…**Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial

…**Job Summary** This role is not a IT-focused Security Operations (SOC) threat monitoring, incident identification and investigation activity. This role will support

…**Job Summary** Responsible for the development of marketing or reimbursement approaches aimed at maximizing the sales opportunity. Develop product positioning

…**Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on

…The Sr. Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and

…**Job Summary** Telesales role. Responsible for taking and making telephone calls with prospective members with the intent to educate them on benefits of Molina

…**Job Summary** Business Strategy Leader managing relationships and providing process expertise with Molina health plan leadership, corporate leadership, business

…**Job Summary** This position is responsible for timely completion of Medicare and Medicaid applications for new and existing providers, reviewing, and verifying

…**Required Education** Bachelor's Degree **Required Experience/Knowledge, Skills & Abilities** 10 years of healthcare contact center and operational experience. 10

…**Job Summary** Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace,

…**Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides daily operational

…**Job Summary** The Care Connections Representative primary focus is to conduct outbound calls to Molina members and schedule appointments with our Nurse

…**Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator - ICU you want in your current role? We invest in what matters most to

…**Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment

…**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and

…**Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and

…**Job Summary** Responsible for the day to day supervision of practitioners assigned to their region. Works with the Medical Director to ensure practitioners are

…Client Relationship Consultants build relationships with customers, engaging them via multiple channels including in-person, by appointment, and virtually to provide

…**Job Summary** Responsible for reviewing and resolving member and provider complaints/disputes and communicating resolution to members and provider (or authorized

…**Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on

…**Job Summary** The Business Control Process Design and Implementation Senior, under the direction of Mgr, IT Controls and ERM, is responsible for developing a risk

…**Job Summary** Manages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter

…**Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs

…**Job Summary** Responsible for supporting finance operations for health plan financial reporting, and financial projects. Duties include gathering, interpreting, and

…**Job Description** This job position will work EST business hours **Job Summary** The Analyst, Encounters is responsible for monitoring inbound and outbound