Molina HealthcareRepresentative, Support Center (Bilingual Spanish) Molina HealthcareRepresentative, Support Center (Bilingual Spanish)WA$21.65–$28.82 / hourEssential Job Duties** - Provides service support to members and/or providers using one or more support center communication channels serving multiple states and/or products including but not limited to: phone, chat and email, in addition to other administrative off phone duties supporting Medicaid, Medicare and/or Marketplace lines of business. **Preferred Qualifications** - Systems training/experience for the following : Microsoft Office, Microsoft Teams, Genesys, Salesforce, Pega, QNXT, CRM, Verint, video conferencing, CVS Caremark, Availity.
Molina HealthcareCare Manager, Long Term Support Services (Idaho based) Molina HealthcareCare Manager, Long Term Support Services (Idaho based)Lewiston, ID$24–$46.81 / hourRequired Qualifications - At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.
Molina Healthcare IncProvider Relations Representative Molina Healthcare IncProvider Relations RepresentativeFort Myers, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY) Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY)Yonkers, NYProvides support across initiatives, including quality checks to marketing tracking and works with leadership to successfully support benefit sales team members in enrollment goals/formulate resolutions for benefit sales team members missing enrollment expectations identifies challenges and communicates accordingly to leadership. Provides senior level support for benefit sales and enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up.
Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY) Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY)Albany, NYProvides support across initiatives, including quality checks to marketing tracking and works with leadership to successfully support benefit sales team members in enrollment goals/formulate resolutions for benefit sales team members missing enrollment expectations identifies challenges and communicates accordingly to leadership. Provides senior level support for benefit sales and enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up.
Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY) Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY)Syracuse, NYProvides support across initiatives, including quality checks to marketing tracking and works with leadership to successfully support benefit sales team members in enrollment goals/formulate resolutions for benefit sales team members missing enrollment expectations identifies challenges and communicates accordingly to leadership. Provides senior level support for benefit sales and enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up.
Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY) Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY)Buffalo, NYProvides support across initiatives, including quality checks to marketing tracking and works with leadership to successfully support benefit sales team members in enrollment goals/formulate resolutions for benefit sales team members missing enrollment expectations identifies challenges and communicates accordingly to leadership. Provides senior level support for benefit sales and enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up.
Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY) Molina Healthcare IncSenior Specialist, Benefit Sales (In Field - Queens, NY)Rochester, NYProvides support across initiatives, including quality checks to marketing tracking and works with leadership to successfully support benefit sales team members in enrollment goals/formulate resolutions for benefit sales team members missing enrollment expectations identifies challenges and communicates accordingly to leadership. Provides senior level support for benefit sales and enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up.
Molina Healthcare IncSpecialist, Benefit Sales (In Field - Rochester, NY) Molina Healthcare IncSpecialist, Benefit Sales (In Field - Rochester, NY)Rochester, NYProvides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health plan selection and enrollment processes, processing paperwork and ensuring documentation accuracy and follow-up. At least 2 years of experience in health care, and/or customer/provider services experience, including at least one year of experience working with state and federal health insurance programs and populations, or equivalent combination of relevant education and experience.
Molina Healthcare IncProvider Relations Representative Molina Healthcare IncProvider Relations RepresentativeSarasota Southeast, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare Inc(RN)Care Manager, Long Term Support Services (Massachusetts based- local travel required) Molina Healthcare Inc(RN)Care Manager, Long Term Support Services (Massachusetts based- local travel required)New Bedford, MAAt least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.
Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc) Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)Orlando, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc) Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)Tampa, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)St Petersburg, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Gainesville, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Tampa, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc) Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)Jacksonville, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncManager, Projects (Customer Experience) - REMOTE Molina Healthcare IncManager, Projects (Customer Experience) - REMOTERemote4-7 years of relevant work experience in business, managed care in lieu of degree acceptable, including experience supporting cross-functional program coordination, governance cadence, and execution tracking in a matrixed environment. Investigates, develops, evaluates solutions to a wide range of complex problems spanning multiple projects, surfacing risks early and supporting escalation paths for unresolved issues.
Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Destin, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc) Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)Miami, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc) Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)Tallahassee, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Miami, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Orlando, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Jacksonville, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc) Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)Destin, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc) Molina Healthcare IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)St Petersburg, FLPerforms an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).