Molina
Open positions
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,…
Manager, National Risk & Quality Solutions (Remote)
Job Description Job Summary Leads and manages Quality Systems performance managers, demonstrating accountability for people performance, delivery outcomes, and execution of quality system initiatives. Oversees a…
Medical Director (WA)
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…
Program Manager, PMO - Clinical/UM/CM/Pharmacy - Remote
Job Summary Provides subject matter expertise and leadership for business and/or technology programs/projects. Leads all phases of the program lifecycle, including planning, execution, monitoring, and closeout, using…
AVP, Infrastructure (IaC / Multi-Cloud Architecture / AI) - REMOTE
Job Summary Provides strategy and leadership to team responsible for enterprise infrastructure operations, technology platforms, and engineering across all lines of business. Responsible for shaping the long‑term…
Director, Medical Economics - REMOTE
JOB DESCRIPTION Job Summary Leads and directs team responsible for medical economics analysis activities including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities…
Product Owner (EDI Solutions)
Job Description Job Summary Provides subject matter expertise in the delivery, execution and maintenance of products. Accountable for maximizing the value of assigned technical products that support enterprise…
Director, Configuration (EDI & Inbound Claims)
***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Leads and directs team responsible for the delivery, execution and maintenance of products. Accountable for maximizing the value of assigned…
Program Manager, Medicare Stars & Quality Improvement (Remote in Idaho)
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI…
Program Manager (MMISR - MST hours)
JOB DESCRIPTION Job Summary Provides support to Molina MMISR IT areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets,…