Molina

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

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…

Representative, Support Center

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

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)

North AmericaC-level

Agentic AI AI Ai Enablement Cloud Cybersecurity +8 skills

JOB DESCRIPTION Job Summary Leads the executive strategy development, vision and direction for the activation of Molina’s enterprise Artificial Intelligence (AI) governance & vendor oversight strategy and operating…

Representative, Support Center III (EST hours M-F)

JOB DESCRIPTION *****Hours for this role are M-F 8am-4:30pm EST, no weekends or holidays required***** Job Summary Provides level III support center customer service excellence to meet the needs of Molina members and…

Account Representative, Medicare Sales-Fall River, MA

JOB DESCRIPTION Job Summary Provides support for Molina Medicare sales activities. Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible,…

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

JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health…

Clinical Project Manager

Analytics PMP Strategic Planning

JOB DESCRIPTION Job Summary Provides support for multi-functional clinical project management activities, including implementation of new programmatic changes, initiatives, or vended solutions, in addition to projects…

Medicaid Growth Strategy Data Intelligence Manager - Claims Data/SQL/Power BI/Solutioning - Remote

JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for data intelligence activities for Molina request for proposals (RFPs) for new or reprocuring business. Drives business growth and strategy…

Business Intelligence

Specialist, Benefit Sales-Buffalo NY

JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health…

Specialist, Benefit Sales-Fully bilingual Spanish-Buffalo, NY

JOB DESCRIPTION Job Summary Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products, assisting with health…

Account Representative, Medicare Sales-Dallas,TX-Fully bilingual-Spanish

RemoteNorth AmericaContractSenior

JOB DESCRIPTION Job Summary Provides support for Molina Medicare sales activities. Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible,…

Senior Specialist, Health Plan Quality Program Management & Performance (RN) - Remote

JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives, audits, data analysis and quality improvement surveys and state/federal…

Director, Population Health (Remote in MI - local travel)

North AmericaContract

Analytics Business Development Corrective Action Performance Management

JOB DESCRIPTION This position will offer remote work flexibility in Michigan. There will be up to 25% travel associated with this role. Job Summary Leads and directs team responsible for health plan population health…

2 weeks ago

Representative, Support Center II (Remote)

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…

2 weeks ago

Manager, National Communications Strategy & Planning (Medicare)