Molina Healthcare

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178 jobs
Molina Healthcare
last week

Supervisor, Healthcare Services Operations Support

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Leads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term…
Molina Healthcare
2 weeks ago

Manager, Configuration (Production Support Team)

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Leads a team of Custom Solution Production Support Analysts responsible for ensuring the stability, accuracy, and business performance of custom claims processing solutions. Oversees the…

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Molina Healthcare
2 weeks ago

Care Manager (Remote) Albuquerque, NM

North AmericaFull-time
United States

JOB DESCRIPTION Acting as a Care Manager supporting our NM Medicaid members. The Medicaid Care Manager will support them to ensure management of health conditions. The position is a combination of phone call outreach…
Molina Healthcare
2 weeks ago

Principal Architect, Enterprise - AI Transformation/SaaS/PaaS - Remote

North AmericaFull-timePrincipal
United States

Job Description Job Summary Leads the creation of a long-term strategic roadmap for the architecture of all IT systems. Knowledge/Skills/Abilities • Participates as a top level technical expert in leading multiple…
Molina Healthcare
2 weeks ago

Program Manager (Quality Strategy & Performance) - Remote

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets,…

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Molina Healthcare
2 weeks ago

Lead Analyst, Configuration Oversight (Claims Audit)

North AmericaFull-timeLead
United States

JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration oversight activities. Responsible for accurate and timely implementation and maintenance of critical information on claims/provider…

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Molina Healthcare
2 weeks ago

Product Owner

North AmericaFull-time
United States

Job Description Job Summary Provides subject matter expertise in the delivery, execution and maintenance of products. Accountable for maximizing the value of assigned technical products that support enterprise…

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Molina Healthcare
2 weeks ago

Program Manager, Healthcare Services (Clinical Policy and Medicare Compliance)

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring…

process-improvement program-management
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Molina Healthcare
2 weeks ago

Care Manager (RN) Remote (Detroit, MI)

North AmericaFull-time
United States

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes.…
Molina Healthcare
2 weeks ago

Representative, Support Center

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating…

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Molina Healthcare
2 weeks ago

Care Manager (BH Licensed)

MENA, North AmericaFull-time

JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives…
Molina Healthcare
2 weeks ago

Senior Big Data Engineer, Claims Reporting Analytics (Remote)

RemoteNorth AmericaFull-timeSenior
United States

Senior Engineer, Big Data - Claims Reporting Analytics - Remote Employment Type: Full Time Job Summary Responsible for all the aspects of architecture, design and implementation of Data Management solution using Big…

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Molina Healthcare
2 weeks ago

Lead Data Analyst, Medicare Stars & Quality Analytics

North AmericaFull-timeLead
United States

Lead Data Analyst, Medicare Stars & Quality Analytics Employment Type: Full Time Job Description Job Summary The Lead Data Analyst serves as a senior individual contributor responsible for complex healthcare…

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Molina Healthcare
2 weeks ago

Program Manager, Medicare Stars & Quality Improvement

North AmericaFull-time
United States

Program Manager, Medicare Stars & Quality Improvement Employment Type: Full Time JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and…

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Molina Healthcare
2 weeks ago

Care Manager (RN) - King County, WA/Peds

HybridNorth AmericaFull-time
United States

JOB DESCRIPTION Hybrid role with approximately 10% local travel within King County . Candidates should have care management experience in Pediatrics, NICU, or Private Duty Nursing , with responsibility for managing a…
Molina Healthcare
2 weeks ago

Analyst, Business

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to…
Molina Healthcare
2 weeks ago

Program Manager, Medicare Stars & Quality Improvement

MENA, North AmericaFull-time

JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI…

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Molina Healthcare
2 weeks ago

Analyst, Pre-Pay Dispute Coding (Remote)

North AmericaFull-time
United States

Job Description Job Summary Provides support through the investigation and resolution of disputes related to provider appeals, ensuring that claims adhere to correct billing standards and regulations. Job Duties…
Molina Healthcare
2 weeks ago

Executive Assistant - Remote in Salt Lake City, UT Area - Required

North AmericaFull-time
United States

JOB DESCRIPTION Job Summary Provides administrative level support to an Executive and division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day…
Molina Healthcare
2 weeks ago

Care Manager (Remote) Roswell, NM

North AmericaFull-time
United States

JOB DESCRIPTION Acting as a Care Manager supporting our NM Medicaid members. The Medicaid Care Manager will support them to ensure management of health conditions. The position is a combination of phone call outreach…

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