partners. Pays excellent attention to details, can be trusted to maintain a high degree of confidentiality, has superior organizational and time management skills and is a...

Care Review Clinician, Inpatient Review (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 desi...

AVP, Healthcare Services

Molina Healthcare - Irving, 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 desi...