Molina Healthcare jobs
Bilingual Community Outreach Specialist – Bilingual Mandarin – San Gabriel Valley CA
***Candidates For This Position Must Reside in/near the San Gabriel Valley or Pomona***
**Bilingual Mandarin/ or other Asian Languages Needed**
Are you passionate about serving and helping your community? Do you enjoy building relationships?
Molina Healthcareis hiring aBilingual Community Outreach Specialistin LA County (see listed locations). This important position is more than participating in event...
Manager, Delegation Oversight MediCal California Remote with Field Travel
JOB DESCRIPTION
Job Summary
The Manager, Delegation Oversight position is responsible for the management of staff and oversight of delegated activities, ensuring compliance with State, Federal, NCQA, and Molina delegation standards and requirements. Collaborates closely with internal business owners to manage and administer the relationships and performance of delegated entities including as applicable, but not limited to, Health Plan on-boarding activities, ...
Care Transition Case Manager (RN) California
**California residents preferred. Travel is required in Southern California, County of Los Angeles.
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...
Assoc Analyst, Data – Claims
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 cus...
Medical Director- Medicare (Licensed in CA)
JOB DESCRIPTION
Job Summary
Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting the medical and clinical staff.
** MD license in California
...Manager, Provider Relations
***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 staff are the primary point of contac...
Supv, Care Management : California
**California residents preferred. In office requirement Long Beach, CA / HYBRID.
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...
Sr Community Engagement Specialist (Cantonese / Mandarin) LA County
***Candidates For This Position Must Reside in/near the San Gabriel Valley or Pomona***
**Bilingual Cantonese / Mandarin Needed**
Are you passionate about serving and helping your community? Do you enjoy building relationships?
Molina Healthcare is hiring a Sr. Growth & Community Engagement Specialist in LA County (see listed locations). This important position is more than participating in events a...