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Jobs at Molina Healthcare

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Field Nurse Practitioner - McAllen/Hidalgo County, TX

Molina Healthcare - Edinburg, TX

Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop up” clinic. The Nurse Pra...

Field Nurse Practitioner - Houston/Harris County, TX

Molina Healthcare - Houston, TX

Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop up” clinic. The Nurse Pra...

Assoc Analyst, Provider Config

Molina Healthcare - Louisville, KY

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 provider...

Field Nurse Practitioner - Dallas Metroplex

Molina Healthcare - Irving, TX

Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop up” clinic. The Nurse Pra...

Field Nurse Practitioner - San Antonio/Bexar County, TX

Molina Healthcare - San Antonio, TX

Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop up” clinic. The Nurse Pra...

Receptionist_Member & Community Eng_KYCOV-5 open locations: Covington, Lexington, Bowling Green, Hazard and Owensboro

Molina Healthcare - Fort Mitchell, KY

5 open locations: Covington, Lexington, Bowling Green, Hazard and Owensboro Job Description Job Summary Provides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in sup...

Field Nurse Practitioner - El Paso / El Paso County, TX

Molina Healthcare - El Paso, TX

Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop up” clinic. The Nurse Pra...

Case Manager (RN)

Molina Healthcare - Doral, FL

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 ...

Provider Contracts Manager

Molina Healthcare - Long Beach, CA

Job Description Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. Knowledge/Skills/Abilities • In conjunction with Director/Mana...

Mgr, Coding - Risk Adjustment

Molina Healthcare - Columbus, OH

Job Description Job Summary The Coding Manager of Risk Adjustment is responsible for managing a team of professional coders to meet the needs of the Medicaid, Medicare, and Marketplace lines of business as it relates to risk adjustment. The Coding Manager is the subject matter expert who researches coding and coding relating issues and reports findings t...

Specialist, Health Plan Communications

Molina Healthcare - Chicago, IL

Job Description Job Summary Responsible for the development of communications and marketing activities aimed at brand and message management. Develops, implements, and manages communications programs. Knowledge/Skills/Abilities • With minimal supervision, writes and develops content to support the creation of internal and ext...

Case Management Processor

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 ...

Specialist, HEDIS/ Quality Reporting - Remote in Sacramento, CA

Molina Healthcare - Long Beach, CA

Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction a...

Pharmacy Technician

Molina Healthcare - Long Beach, CA

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 a...

Pharmacist, Utilization Mgmt (UM)

Molina Healthcare - Long Beach, CA

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 a...