Molina Healthcare in United States
323 jobs at Molina Healthcare in United States
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Care Review Clinician, Inpatient Review
3 days ago
Molina Healthcare Long Beach, United StatesJob DescriptionJOB DESCRIPTIONOpportunity for a Nebraska licensed RN to complete Inpatient Utilization Reviews for our behavioral health members. Preference will be given to those nurses who have experience doing these types of reviews within another Managed Care Organization and ...
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Social & Health Equity Navigator- New Mexico
3 days ago
Molina Healthcare Albuquerque, NM, United StatesJob Description · Job Summary · The Social and Health Equity Navigator will assist members in addressing social conditions that impact health outcomes, assist with the development of a process to collect, analyze, and report data metrics, and ensure these cost-effective services ...
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Case Manager
3 days ago
Molina Healthcare Albuquerque, NM, United StatesJOB 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 me ...
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Eligibility Screener
3 days ago
Molina Healthcare Milwaukee, United StatesJob Description · Job Summary · TMG is on the lookout for our next great Eligibility Screener If you love doing meaningful work that helps others live their best lives, we want to hear from you · We re currently in search for someone with a background in human services, social w ...
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Remote Family Nurse Practitioner
3 days ago
Molina Healthcare Martinez, CA, United StatesJOB DESCRIPTION · Job Summary · The Care Connections Nurse Practitioners 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 mo ...
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Remote Family Nurse Practitioner
3 days ago
Molina Healthcare Santa Clara, CA, United StatesJOB DESCRIPTION · Job Summary · The Care Connections Nurse Practitioners 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 mo ...
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Molina Healthcare CHULA VISTA, United StatesMolina Healthcare is hiring for a bilingual (English/Spanish) Front Office Specialist, Community Engagement, for our One Stop Help Center in Chula Vista, California. · The Front Office Specialist will be based out of our Chula Vista 'One Stop Help Center' (OSHC) and will work di ...
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Provider Relations Manager
3 days ago
Molina Healthcare LANSING, United States***Remote and must live in Michigan*** · Job Description · Job Summary · Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core v ...
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Community Connector
3 days ago
Molina Healthcare OAKLAND, United StatesJOB 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 me ...
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Rep, Provider Relations HP
3 days ago
Molina Healthcare SEATTLE, United StatesJob Description · Job Summary · Molina Health Plan Network Provider Relations 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 complian ...
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Family Nurse Practitioner
3 days ago
Molina Healthcare Long Beach, United StatesJob Description*We have an extensive training program for new Grads**Molina Student Loan Repayment program available for Nurse Practitioners*JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the ...
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Family Nurse Practitioner
2 days ago
Molina Healthcare Long Beach, United StatesJob Description*We have an extensive training program for new Grads**Molina Student Loan Repayment program available for Nurse Practitioners*JOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the ...
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Nurse Practitioner
5 days ago
Molina Healthcare Long Beach, United StatesJob DescriptionJOB DESCRIPTIONJob SummaryThe Care Connections Nurse Practitioners 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 a ...
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Program Director, Medicare Stars
5 hours ago
Molina Healthcare United StatesJob Description · ***Remote and must live in the United States*** · Job Description · Job Summary · Molina's Medicare Stars function oversees, plans, and implements new and existing healthcare · quality improvement initiatives and education programs; supporting Medicare Star Ra ...
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Care Review Clinician, Inpatient Review
1 day ago
Molina Healthcare Los Angeles, United StatesNIGHT SHIFT WORK SCHEDULE: PERMANENT SHIFT WILL BEA 12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM(in the morning) PACIFIC HOURS , 3 days a week will rotate. This department runs 24 / 7 / 365 days a year. Rotating weekends and holidays will be required.Candidates can live ...
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Remote SUD Navigator
1 week ago
Molina Healthcare Nebraska, United StatesJOB DESCRIPTION · Opportunity for a Nebraska licensed LMHP, LIMHP, or LCSW with experience with Substance Abuse Disorder to join our Health Plan as a Case Manager. Applicants with LADC licensure are of great interest as well. While there may be a need to conduct a face-to-face wi ...
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AVP, PBM Pharmacy Relations Management
1 week ago
Molina Healthcare Not specified, United StatesJob Description · Job Summary · Establish and manage business processes required to maintain valued relationships with services delegated to the Pharmacy Benefit Manager (PBM). Ensures PBM delivery of pharmacy networks with clear objectives, policies, standards, guidelines, and r ...
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Sr. Analyst, Encounters
3 days ago
Molina Healthcare LOS ANGELES, United StatesJob Description · Job Summary · The Sr Analyst, Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, and complete encounter submissions for moderate- to high-complexity markets or states. Performs data analysis using int ...
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Account Rep, Medicare-South Carolina
3 days ago
Molina Healthcare FLORENCE, United StatesJOB 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 fo ...
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HEDIS Trainer
1 day ago
Molina Healthcare Long Beach, United StatesJob Description · Job Description · Job Summary · Molina's HEDIS training team oversees regional/plan training in preparation for HEDIS and HEDIS like projects; ensures maintenance of training materials, job aids, and processes in accordance with NCQA technical specifications as ...