Molina Healthcare Jobs - Page 6 | CareerArc

Jobs at Molina Healthcare - Page 6

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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...

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 - Victorville, 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 - Victorville, 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...

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 - 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...

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...

Transition of Care Coach (RN) Rock Hill/Spartanburg

Molina Healthcare - North Charleston, SC

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...

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 f...

Case Manager (RN)

Molina Healthcare - Oak Brook, IL

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...

Engineer, Applications

Molina Healthcare - Long Beach, CA

Job Description Job Summary Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic tec...

Clinical Appeals Nurse (RN)

Molina Healthcare - Syracuse, NY

Job Description Job Summary Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance standards. Knowledge/Skills/Abilities • The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or upon request ...