Molina

NewBe an early applicant North AmericaFull-time

yesterday

Project Manager, Payment Integrity (Managed Care) Remote

Agile PMP Process Improvement Six Sigma Visio

Payment Integrity is seeking a Project Manager to support implementation work across Medicare, Medicaid, and Marketplace programs. The role is intended to coordinate new and renewing programs that affect providers and…

NewBe an early applicant North AmericaFull-timeLead

yesterday

Lead, Benefit Sales - (Facilitated Enroller) (In Field - Queens, NY)

JOB DESCRIPTION Job Summary Provides subject matter expertise for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products,…

Representative, Support Center II

CRM Hipaa Process Improvement Salesforce

JOB DESCRIPTION Job Summary Provides level II support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while…

NewBe an early applicant North AmericaLead

Lead National Quality Performance Manager (Remote)

Analytics Azure Data Ingestion Data Quality Databricks +4 skills

Job Description Job Summary Provides consultant level support for Molina’s quality performance solutions team. Owns and drives the most complex quality performance initiatives, provides functional guidance to peers,…

NewBe an early applicant North AmericaContractC-level

VP, Healthcare Services (Nevada)

Predictive Modeling Process Improvement Statistics

JOB DESCRIPTION Job Summary Provides executive level strategy and leadership to a team of multidisciplinary healthcare services professionals in some or all of the following functions: care management, utilization…

Product Owner (HEDIS Engine/Supplemental Data) - REMOTE

Acceptance Criteria Agile API Automation Azure +5 skills

Job Description Job Summary Provides subject matter expertise in the delivery, execution and maintenance of products. Accountable for maximizing the value of assigned technical products that support enterprise…

Executive Assistant - REMOTE

JOB DESCRIPTION Job Summary Provides high-level administrative support to designated health plan president or functional business leader. Serves as a liaison to senior leadership, coordinates executive outreach and…

Strategic Planning Zoom

NewBe an early applicant North AmericaLead

Lead, Support Center - Remote (Must reside in FL)

Mon - Fri 11:30am - 8pm EST Hours (Must be flexable to work on weekends due to buisness needs) JOB DESCRIPTION Job Summary Provides lead level support center customer service excellence to meet the needs of Molina…

Representative, Support Center - Remote

NewBe an early applicant North AmericaFull-time

JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating…

Crisis & Cyber Response Manager

AI ChatGPT Cissp Cloud Cybersecurity +3 skills

JOB DESCRIPTION Job Summary The Crisis & Cyber Response Manager is responsible for executing and maintaining the crisis & cyber incident management lifecycle for Molina. Implements and deploys right-sized strategies…

Representative, Support Center II - Remote (Bilingual)

CRM Hipaa Process Improvement Salesforce

Mon - Fri hours may vary depending on time zone JOB DESCRIPTION Job Summary Provides level II support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses…

New North AmericaContract

5 days ago

Director, Health Plan Provider Relations (Provider Engagement - NY Based) - REMOTE

New North AmericaFull-time

JOB DESCRIPTION Job Summary Leads and directs team responsible for health plan provider relations activities for the New York Health Plan. Supports network development, network adequacy and provider training and…

Health Plan Provider Contracts Mgr - Complex (Behavioral Health - New York)

JOB DESCRIPTION ***This position will support Molina's New York state healthplan**** Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities.…

Supervisor, Nurse Practitioner

New North America

JOB DESCRIPTION Job Summary Leads and supervises team of nurse practitioners responsible for primary, urgent, and preventative care services in various non-clinical community settings including homes, nursing…

Manager, Payment Integrity - REMOTE

New North America

Automation Process Improvement

JOB DESCRIPTION Job Summary Leads and manages team responsible for payment integrity activities including recovery operations. Responsible for performance, quality levels and establishing procedures and techniques that…

New North AmericaContract

6 days ago

Director, Health Plan Quality Program Management & Performance (Remote in New York)

Analytics Performance Management Process Improvement Program Management

JOB DESCRIPTION Job Summary Leads and directs team responsible for quality management and quality performance improvement activities. Responsible for overseeing, planning, and implementing new and existing health plan…

last week

Representative, Support Center

New North America

JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating…

Care Manager / Case Mgr (RN) Remote (WA Pref) Must Have Compact Licensure

New RemoteNorth America

Molina Healthcare is hiring a remote RN Care Manager for our Washington State Health Plan. This role is remote, however there is a preference (not requirement) for candidates in Washington state. This role will be…

VP, Artificial Intelligence Vendor Governance & Oversight (Remote)

New North AmericaC-level