Molina Healthcare jobs

Now available 102 results are consistent

Sort by:relevance - date

WAIVER SUPPORT SPECIALIST

Provide non-clinical operational support for Waiver coordination. Facilitate communication between Waiver coordinators and the state Program Support Unit. Responsible for receiving the initial State referrals for waiver services a...

CompanyMolina Healthcare
AddressTexas, United States
CategoryInformation Technology
Salary$13.41 - $29.06 per hour
Job typeFull-time, Part-time
Date Posted 11 hours ago See detail

Waiver Support Specialist New

Molina Healthcare

Texas, United States

$13.41 - $29.06 per hour

Provide non-clinical operational support for Waiver coordination. Facilitate communication between Waiver coordinators and the state Program Support Unit. Responsible for receiving the initial State referrals for waiver services a...

Sr. Specialist, Provider Engagement- Quality / HEDIS (Remote in AZ) - Now Hiring New

Molina Healthcare

Tucson, AZ

$49,929.54 - $97,362.61 per year

Knowledge/Skills/AbilitiesThe Senior Specialist, Provider Engagement contributes to one or more of these quality improvement functions: Will create actionable HEDIS data and analytic insights. Implements key quality strategies,...

Facilitated Enroller (On Site - Queens, NY) New

Molina Healthcare

New York, NY

$15 - $31.97 per hour

Responsible for achieving monthly, quarterly, and annual enrollment goals and growth targets, as established by management. Interview, screen and assist potentially eligible recipients with the enrollment process into Medicaid/Med...

Provider Relations Manager New

Molina Healthcare

Chicago, IL

They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures whil...

Sr Specialist, Quality Management (RN) - (Remote in Arizona) New

Molina Healthcare

Tucson, AZ

3 years experience in healthcare with minimum 1 year experience in Quality Management and clinical quality investigations, or equivalent experience. Critical thinking skills. Strong communication skills, both verbally and writte...

Mgr, Member Engagement-Medicare-NY City-Field New

Molina Healthcare

New York, NY

Under general direction, identifies and initiates continuous quality improvements regarding member engagement and member retention. Manages and develops a team focused on meeting or exceeding established performance targets. Targ...

Provider Contracts Specialist - Now Hiring New

Molina Healthcare

Englewood Cliffs, NJ

$17.85 - $38.69 per hour

Validatedatatobehousedonprovider databasesandensureadherencetobusiness and systemrequirementsof customersasitpertains to contracting, networkmanagementand credentialing. Participates in theevaluationof provid...

Case Management Processor - Now Hiring New

Molina Healthcare

Houston, TX

$13.41 - $29.06 per hour

Provides telephone, clerical, and data entry support for the Case Management team. Responsible for initial review of assigned case levels to assist in Case Management assignment. Reviews data to identify principal member needs and...

Waiver Support Specialist New

Molina Healthcare

Texas, United States

$13.41 - $29.06 per hour

Provide non-clinical operational support for Waiver coordination. Facilitate communication between Waiver coordinators and the state Program Support Unit. Responsible for receiving the initial State referrals for waiver services a...

Remote Family Nurse Practitioner (Field visits required) New

Molina Healthcare

West Sacramento, CA

Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric. Perform comprehensive evaluations including history and physical exams for gaps in ca...

Waiver Support Specialist - Now Hiring New

Molina Healthcare

Houston, TX

$13.41 - $29.06 per hour

Provide non-clinical operational support for Waiver coordination. Facilitate communication between Waiver coordinators and the state Program Support Unit. Responsible for receiving the initial State referrals for waiver services a...

Sr Medical Records Collector - Remote (Troy, MI) New

Molina Healthcare

Long Beach, CA

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level....

Compliance Analyst - REMOTE

Molina Healthcare

Long Beach, CA

$40,851.44 - $88,511.46 a year

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level....

Salesforce Systems Administrator, Provider Network - Remote

Molina Healthcare

Long Beach, CA

$59,810.60 - $129,589.63 a year

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level....

