Georgia
Molina Healthcare Jobs in Georgia
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Molina Healthcare
El Paso, TX, 79902
Remote position, not telephonic, must provide 10 home visits and live in the El Paso area Provides case management services to members with chronic or complex conditions including: Proactively identifies members that may qualify for potential case management services. Conducts assessment of member needs by collecting in-depth information from Molina's information system, the member, member's famil...
Molina Healthcare
El Paso, TX
This is a Remote position (home office)-not telephonic and requires 10 home visits per week. Must live in the El Paso area. Provides case management services to members with chronic or complex conditions including: Proactively identifies members that may qualify for potential case management services. Conducts assessment of member needs by collecting in-depth information from Molina's information...
Molina Healthcare
Oak Brook, IL
Job Summary Support Molina Healthcare of Illinois in their annual HEDIS and on-going intervention efforts. Responsible for data extraction, analysis, report generation, and coordination of the medical records identification and collection activities. Essential Functions • Coordinates the preparation of the annual HEDIS medical record review project which includes Chase MOCK refinement, test run an...
Molina Healthcare
Troy, MI
POSITION SUMMARY Subject matter expert and project manager for Medicare initiatives at the health plan. Responsible for driving execution of Molina's quality, compliance, integration and profitability strategy for Medicare dual eligible special needs plans (D-SNPs), in coordination with corporate Medicare. DUTIES AND RESPONSIBILITIES •Provides input on issues of strategic direction to health plan...
Molina Healthcare
Boise, ID
JOB SUMMARY Supervises and provides direct oversight of the activities of the Data Analytics and Reporting team. Holds staff meetings, provides guidance and mentoring to team and works alongside site operations staff. Considered a SQL GURU. Leads in gathering requirements, technical requirements and works directly with Business Architects within MITA areas. Works independently or cooperatively wit...
Molina Healthcare
Irving, TX
Job Summary Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures. Will also be responsible for the development and managem...
Molina Healthcare
Columbus, OH
Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member's progress and services to ensure consistent cost effective care that complies with Molina policy and...
Molina Healthcare
Glen Allen, VA
Job Summary Responsible for managing large scale multi-million dollar projects or programs on behalf of State Medicaid Agencies. Supports the sales process by actively identifying opportunities and accurately scoping projects in the sales process. Essential Functions o Manages all aspects of very large system implementation projects of significant complexity with 20+ people working on sub teams OR...
Molina Healthcare
Oak Brook, IL
Job SummaryProvides strategic and operational HR consultation to assigned client groups, which may be located in multiple states. Responsible for the assessment of HR initiatives to support business strategies. Collaborates with Centers of Expertise (COEs) to develop and implement HR programs to meet business objectives. Provides comprehensive support in the areas of organizational effectiveness,...
Molina Healthcare
San Antonio, TX, 78216
The RN Case Manager II is responsible for health care management and coordination of Molina Healthcare memebers in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitiors Molina Member's progress and services to ensure consistent cost effective care that complies with M...
Molina Healthcare
Irving, TX
Job Description Supervisor, Case Management Location: Irving, TX This is a non-remote position Job Summary Responsible for overseeing the Integrated Case Management staff focused on assisting Molina Healthcare members with their health care needs to achieve optimal clinical, financial and quality of life outcomes. Monitors information daily as appropriate including member metrics and staff product...
Molina Healthcare
Boise, ID
Job Summary Under general direction, serves as a lead responsible for oversight of team members that are performing research and requirement analysis, creation and design of mapping documents, and presents findings to appropriate team members, clients and vendors. Determines best practices and provides suggestions on how to improve current practices. Serves as a leader for the TRA group and suppor...
Molina Healthcare
Sacramento, CA
Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member's progress and services to ensure consistent cost effective care that complies with Molina policy and...
Molina Healthcare
San Antonio, TX, 78216
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 authorizations...
Molina Healthcare
Houston, TX, 77084
Job Description Manager, Healthcare Services II JOB SUMMARY: Manages the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for Molina members. Oversees staff responsible for establishing clinical, financial and educational goals for members to achieve high quality patient care and optimal outcomes. Monitors information daily as app...
Molina Healthcare
Edinburg, TX
Job Description Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member's progress and services to ensure consistent cost effective care that complies with M...
Molina Healthcare
El Paso, TX
Job Description Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member's progress and services to ensure consistent cost effective care that complies with M...
Molina Healthcare
Augusta, ME
Job Summary Considered a SQL GURU. Assists in gathering requirements, technical requirements and works directly with Business Architects within MITA areas. May work independently or cooperatively with other software developers. May act as a lead on smaller projects and roles specific to area of expertise. Essential Functions o Creates stored procedures, functions and queries o Writes and maintains...
Molina Healthcare
Long Beach, CA
Clinical Trainer - Healthcare Services Job Summary Reviews healthcare service delivery and provides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with all state and federal regulations and guidelines. Collaborates with the integrated Healthcare Services team to assess quality and implement clinical training programs to facilitate stan...
Molina Healthcare
Columbus, OH
POSITION 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 mandates, and claims data coordination. DUTIES AND RES...
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