Molina

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…

last week

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

last week

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…

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…

Manager, National Communications Strategy & Planning (Medicare)

Adobe Experience Manager (AEM) Agile Analytics Cloud Performance Management +5 skills

JOB DESCRIPTION Job Summary Leads and manages team responsible for the development and execution of strategic communication plans across the Molina enterprise. Ensures alignment of communication strategies with…

Medical Review Nurse (RN)- Post Appeals (must be licensed in Illinois)

Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal…

National Quality Performance Manager - HEDIS (Remote)

Analytics Azure Data Ingestion Data Quality PMP +2 skills

JOB DESCRIPTION Job Summary Provides subject matter expertise for Molina's quality performance solutions team. Collaborates with various departments and stakeholders across the enterprise to plan, coordinate, and…

Remote Care Manager (RN) - MUST LIVE IN TEXAS

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral…

Representative, Support Center II (Bilingual English/Spanish)

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…

Representative, Support Center - Bilingual English/ Chinese (Cantonese, Mandarin) Haitian, Russian, Korean, Italian, or Spanish

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 (RN) Remote (WA Pref) Must Have Compact Licensure

RemoteNorth AmericaContract

Molina Healthcare is hiring a remote RN Care Manager. Preference for candidates in Washington State. This role will be working Pacific Standard Time hours. This role supports Medicare members through telephonic case…

Health Plan Quality Program Mgmt & Performance Manager (Remote in MI)

Process Improvement Program Management

Molina Healthcare is hiring for a Health Plan Quality Program Mgt & Performance Manager. This position is remote; however candidates must reside in Michigan. Highly Qualified Candidates Will Have the Following –…

RemoteNorth AmericaContract

Transition of Care Coach Remote (Must have CA LVN/LPN)