Molina jobs in United States - Page 4

Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff. Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare o...

Participates in state level quality and risk adjustment strategy meetings, develops a quality workplan, and ensures integration of quality and risk adjustment into the overall business process. Provides strategic direction for provider quality and practice transformation specialists to help provi...

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. Customer Service/Call Center experience in health care or equivalent related. Molina Healthcare offers a competitive benefits and compensation package...

An active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners; American Nurses Credentialing Center. Registered Nurse and/or Nurse Practitioner, ideally in a home health, community health, or public health setting. The Care Conn...

Minimum 5-7 years of business to business, business to consumer direct marketing, outside sales, or community outreach experience. Leads managed-care related business development activities for competitive intelligence, which may also include attendance/participation national, state, and local co...

Provides consultation, recommendations and education as appropriate to non-RN case managers. Active and unrestricted Certified Case Manager (CCM). ...

This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. As an IRIS Consultant (IC), you will build relationships with the people you partner with and help them navigate and get the most out ...

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integ...

Opportunity for a Nebraska licensed LMHP or LIMHP with a background in Behavioral Health to join our health plan as a Case Manager. Collaborates with RN case managers/supervisors as needed or required. Case managers in Behavioral Health and Social Science fields may provide consultation, resource...

This role is community/ external facing and is in frequent engagement with providers (clinics, hospitals, community health centers), community-based organizations/ nonprofits such as those working in housing/ food/ behavioral health and many more. Key Words: community health advisor, enrollment, ...

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 members with high need potential.HCS staff work to ...

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 following ethical sales practices and adhering to e...

The Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easier for them to connect to the care they need.The MFE conducts interviews and screens potentially eligi...

Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions, and complaints.Resolves member inquiries and complaints fairly and effectively.Provides product and service information to members and identifies opportunities to main...

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. Performs member outreach calls in states supported by Molina Healthcare to enforce member retention. Molina Healthcare offers a competitive benefits a...

English along with Mandarin, Chinese, Russian, or Spanish). English along with Mandarin, Chinese, Russian, or Spanish. English along with Mandarin, Chinese, Russian, or Spanish. English along with Mandarin, Chinese, Russian, or Spanish. ...