Molina
Open positions
Program Manager, Healthcare Services - Clinical Analytics/Pega/CCA - Remote
***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership to support the alignment and implementation of enterprise healthcare services strategies…
Supervisor, IRIS Consulting Services (Milwaukee County, WI)
JOB DESCRIPTION Job Summary Leads and supervises a regionally-based team of The Management Group's (TMG) IRIS consultants - ensuring provision of high-quality, person-centered supports to IRIS participants, and…
Competitive Intelligence & Market Analysis Director
JOB DESCRIPTION Job Summary Provides deep subject matter expertise and leadership for competitor analysis activities for Molina request for proposals (RFPs) for new or reprocuring business. Leads Molina competitive…
Manager, Actuarial Services - REMOTE
JOB DESCRIPTION Job Summary Leads and manages team responsible for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to identify risks; also supports provision of…
VP, Applications - Enterprise Data Analytics - Remote
Job Summary VP, Data & Analytics (Enterprise Insights & Business Intelligence) with enterprise-wide influence across MedEcon, Payment Integrity, Claims, Configuration, UM, Provider, and other core functions. Essential…
Senior Data Scientist
JOB DESCRIPTION Job Summary Provides senior level support for data science activities. Performs data and error analysis to improve models, and cleans and validates data for uniformity and accuracy. Executes data…
Program Manager (Clinical COE)
JOB DESCRIPTION Job Summary Become a member of the Clinical Operations Enablement team as we guide the implementation of the Clinical COE vision throughout the Molina enterprise. This position offers the opportunity to…
Clinical Validation Reviewer (DRG-RN)
Job Summary Provides support for inpatient and outpatient clinical claim review activities. Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the…
Medical Director (MI)
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 National Quality Performance Manager (Remote)
JOB DESCRIPTION Job Summary Provides senior level consultant level support for Molina’s quality performance solutions team. Collaborates with various departments and stakeholders across the enterprise to plan,…