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85 jobs found
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 Job Title / Description ( show titles only ) CompanyLocation
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Healthcare Financial Data Analyst - View similar jobs
Job type: Contractor
Job Summary Performs intermediate to moderately complex level of technical and analytical work to support reporting and analysis needs for Medical...
Molina Healthcare Inc.
CA - Long Beach
Today
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Supervisor Provider Services (Molina Medicaid Solutions) - View similar jobs
Job type: Full-Time
Job Summary Supervises and provides direct oversight of the activities of the Provider Services Call Center, Provider Correspondence, Field...
Molina Healthcare Inc.
ME - Augusta
Today
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Registered Nurse Care Review Clinician III - View similar jobs
Job type: Full-Time
Job Summary Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization...
Molina Healthcare Inc.
CA - Long Beach
Yesterday
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Care Review Clinician III/ Registered Nurse/ RN - View similar jobs
Job type: Full-Time
***This is a remote position, but candidates MUST be based in California*** Job Summary Works with the Utilization Management team responsible for...
Molina Healthcare Inc.
CA - Remote
Yesterday
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Member Services Representative - View similar jobs
Job type: Full-Time
Job Summary Respond to telephone inquiries from both Molina Members and Providers and provide accurate, efficient, and courteous service. Essential...
Molina Healthcare Inc.
UT - Midvale
Yesterday
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MHPR IT Compliance Specialist - View similar jobs
Job type: Contractor
Job Summary Responsible for ensuring Molina compliance with both regulatory and company Information Security policies. Monitors compliance and...
Molina Healthcare Inc.
PR - Adjuntas
Yesterday
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Diretor of Healthcare Services - View similar jobs
Job type: Full-Time
MOLINA HEALTHCARE- DIRECTOR OF HEALTHCARE SERVICES- CINCINNATI, OH Job Summary Oversight and management of the day to day integrated team of health...
Molina Healthcare Inc.
OH - Springdale
2 Days Ago
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TRA Engineer II - View similar jobs
Job type: Full-Time
Job Summary Under general direction, responsible for performing research and requirement analysis, creation and design of mapping documents, and...
Molina Healthcare Inc.
VA - Glen Allen
2 Days Ago
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Case Mgr II (OB Dept CM Only) - View similar jobs
Job type: Full-Time
MOLINA HEALTHCARE- CASE MANAGER II- OB DEPT- COLUMBUS, OH Job Summary Responsible for health care management and coordination of Molina Healthcare...
Molina Healthcare Inc.
OH - Columbus
2 Days Ago
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RN, QI Compliance Specialist - View similar jobs
Job type: Full-Time
Job Summary Creates and manages the required documentation for QI Compliance. Essential Functions * Conduct review and investigation of potential...
Molina Healthcare Inc.
WA - Bothell
2 Days Ago
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Healthcare Transition Coach 2, RN - Snohomish County REMOTE - View similar jobs
Job type: Full-Time
** This is a REMOTE position - must be within SNOHOMISH COUNTY. ** Active, unrestricted State Registered Nursing license in good standing. RN with AA...
Molina Healthcare Inc.
WA - Snohomish
3 Days Ago
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Supervisor Case Management- Sacramento - View similar jobs
Job type: Full-Time
Job Summary Responsible for overseeing the Case Management staff focused on assisting varous groups and individuals with their health care needs to...
Molina Healthcare Inc.
CA - Sacramento
3 Days Ago
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Actuarial Analyst III - View similar jobs
Job type: Contractor
Job Summary Prepare various monthly reports to support month-end close and IBNR calculations. Collaborate with other actuaries in the department to...
Molina Healthcare Inc.
CA - Long Beach
3 Days Ago
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Actuarial Analyst III (Long Beach, CA) - View similar jobs
Job type: Full-Time
Job Summary Prepare various monthly reports to support month-end close and IBNR calculations. Collaborate with other actuaries in the department to...
Molina Healthcare Inc.
CA - Long Beach
3 Days Ago
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Healthcare Services Clinical Trainer - UM - View similar jobs
Job type: Full-Time/Part-Time
Job Summary Reviews healthcare service delivery and provides standardized training programs for plan staff to improve quality, control medical costs...
Molina Healthcare Inc.
CA - Long Beach
3 Days Ago
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Sr Financial Analyst - View similar jobs
Job type: Full-Time
Job Summary Assume overall responsibility for developing and monitoring financial metrics relevant to Technology Financial Business Management...
Molina Healthcare Inc.
CA - Long Beach
4 Days Ago
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Inquiry D/A Resolution Coordinator - View similar jobs
Job type: Full-Time
Job Summary Point of contact for submission/resolution of Provider Disputes and/or Member Appeals Resolutions. Assesses and completes appropriate...
Molina Healthcare Inc.
OH - Columbus
4 Days Ago
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Manager Delegation Oversight - View similar jobs
Job type: Full-Time
Job Summary Responsible for managing the oversight of all delegated activities to ensure compliance with state, federal, NCQA, and Molina requirements...
Molina Healthcare Inc.
UT - Midvale
4 Days Ago
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Case Mgmt Processor (BILINGUAL) - View similar jobs
Job type: Full-Time
Job Summary Provide telephone, clerical and data entry support for the Molina Healthcare Services Case Management Team. Supports Case Management and...
Molina Healthcare Inc.
CA - Long beach, CA
4 Days Ago
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Healthcare Analyst II - SQL - View similar jobs
Job type: Full-Time
Job Summary Healthcare Analyst II is an individual contributor role that provides senior-level healthcare analysis for the state health plans...
Molina Healthcare Inc.
CA - Long Beach
1 Week Ago
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Telephonic Care Review Clinician II RN - View similar jobs
Job type: Full-Time
Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization...
Molina Healthcare Inc.
MI - Troy
1 Week Ago
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Care Review Clinician I LPN/LVN (2 open) - View similar jobs
Job type: Full-Time
Job Summary Works with the Utilization Management team and is primarily responsible for prior authorizations. According to guidelines provides...
Molina Healthcare Inc.
MI - Troy
1 Week Ago
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FIELD Case Manager II (15 open) - View similar jobs
Job type: Full-Time
Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and...
Molina Healthcare Inc.
MI - Troy
1 Week Ago
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Community Connector Field Social/LPN (7 open) - View similar jobs
Job type: Full-Time
Job Summary Under minimum supervision, serves as a community based member advocate and resource and a vital part of the Integrated Molina Healthcare...
Molina Healthcare Inc.
MI - Troy
1 Week Ago
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Claims Examiner III, experienced processors Long Beach, CA - View similar jobs
Job type: Full-Time
Experienced managed care and Medicare claims examiners with 3 to 5 years of production Billing experience will NOT be considered Claims Processing of...
Molina Healthcare Inc.
CA - Long Beach
1 Week Ago