Molina Healthcare jobs
Medicare Member Engagement Spc, Remote PST Hours
Job Summary
Responsible for continuous quality improvements regarding member engagement and member
retention. Represents Member issues in areas involving member impact and engagement including:
New Member Onboarding, member plan benefits education, and the development/maintenance
of Member Materials.
Knowledge/Skills/Abilities
- Conducts direct outreach to new Medicare mem...
Delegation Oversight Nurse (CA LVN License)
JOB DESCRIPTION
Job Summary
Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement.
KNOWLEDGE/SKILLS/ABILITIES
The Delegation Oversight Nurse is responsible for ensuring that Molina H...
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...
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...