Sr Analyst, Finance (Remote)

Molina Healthcare

New Mexico, United States

Forecasts and monitors economic benefits of Molina investments in infrastructure and operations (enhancements in operating efficiency and effectiveness). Allocates limited resources among different investments in infrastructure an...

Sr Specialist, Provider Engagement (Remote in New Mexico) - Now Hiring

Molina Healthcare

Albuquerque, NM

$49,929.54 - $97,362.61 per year

Knowledge/Skills/AbilitiesThe Senior Specialist, Provider Engagement contributes to one or more of these quality improvement functions: Acts as a lead specialist to provide project-, program-, and / or initiative-related directio...

Mgr, Healthcare Services

Molina Healthcare

Lubbock, TX

Responsible for clinical teams (including operational teams, where integrated) performing one or more of the following activities: care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, e...

Sr Case Management Processor

Molina Healthcare

Texas, United States

$14.76 - $31.97 per hour

Oversees the development and implementation of new programs, processes, and practices in response to medical, operational, service, and regulatory initiatives. Knowledge/Skills/Abilities Provides support to the department staff b...

Remote Family Nurse Practitioner FNP (field visits required)

Molina Healthcare

Sacramento, CA

Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric.. Perform comprehensive evaluations including history and physical exams for gaps in c...

Provider Contracts Specialist

Molina Healthcare

Astoria, NY

$17.85 - $38.69 per hour

Validatedatatobehousedonprovider databasesandensureadherencetobusiness and systemrequirementsof customersasitpertains to contracting, networkmanagementand credentialing. Clearly andprofessionallycommunicates...

Provider Relations Manager - Chicago, United States - Molina Healthcare

Molina Healthcare

United States

Under general supervision, works directly with the Plan's external complex providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance with Molina policies and procedures while achieving th...

Mgr, Healthcare Services

Molina Healthcare

El Paso, TX

Responsible for clinical teams (including operational teams, where integrated) performing one or more of the following activities: care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, e...

Community Connector

Molina Healthcare

Fort Worth, TX

$14.76 - $31.97 per hour

Serves as a community based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs. Collaborates with and supports the Heal...

Investigator, SIU-Nebraska or remote - Now Hiring

Molina Healthcare

New York, NY

$19.64 - $42.55 per hour

Responsible for developing leads presented to the SIU to assess and determine whether potential fraud, waste, or abuse is corroborated by evidence. Conducts both preliminary assessments of FWA allegations, and end to end full inve...

Social & Health Equity Navigator

Molina Healthcare

San Antonio, TX

$21.6 - $46.81 per hour

Work directly with members to reduce barriers and social determinants of health (SDOH) issues to improve health care access and member quality of life. Educate member on social determinants of health and assist with navigating var...

Remote Family Nurse Practitioner (Field visits required)

Molina Healthcare

San Diego, CA

Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric.. Perform comprehensive evaluations including history and physical exams for gaps in c...

Waiver Support Specialist

Molina Healthcare

El Paso, TX

$13.41 - $29.06 per hour

Provide non-clinical operational support for Waiver coordination. Facilitate communication between Waiver coordinators and the state Program Support Unit. Responsible for receiving the initial State referrals for waiver services a...

Waiver Support Specialist - Now Hiring

Molina Healthcare

Texas, United States

$13.41 - $29.06 per hour

Provide non-clinical operational support for Waiver coordination. Facilitate communication between Waiver coordinators and the state Program Support Unit. Responsible for receiving the initial State referrals for waiver services a...

Provider Contracts Manager

Molina Healthcare

New York, NY

***Remote and must live in New York***Job SummaryMolina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational perform...

Advisor, Essential Plan - B2B (In Field Position - NYC)

Molina Healthcare

Bronx, NY

$16.23 - $35.17 per hour

Enroll eligible members in the designated Essential plan. Build and foster relationships with key accounts such as provider offices, CBOs, FBOs, etc. Work with providers to help close gaps in care for members. Serve as a point of...