MOLINA HEALTHCARE jobs in United States

IRIS Consultants (IC) are home-based employee who partners with individuals enrolled in the IRIS program to identify their long-term care goals and find…

Molina Healthcare

7+ years of experience in the managed healthcare industry in a health plan or related field with MMP - Medicare-Medicaid plans.

Molina Healthcare

Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases.

Molina Healthcare

Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria…

Molina Healthcare

Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus. Min. 3 years of related experience (e.g., marketing, business…

Molina Healthcare

Min. 3 years’ experience in healthcare with 1 year experience in health plan quality improvement, managed care, or equivalent experience.

Molina Healthcare

5+ years analyst experience in healthcare, specifically Managed Care. Molina Healthcare is hiring for a Sr. Business Analyst who is proficient in Healthcare…

Molina Healthcare

The Manager, Operations establishes annual performance goals with assigned department managers, in conjunction with the Vice President so that department goals…

Molina Healthcare

Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and…

Molina Healthcare

Illinois is not currently part of the Nurse License Compact (NLC). Experience with MCG or Interqual is necessary in this role. Bachelor's Degree in Nursing.

Molina Healthcare

Responsible for identifying and assisting current members who are due to re-certify their healthcare coverage by completing the annual recertification…

Molina Healthcare

Responsible for identifying and assisting current members who are due to re-certify their healthcare coverage by completing the annual recertification…

Molina Healthcare

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated…

Molina Healthcare

Responsible for identifying and assisting current members who are due to re-certify their healthcare coverage by completing the annual recertification…

Molina Healthcare

, such as, but not limited to, Kaiser, Inland Empire Health Plan (IEHP) or Molina Healthcare. Performing clinical screening/assessment duties in...

San Bernardino County

setting. Have access to Health Management System (HMS), Change Healthcare, Molina, Presumptive Eligibility for Pregnant Women... Healthcare to verify client eligibility. Utilizes AWI/Suntax to verify client’s income for the purpose of determining eligibility...

State of Florida

, program payer companies such as Molina Healthcare, Amerigroup, Area Aging on Aging and the Texas Department of Aging...

El Paso County

Molina Healthcare service inquiries to ensure complete, accurate and timely responses. Lead organizational cross-functional...

Infosys

Position will be mostly remote as candidates will be expected to travel to the Molina office in Long Beach, CA once... healthcare experience is strongly preferred. JOB SUMMARY (Purpose of the job and high-level summary of duties): Focuses...

Morgan Stephens

and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right... responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties...

Morgan Stephens

and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right... responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties...

Morgan Stephens

, assess risk and remediate enrollment file management risks, drive priorities and escalation resolutions, handle Molina... Healthcare service inquiries to ensure complete, accurate and timely responses. Lead organizational cross-functional reviews...

Infosys

Description Position at Thrive Pet Healthcare Thrive Pet Healthcare is seeking a Veterinary Client Care... A drama free working culture And so much more! Find out more about us at: . Have questions? Please email Crystal Molina...

Pathway Vet Alliance

eligible family or emergency medicine physician to serve the thriving rural mountain communities of Collbran, Mesa and Molina..., making it a very financially secure and sustainable medical system. Advantages of rural medicine: Rural healthcare offers...

Express Employment Professionals

, Aetna, Cigna, Human, WellCare, Tricare, United Healthcare, Amerigroup, Molina Ensuring that work queues are worked daily...

The Reserves Network

, Aetna, Cigna, Human, WellCare, Tricare, United Healthcare, Amerigroup, Molina Ensuring that work queues are worked daily...

Resource Staffing

status and on-line inquiries: Avidity, Aetna, Cigna, Human, WellCare, Tricare, United Healthcare, Amerigroup, Molina...

Resource Staffing

status and on-line inquiries: Avidity, Aetna, Cigna, Human, WellCare, Tricare, United Healthcare, Amerigroup, Molina...

The Reserves Network