Molina Healthcare jobs
Provider Contracts Manager
Job Description
Job Summary
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.
Negotiates agreements with Complex providers who are strate...
Provider Relations Representative
***Remote and must live in California***
Job Description
Job Summary
Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ...
Provider Contracts Specialist
***Remote and must live in California***
Job Description
Job Summary
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state a...
Engineer, Applications – Pega/SQL – Remote
JOB DESCRIPTION
Job Summary
Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems end-to-end: including people,...
Correspondence Processor: California
***California residents only. Must be on site in our Long Beach office 1x per week.
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ens...
Care Review Clinician, Inpatient Review (RN) California
***California residents preferred.
EMERGENCY ROOM ADMISSIONS REVIEW NURSE
3-12 DAY SHIFT7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will rotate.
OR
3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will rotate.
TRAINING SCHEDULE WILL BE Monday thru Friday8:30AM to 5:30PM PACIFIC througho...
Field Nurse Practitioner (Los Angeles, CA)
JOB DESCRIPTION
Job Summary
The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and pop up clinic.
The Nurse Practitioner will be required to work primarily in non-clinical settings and provid...
Senior Data Analyst – Healthcare – CA
JOB DESCRIPTION
Job Summary
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define req...
Care Review Processor: California
**California residency required
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes w...
Care Review Processor: NIGHT SHIFT California
**California residency required
WORK SCHEDULE: Night shift 10:00PM - 6:30AM PACIFIC Sunday thru Thursday.
TRAINING SCHEDULE WILL BE Monday thru Friday8:30AM to 5:30PM PACIFIC and then will move to the night shift after you are fully trained. Training hours are mandatory.
This position supports our California Health Plan. Candidates can live anywhere in the USAand must work the Pacific ...
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