Molina Healthcare Jobs - Page 8 | CareerArc

Jobs at Molina Healthcare - Page 8

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Director, Request for Proposal (Medicaid) - REMOTE

Molina Healthcare - Long Beach, CA

Job Description Job Summary Manages entire process of the development and submission of complex, large-scale Medicaid proposals from RFP release to proposal delivery and through any additional protest periods, delegating to and coordinating with Proposal Deputy, as applicable. Responsible for ensuring Molina capabilities and strategic, forward-thinking vision is cap...

Sr Specialist, Government Contracts (REMOTE)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations. Knowledge/Skills/Abilities • Responsible for coordina...

Care Review Clinician, Inpatient Review (RN) NIGHT SHIFT REMOTE

Molina Healthcare - Long Beach, 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 desir...

Case Management Processor

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 desir...

Transition of Care Coach (RN)

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 desir...

Sr. Analyst, Healthcare Analytics

Molina Healthcare - Louisville, KY

Job Description Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities ...

Case Manager (RN)

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 desir...

Sr Account Rep, Medicare

Molina Healthcare - Albuquerque, NM

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.

Mgr, Provider Inquiry R&R

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provide...

Provider Network Manager

Molina Healthcare - Albuquerque, NM

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 Network ...

Care Review Clinician, Inpatient Review ( Remote - BH/RN)

Molina Healthcare - Long Beach, 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 desir...

Care Review Clinician, Inpatient Review (Remote - LCSW)

Molina Healthcare - Long Beach, 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 desir...

Provider Network Manager

Molina Healthcare - Albuquerque, NM

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 Network ...

Care Connections Rep

Molina Healthcare - Long Beach, CA

Job Description Job Summary Care Connections, a division of Molina Healthcare, seeks Outreach Agents to join its growing team which will contribute to the company mission to bring quality health care to the underserved. The Care Connections Representative primary focus is to conduct outbound calls to Molina members and schedule appointments with our Nurse Practition...

AVP, Business Development - Medicaid (Remote)

Molina Healthcare - Long Beach, CA

JobDescription JobSummary TheAVP Business Development for Molina Healthcare will lead the market developmentefforts for states in an assigned geographical region. This individual willhave accountability for creating relationships within assigned marketsincluding state Medicaid officials, provider organizations, communityorganizations and other key stakeholders...