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1,360 molina healthcare jobs

Director of Mergers, Acquisitions and Corporate Development

Molina Healthcare Inc. Long Beach, CA

Responsible for actively managing enterprise-wide merger and acquisition (M&A), joint venture, and other value-enhancing activities, with oversight… CareerBuilder

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Member Services Representative – new

Molina Healthcare Inc. 100+ Reviews Midvale, UT

* Accurately record all calls in QNXT as applicable * Responds to internal and external customers in a timely and accurate manner… CareerBuilder

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Care Review Clinician III/ Registered Nurse/ RN – new

Molina Healthcare Inc. 100+ Reviews Long Beach, CA

Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and… CareerBuilder

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MHPR IT Compliance Specialist – new

Molina Healthcare Inc. 100+ Reviews Adjuntas, PR

Responsible for ensuring Molina compliance with both regulatory and company Information Security policies. Monitors compliance and maintains an… CareerBuilder

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Registered Nurse Care Review Clinician III – new

Molina Healthcare Inc. 100+ Reviews Long Beach, CA

Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and… CareerBuilder

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Manager Member Services – new

Molina Healthcare Inc. 100+ Reviews Long Beach, CA

Manages call center functions including but not limited to: * Oversee and monitor performance and productivity standards for the department against… CareerBuilder

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Diretor of Healthcare Services – new

Molina Healthcare Inc. 100+ Reviews Springdale, OH

Oversight and management of the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services… CareerBuilder

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Case Mgr II (OB Dept CM Only) – new

Molina Healthcare Inc. 100+ Reviews Columbus, OH

Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of… CareerBuilder

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TRA Engineer II – new

Molina Healthcare Inc. 100+ Reviews Glen Allen, VA

Under general direction, responsible for performing research and requirement analysis, creation and design of mapping documents, and presents… CareerBuilder

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RN, QI Compliance Specialist – new

Molina Healthcare Inc. 100+ Reviews Bothell, WA

Creates and manages the required documentation for QI Compliance. Essential Functions * Conduct review and investigation of potential quality of care… CareerBuilder

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Healthcare Transition Coach 2, RN - Snohomish County REMOTE – new

Molina Healthcare Inc. 100+ Reviews Snohomish, WA

Responsible for safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and/or home in a cost… CareerBuilder

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Healthcare Services Clinical Trainer - UM – new

Molina Healthcare Inc. 100+ Reviews Long Beach, CA

Reviews healthcare service delivery and provides standardized training programs for plan staff to improve quality, control medical costs and ensure… CareerBuilder

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Supervisor Case Management – new

Molina Healthcare Inc. 100+ Reviews Sacramento, CA

Responsible for overseeing the Case Management staff focused on assisting varous groups and individuals with their health care needs to achieve… CareerBuilder

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Actuarial Analyst III – new

Molina Healthcare Inc. 100+ Reviews Long Beach, CA

Prepare various monthly reports to support month-end close and IBNR calculations. Collaborate with other actuaries in the department to perform… CareerBuilder

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Case Mgmt Processor (BILINGUAL) – new

Molina Healthcare Inc. 100+ Reviews Long Beach, CA

Provide telephone, clerical and data entry support for the Molina Healthcare Services Case Management Team. Supports Case Management and Long Term… CareerBuilder

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Sr Financial Analyst

Molina Healthcare Inc. 100+ Reviews Long Beach, CA

in order of importance) • Forecast and monitor economic benefits of Molina investments in infrastructure and operations (enhancements in… CareerBuilder

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QI Spec I HEDIS Interventions (RN or LPN REQUIRED)

Molina Healthcare Oakbrook Terrace, IL

Responsible for implementing and monitoring local QI and HEDIS interventions. Essential Functions • Assists Interventions Manager in implementing… CareerBuilder

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Provider/Community Outreach Coordinator

Molina Healthcare Inc. Greenville, SC

Serve as a vital link between Molina Healthcare and the community by creating brand awareness and opportunities for Molina through grass root and… CareerBuilder

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