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Molina Healthcare Jobs & Careers

1000+ Jobs Found

Molina Healthcare
Job Summary Under supervision, works collaboratively with Molina Members and the interdisciplinary healthcare team to assess, plan , coordinate and provide education and individualized, person-centered care to achieve optimal clinical, financial ......
Job Description: Sign-On Bonus in Detroit, MI!!!!! Molina Medical Group has immediate openings for BC/ BE Family Practice physicians in our Detroit, MI clinic treating a diverse patient panel. We are looking for Family Physicians interested in join......
Molina Healthcare
Job Summary Healthcare Analyst II is an individual contributor role that provides senior-level healthcare analysis for the state health plans, including quantification and analysis of health care costs, development and maintenance of databases an......
Job Description: SIGN-ON BONUS in SUNNY CALIFORNIA!!! Molina Medical Group has immediate openings for BC/ BE Primary Care Physicians in our Victorville, CA clinic treating a diverse patient panel. Together we are a driven, well-trained, positive-mi......
Molina Healthcare
Job Summary The Analyst a key Quality Leader for Corporate and Health Plans within the organization. The Analyst may be empowered to advise senior management and other departments on Quality strategies and initiatives. The responsible functional Qua......
Job Description: Sign-On Bonus!! Sacramento, one of the most historic cities in California! Molina Medical Group has immediate openings for BC/ BE Family Practice physicians in our Sacramento, CA area clinics treating a diverse patient panel. Our w......
Molina Healthcare
Job Summary Primarily responsible to lead the design, development, testing and implementation of custom software applications and off the shelf technologies. Essential Functions Develops software (hands on code development) to meet key bus......
Molina Healthcare
Job Summary Responsible for planning, coordinating and managing the computer system infrastructure. Installs software and hardware, manages team members, and maintains various systems and security. Leads a team of systems administrators as well a......
Molina Healthcare
Job Summary Primarily responsible to lead the design, development, testing and implementation of custom software applications and off the shelf technologies. Essential Functions Develops software (hands on code development) to meet key bus......
Molina Healthcare
Job Summary The Nurse Auditor is responsible for audits of our contracted clients in a medical necessity environment. The Nurse Auditor utilizes clinical knowledge and experience, InterQual or Milliman criteria experience preferred, coding knowledge......
Molina Healthcare
Job Summary Responsible for the development and monitoring of annual budget and comparison analysis of actual to budget variances. Position is also responsible for P4P programs as well as financials operations related to general ledger and monthl......
Molina Healthcare
Job Summary Review retail level (level I) prior authorization request for approval. Interacts with other staff throughout the organization, as well as external contacts on a daily basis. Ongoing public contacts include, but are not limited to: in......
Molina Healthcare
Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative ......
Molina Healthcare
Job Summary Creates and manages the required documentation for QI Compliance. Essential Functions Conduct review and investigation of potential quality of care issues in collaboration with dedicated clinical and non-clinical health plan st......
Molina Healthcare
Job Summary Provides technical direction to the team in respective areas of expertise. Explores new technologies that can be implemented in Molina which are cost effective giving a good Return on Investment (ROI). Essential Functions o Revi......
Molina Healthcare
Job Summary Negotiates assigned contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports accordin......
Molina Healthcare
Job Summary Applies software engineering methods and techniques to the design and development of a web portal application in C# and ASP .NET. Provides recommendations for application and system improvements. Works well independently and in a team en......
Molina Healthcare
Job Summary This primary care physician will work in the health centers providing primary care medical care services to the patients of the Community Healthcare Network. Essential Functions Leads member of the clinical care team which cons......
Molina Healthcare
Job Summary The Associate Medical Director (AMD) position is divided 50/50 with direct patient care (primary care) and administrative responsibilities as outlined below. Time is divided between centers and off site meetings, such as coordination mee......
Molina Healthcare
Job Summary Responsible for the activities related to care management system configuration, new health plan implementations and upgrades within the Care Management Configuration Information Management (CIM) Operations and Implementation Teams. ......
Molina Healthcare
Job Summary Drives and coordinates software license reviews and audits to ensure Molina is in compliance with all agreements. Acts as a liaison between Molina Corporate IT and Molina Procurement and assist with analyse of license metrics and......
Molina Healthcare
Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the ri......
Molina Healthcare
Job Summary Responsible for the activities related to major system configuration, new health plan implementations and conversions within the Configuration Information Management (CIM) Operations and Implementation Teams. Responsible for accura......
Molina Healthcare
Job Summary Directly supervises and responsible for the day-to-day performance of a team or shift. Responsible for daily administrative functions, including staffing, productivity, work quality, project and operations management. Essential Fun......
Molina Healthcare
Job Summary Provides technical direction to the team in respective areas of expertise. Explores new technologies that can be implemented in Molina which are cost effective giving a good Return on Investment (ROI). Essential Functions o Revi......
Molina Healthcare
Job Summary Provide telephone, clerical and data entry support for the Molina Healthcare Services Case Management Team. Supports Case Management and Long Term Care Staff for all non-clinical functions. Facilitates coordination of medical services......
Molina Healthcare
Job Summary Leading, with a team, or individually, develops or modifies business requirements and functional specifications for software application and technology projects, including Business Requirements Documents (BRDs) and Functional Requirem......
Molina Healthcare
Job Summary Works with the Utilization Management team and is primarily responsible for prior authorizations. According to guidelines provides inpatient and outpatient medical necessity/utilization review and other utilization management activiti......
Molina Healthcare
Job Summary Plans, organizes, staffs, and coordinates the activities of the Provider Contracts unit within the MHI Provider Network Strategy & Services Department. Works with Associate Vice President MHI Provider Network Strategy & Services, Plan Pr......
Molina Healthcare
Job Summary Provides technical direction to the team in respective areas of expertise. Explores new technologies that can be implemented in Molina which are cost effective giving a good Return on Investment (ROI). Essential Functions o Revi......
Molina Healthcare
Job Summary Receives and reviews Medicaid rebate payments for multiple programs and to identify and resolve rebate disputes. Essential Functions o Analyzes disputed data and negotiates with drug manufacturers to fairly and accurately resolve d......
Molina Healthcare
Job Summary Responsible for intermediate to large scale projects and project teams made up of internal and external resources to deliver business solutions and services to the department. Interacts closely with internal staff, external corporate ......
Molina Healthcare
Job Summary Provides technical direction to the team in respective areas of expertise. Explores new technologies that can be implemented in Molina which are cost effective giving a good Return on Investment (ROI). Essential Functions o Revi......