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Provides consultation, recommendations and education as appropriate to non-RN case managers. Active and unrestricted Certified Case Manager (CCM). Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other a...

Molina Healthcare offers a competitive benefits and compensation package. Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropri...

Responsible for resolving compliance issues related to provider data and systems dependent on provider data.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk & Quality Solutions (RQS) team and program outcomes.

Responsible for operational activities for the assigned team, including accurate and timely implementation and maintenance of critical information on claims databases.

Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Validate data to be housed on provider databases and ensure adherence to business and system require...

Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement initiatives and education programs. Assigns, directs and monitors system analysis and program staff.

The Manager serves as the primary contact for health plan interventions and leads the interventions Joint Operations Committee representing the Molina Plan Senior Leadership Team. In all activities, the Manager works with the national and regional collaborative analytics and strategic team to pre...

Top sales professional within a multi-state managed care organization • Responsible for setting sales strategy, hiring sales leadership team, developing execution tactics, managing inside sales and sales operations, and leading field sales representatives as well as contracted brokers. Ensure the...

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package.

Validates data received on claims to identify billing issues that will impact claims processing and payment.

Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases.

Subject matter expert of Medicare and Healthcare enrollment 834 files. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Lead team of Sales Operations Specialists to elevate performance of Sales Operations Department. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

The Manager, Sales Operations will be key to the success of the Sales Support Organization by providing strategy, oversight and implementation of our operational activities and process improvements. Lead team of Sales Operations Specialists to elevate performance of Sales Operations Department. R...

Provides centralized year-round support in Medicare for the development and editing of core beneficiary communications, to include the Medicare and MMP Summary of Benefits, Annual Notice of Change, Evidence of Coverage/Member Handbooks, and Provider Directory (printed) for print and online distri...

Design, implement and maintain SQL database objects (tables, views, indexes) and database security. Experience working with Azure SQL Database, DevOps, GIT and Continual Integration (CI).

Responsible for collecting, storing, processing, and analyzing large sets of data.The primary focus will be on choosing optimal solutions to use for these purposes, then maintaining, implementing, and monitoring them.He/she will also be responsible to follow architecture and best practices used a...

This position is remote but primary work schedule will be in PST business hours***.Manages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion....

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.