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Jobs at Molina Healthcare

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Case Manager (RN) FIELD REMOTE

Molina Healthcare - United States of America

Job Description The State of New York Contract requires that this role be filled with a Registered Nurse with an unrestricted license in the state of New York. Remote for this role means field based or community based. Once a month meeting in office minimum. Rest of time is member visits at provider offices and/or home and documentation at...

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...

AVP, Compliance

Molina Healthcare - Milwaukee, WI

Job Description Job Summary The Compliance Officer is a fulltime position reporting directly to the Board of Directors and a dotted line to the Plan President. The Compliance Officer is responsible for oversight and management of all compliance activities and serves as a resource on compliance issues. Provides leadership and expertise to help facilitate compliance ...

Mediation/Arbitration Specialist

Molina Healthcare - Irving, TX

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid

Dir, Compliance

Molina Healthcare - Troy, MI

Job Description Job Summary Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Car...

Pharmacy Technician OHIO

Molina Healthcare - Columbus, OH

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 ...

Case Manager - King County

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 desi...

Case Manager

Molina Healthcare - Milwaukee, WI

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...

Pharmacy Technician REMOTE

Molina Healthcare - United States of America

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 ...

Manager, Sales - Healthcare Medicare - Remote/Field South Florida

Molina Healthcare - United States of America

Job Description Job Summary Provides leadership and direction to their Sales channels in all approved Molina markets. Serve as the primary contact for their channel's distribution of assigned Molina products, and resolution of operational issues, by either directly handling or escalating to the attention of the AVP so appropriate action can be taken. Works directly...

Specialist, Community Engagement

Molina Healthcare - Jackson, MS

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 f...

Director, Provider Configuration

Molina Healthcare - Long Beach, CA

Job Description Job Summary: Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on pro...

Sr. IT Systems Analyst (Oracle HCM)

Molina Healthcare - Long Beach, CA

Job Summary The Senior Analyst (Sr. Analyst) is an IT professional whose skills, experience and in-depth understanding of the ERP and other business application's functionality, capabilities, tables and development tools allow this role to provide the project team with detailed functional and technical design recommendations for configurations and customizations of the ERP ...

Sr. Android Software Engineer

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...

Sr Account Rep, Medicare-East Idaho Region

Molina Healthcare - Boise, ID

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 procedures. ...