Molina Healthcare Jobs - Page 7 | CareerArc

Jobs at Molina Healthcare - Page 7

100 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 91 - 100 of 100

Provider Services Rep

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Service...

Assoc Specialist, Provider Network Admin

Molina Healthcare - Louisville, KY

Job Description Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts...

Mgr, Provider Contracting & Sr

Molina Healthcare - Louisville, KY

Job Description Job Summary Provides contracting expertise in the realm of providers. Knowledge/Skills/Abilities • Plans, organizes, and assists in the supervision of the activities of the Provider Contracts for the business. • Manages provider networks to ensure adequacy, quality, and access. • Prepares provider contracts in concert with est...

Delegation Oversight Specialist

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program. Knowledge/Skills/...

Mgr, Delegation Oversight

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program. Knowledge/Skills/...

Mgr, Provider Services

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Service...

Dir, Provider Network Admin

Molina Healthcare - Louisville, KY

Job Description Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts...

Transition of Care Coach

Molina Healthcare - Louisville, KY

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...

Peer Specialist

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. Knowledge/Skills/Abilities • Provides peer support services f...

Project Manager

Molina Healthcare - Louisville, KY

Job Description Job Summary Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management, rather than the application of expertise in a spe...