Molina
Open positions
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,…
Clinical Validation Reviewer, RN - Inpatient Coding & Reimbursement
Seeking an RN with inpatient coding, clinical validation, reimbursement, DRG review, and/or payment integrity experience. This is not a traditional bedside nursing role. Candidates should have experience interpreting…
AVP, Compliance (Wisconsin)
JOB DESCRIPTION Job Summary Provides strategy and leadership to team responsible for compliance activities. Seeks to ensure the organization adheres to regulatory requirements, industry standards, and Molina internal…
Director, Applications - Claims Processing - Remote
JOB DESCRIPTION Job Summary Leads and directs team responsible for applications activities on Microsoft Azure cloud infrastructure. Responsible for designing, developing, and communicating technology models and…
VP, Network Management (Work Location - Illinois)
JOB DESCRIPTION Job Summary Provides executive strategy and leadership to team responsible for network operations and contracting activities. Supports network strategy and development with respect to adequacy,…
Senior ServiceNow Engineer – AI Enablement & Platform Strategy - Remote
JOB DESCRIPTION Job Summary Provides senior level engineering support for enterprise infrastructure systems through contributions to the implementation, maintenance, and reliability of platforms that enable critical…