Molina
Open positions
National Quality Performance Manager (Remote)
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…
VP, Clinical Performance
JOB DESCRIPTION Job Summary Provides enterprise executive leadership for clinical operations, ensure Utilization Management, Care Management, Long-Term Services and Supports, quality, workforce, vendor, and delegated…
Director, National Medicare Stars & Quality Improvement (Enterprise) - REMOTE
JOB DESCRIPTION Job Summary Leads and directs team responsible for Medicare Stars quality improvement (QI) programs and activities. Oversees initiatives and education programs designed to enhance Medicare Star ratings.…
Account Manager, Medicare Sales (remote)
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Molina Medicare sales activities. Responsible for managing the organization’s relationship with clients of strategic importance.…
Health Plan Provider Relations Manager (Physican Groups)
JOB DESCRIPTION ***Employee for this role must reside in Illinois***** Will support Labs, independent physician groups and specialist across the state of Illinois (except Cook County) Job Summary Provides subject…
Director, IT Services - Network Engineering - Remote
JOB DESCRIPTION Job Summary Leads and directs team responsible for enterprise infrastructure and information technology (IT) operations. Responsible for delivering reliable, high‑performing technology services across…
Clinical Validation Reviewer (RN)
JOB DESCRIPTION Job Summary Provides support for inpatient and outpatient clinical claim review activities. Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies…
Senior Manager, IRIS Consulting Services
JOB DESCRIPTION Job Summary Leads and manages a regionally-based team of The Management Group's (TMG) IRIS consultants - ensuring provision of high-quality, person-centered supports to IRIS participants, and…
Manager, National Quality Analytics & Reporting – Medicare Stars
Job Summary Leads and manages team responsible for Molina enterprise quality reporting activities for quality improvement initiatives. Oversees design and development of reporting solutions to support Star Rating and…
Medical Director (WI)
JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and…
Senior Specialist, Benefit Sales (Facilitated Enroller) (In Field - Westchester, NY)
JOB DESCRIPTION Job Summary Provides senior level support for benefit sales and enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance products,…