Molina Healthcare Jobs in Columbus

RSS

7 Molina Healthcare jobs in Columbus, Ohio found on Monster.

Jobs 1 to 7 of 7
MOLINA HEALTHCARE- CARE REVIEW CLINICAN II- COLUMBUS, OH Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospi...
Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorization...
Job Summary Supervises a team of Provider Contract Specialists and Provider Contracts Coordinators to effectively create required contract documents according to standardized policies and procedures, documents all negotiations and implements/oversees tracking systems. Maintains standardized contract tracking system and publishes reports according to departmental procedures. Essential Functions ...
MOLINA HEALTHCARE - QI SPECIALIST III- INTERVENTIONS- COLUMBUS, OH Job SummaryResponsible for implementing and monitoring local QI and HEDIS interventions. Essential FunctionsThe position's essential functions are as follows: • Coordinates the preparation of annual HEDIS medical records project. • Coordinates medical record collection process with third party vendor and/or MHI. • Validates ex...
MOLINA HEALTHCARE- HEALTHCARE ANALYST II- COLUMBUS, OH Job Summary Healthcare Analyst II is an individual contributor role that provides senior-level healthcare analysis for the state health plans, including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory man...
MOLINA HEALTHCARE- Q/I SPECIALIST II -INTERVENTIONS Job Summary Responsible for implementing and monitoring local QI and HEDIS interventions. Essential Functions • Assists Interventions Manager in implementing provider or member interventions • Works on removing barriers to care, either at the provider or member level • Assists in data entry and monitoring of interventions • Works with HP R...
MOLINA HEALTHCARE SUPERVISOR OF UTILIZATION MANAGEMENT- COLUMBUS, OH Job Summary Oversees the integrated Care Access and Monitoring team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Monitors infor...

Didn't find the right job at Molina Healthcare in Columbus, Ohio?
We'll keep looking and send you new jobs that match this search.
email me

Upload your resume and let employers find you!
It's that simple!

Popular Articles

Seven Sports Jobs and What They Pay Article Rating
Why just work when you can earn a paycheck to play all day? Check out these sports-related jobs and find out what they pay.
Five Holiday Jobs for Extra Income Article Rating
Want to top up your holiday budget? Get a job that pays more than the minimum and has higher demand around the holidays. Here are five to check out.
For Employers: Post Jobs | Search Resumes | Advertise
About Monster | Work for Monster | Advertise with Us | AdChoices | Partner with Us | Investor Relations | Social Media
Terms of Use | Privacy Center | Accessibility Center | Help | Security | Contact Us | Sitemap | Mobile
©2014 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2014.4.60.60-205
eTrustLogo