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41 jobs found
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 Job Title / Description ( show titles only ) CompanyLocation icon
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Care Review Clinician II - 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.
WI - West Allis
1 Week Ago
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Manager Healthcare Analysis - View similar jobs
Job type: Full-Time
Job Summary Manager Healthcare Analysis is a supervisory role, responsible for managing plan Healthcare Analysis staff to meet the reporting needs of...
Molina Healthcare Inc.
WI - West Allis
2 Weeks Ago
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Lead Member Services - View similar jobs
Job type: Full-Time
Job Summary Supports call center operations by modeling exemplary behaviors for Member Service Representatives. Leads assist the Management Team in...
Molina Healthcare Inc.
WI - West Allis
5 Days Ago
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Manager QI Interventions (HEDIS EXP REQUIRED- RN REQUIRED) - View similar jobs
Job type: Full-Time
MOLINA HEALTHCARE- MANAGER QI INTERVENTIONS- HEDIS- WEST ALLIS, WIS Job Summary Oversees the design, implementation and evaluation of quality...
Molina Healthcare Inc.
WI - West Allis
4 Days Ago
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Provider Inquiry Research & Resolution Representative - View similar jobs
Job type: Full-Time
Job Summary Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments. Researches...
Molina Healthcare Inc.
WI - West Allis
4 Days Ago
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Credentialing Specialist II - View similar jobs
Job type: Full-Time
Job Summary Responsible for coordinating the assigned aspects of the credentialing and primary source verification process for practitioners and...
Molina Healthcare Inc.
WI - West Allis
4 Days Ago
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Member Services Rep - 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.
WI - West Allis
4 Days Ago
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Case Manager I - RN/MSW - 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.
WI - Milwaukee
1 Week Ago
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Community Connector - 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.
UT - Midvale
4 Days Ago
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RN Appeals/Denials Specialist II - View similar jobs
Job type: Contractor
Job Summary Manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members and related outside agencies...
Molina Healthcare Inc.
TX - San Antonio
4 Days Ago
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RN Case Manager II - Bexar (multiple positions) - 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.
TX - San Antonio
2 Days Ago
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RN Care Review Clinician II : Multiple Positions - View similar jobs
Job type: Contractor
Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization...
Molina Healthcare Inc.
TX - San Antonio
5 Days Ago
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Community Connector - View similar jobs
Job type: Contractor
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.
TX - San Antonio
2 Days Ago
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Mgr. Healthcare Services II - View similar jobs
Job type: Full-Time
Job Summary Manages the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for...
Molina Healthcare Inc.
TX - Edinburg
4 Days Ago
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RN - Field Case Mgr II (Remote) - 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.
TX - Beaumont
5 Days Ago
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Supervisor, UM II - View similar jobs
Job type: Contractor
Job Summary Oversees the integrated Care Access and Monitoring team responsible for prior authorizations, inpatient and outpatient medical necessity...
Molina Healthcare Inc.
SC - Charleston
1 Week Ago
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Enrollment Accounting Supervisor (Bilingual Eng/Span Required) - View similar jobs
Job type: Full-Time
Job Summary Accomplishing department objectives by managing staff, including daily production planning activities. Working collaboratively with...
Molina Healthcare Inc.
PR - San Juan
3 Weeks Ago
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Community Outreach Coord (Location: Dayton, OH) - View similar jobs
Job type: Full-Time
Job Summary Serve as a vital link between Molina Healthcare and the community by creating brand awareness and opportunities for Molina through grass...
Molina Healthcare Inc.
OH - Dayton
5 Days Ago
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Supervisor Utilization Management II - View similar jobs
Job type: Full-Time
Job Summary Oversees the integrated Care Access and Monitoring team responsible for prior authorizations, inpatient and outpatient medical necessity...
Molina Healthcare Inc.
OH - Columbus
1 Week Ago
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Behavioral Healthcare Transitions Coach II - View similar jobs
Job type: Full-Time
Job Summary Responsible for safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and/or home in a...
Molina Healthcare Inc.
NM - roswell
5 Days Ago
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Manager, Healthcare Services II RN - View similar jobs
Job type: Full-Time
Job Summary Manages the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for...
Molina Healthcare Inc.
MI - Troy
3 Weeks Ago
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Security Operations Center Analyst - View similar jobs
Job type: Contractor
Job Summary Information and Technology Services (ITS) at Molina Healthcare Inc. has an exciting opportunity for an Incident Responder and Threat...
Molina Healthcare Inc.
MI - Troy
5 Days Ago
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Supv Interventions HEDIS - HP - View similar jobs
Job type: Contractor
Job Summary Supervises, oversees, implements, and evaluates all local QI and HEDIS interventions. Essential Functions * Implements goals and...
Molina Healthcare Inc.
MI - Troy
4 Days Ago
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Deputy Account Manager - View similar jobs
Job type: Full-Time
Job Summary Primary areas of focus includes management and supervision over one or more of the functional departments of Molina Medicaid contract for...
Molina Healthcare Inc.
ME - Augusta
1 Week Ago
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Provider Contracts Manager II - View similar jobs
Job type: Full-Time
Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including, integrated delivery systems...
Molina Healthcare Inc.
IL - Springfield
3 Weeks Ago