Molina Healthcare jobs
Care Connections Member Advocate Inbound – Must Be Bilingual in (Spanish, Cantonese, Russian, Tagalog, Armenian) Mon-Fri 8:30 AM 5:30 PM Pacific Time Zone
Job Description
Job Summary
Handles inbound calls from members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements.
Job Duties
- Schedules high-quality member appointments daily to meet departmental goals.
- Completes assigned hand-dial lis...
Care Connections Member Advocate Outbound – Must Be Bilingual in Spanish. Mon – Fri 10:00 AM 7:00 PM or Tues Sat 7:00 AM 4:00 PM Pacific Time Zone
Job Summary
Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements.
Job Duties
- Schedules high-quality member appointments daily to meet departmental goals.
- Completes assigned hand-dial lists and mem...
Field Nurse Practitioner (Alhambra, CA)
JOB DESCRIPTION Job Summary
Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and pop up clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Provides general medical care and car...
Analyst, Risk & Quality Reporting (Remote)
JOB DESCRIPTION
Job Summary
The Analyst, Risk and Quality Reporting role supports Molinas Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP.
Job Duties
Field Nurse Practitioner (Long Beach, CA)
JOB DESCRIPTION Job Summary
Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and pop up clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Provides general medical care and care c...
Care Management Processor (Must reside in CA)
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 with quality care that is medically appropriate and cost-effect...