
Molina Healthcare
healthcareJackson, MS323 open jobs
About Molina Healthcare
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323 jobsMolina Healthcare
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and…
JOB DESCRIPTION Job Summary Provides executive strategy and leadership to team responsible for network operations and contracting activities. Supports network strategy and development with respect to adequacy, financ…
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 demonstrati…
Job Description Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care frau…
JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. **This position requires California RN Licensure. Candidates must hav…
JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and pr…
JOB DESCRIPTION Job Summary Provides subject matter expertise for oversight, production, and resolution of health plan payment integrity (PI) recovery concepts. Executes and monitors health plan scoreable action items (S…
JOB DESCRIPTION Job SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vu…
JOB DESCRIPTION Job Summary Leads and manages team responsible for payment integrity activities including recovery operations. Responsible for performance, quality levels and establishing procedures and techniques th…
JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of proces…
Job Description The Manager, Process Improvement and Operational Excellence leads data-driven process optimization initiatives across Customer Experience, Marketing, Sales, and Agent Operations. This role partners cl…
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 to…
This is a remote field-based role requiring travel within Polk County. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with…
Job Description Field travel with My Choice Wisconsin Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidiscipli…
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nurs…
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 to…
JOB DESCRIPTION Job Summary Provides engineering support for enterprise infrastructure systems through contributions to the implementation, maintenance, and reliability of platforms that enable critical business services…
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of…
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 to ensure membe…
JOB DESCRIPTION Job Summary Leads and directs team responsible for medical economics analysis activities including extracting, analyzing and synthesizing data from various sources to identify risks and opportunit…
JOB DESCRIPTION Highlights of requirements: - Fully remote position to conduct Prior Authorization reviews for services. - Open to candidates across the country, but you MUST have an active RN license in good standing in…
JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then…
JOB DESCRIPTION Job Summary Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure…
Job Summary Provides non-clinical operational support for long-term services and supports activities. Works in collaboration with multidisciplinary team coordinating member care across the continuum to ensure member…
JOB DESCRIPTION Job Summary Provides support for the deployment and integration of Molina enterprise clinical implementations, programs, technologies, and workflows. Ensures alignment with regulatory requirements and org…
JOB DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and…
JOB DESCRIPTION Job Summary Provides support for the deployment and integration of Molina enterprise clinical implementations, programs, technologies, and workflows. Ensures alignment with regulatory requirements and org…
JOB DESCRIPTION Job Summary Provides support for the deployment and integration of Molina enterprise clinical implementations, programs, technologies, and workflows. Ensures alignment with regulatory requirements and org…
JOB DESCRIPTION Job Summary Provides senior-level accounting support for Molina's Texas Health Plan, including month-end close, account reconciliations, financial statement preparation, statutory reporting, audit…
Job Description Please note the required shifts are Mon - Fri 10:00 AM– 7:00 PM or Mon - Fri 5:00AM - 2:00PM Pacific Time Zone. Job Summary Makes outbound calls to members, completes assigned hand-dial lists,…
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 databa…
Job Summary Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance framewor…
Job Summary Provides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between…
Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care…
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 to ensure membe…
JOB DESCRIPTION Job Summary Leads and manages team of pharmacy operations staff and Pharmacy Benefit Manager(PBM) activities. Responsible for oversight of delegated services, implementation of new products and services,…
JOB DESCRIPTION Job Summary Provides senior level support for the creation of content for Molina request for proposals (RFPs). Responsible for developing, writing, and revising response focused, compelling, and technical…
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 Molina values…
Job Description Seeking a Florida-licensed behavioral health professional, such as an LCSW, LMSW, APSW, CHES, LPC, LPCC, or LMFT, with experience managing complex behavioral health populations within the Medicaid…
JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality improvement programs, initiatives, audits, and quality improvement surveys and federal/state quality compliance…
Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments (VBP) network strategy and development with respect to financial performance and operational performance,…
Summary: Direct comprehensive data and analytics initiatives to enhance payer strategy, operational excellence, and clinical outcomes across Medicare, Medicaid, and Commercial populations. Oversee enterprise reportin…
JOB DESCRIPTION \\\\Employee for this role must reside in Mississippi\\\\ Job Summary Leads and manages team responsible for clinical quality member intervention activities. Responsible for the develo…
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 to ensure membe…
Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care…
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and…
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of…
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nurs…
Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing faciliti…
JOB DESCRIPTION Job Summary Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach, emphasiz…
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Molina Healthcare currently has 323 verified open jobs on JobAssist, with 30 added in the last 30 days.
Yes – upload your resume and JobAssist tailors and submits applications to matching Molina Healthcare roles for your approval.
Molina Healthcare lists a mix of hybrid and remote positions – each listing shows its workplace type up front.