Molina Healthcare jobs
Facility Site Review Nurse (Remote)
JOB DESCRIPTION
Job Summary
Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys a...
UM LVN Delegation Oversight Nurse Remote based in CA
JOB DESCRIPTION
Job Summary
KNOWLEDGE/SKILLS/ABILITIES
TheDelegation Oversight Nurseis responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team.We are looking for L...
Provider Relations Representative
***Remote and must live in Los Angeles County***
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 Re...
Analyst, Quality Interventions/QI Compliance (Remote in CA)
JOB DESCRIPTION
Job Summary
Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys a...
Director, Provider Contracts HP (Must Reside in California)
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. Plans, organizes, staffs, and coordinates the Provider Contracts activ...
Sr Spc, Growth & Comm Engagement (LA County)
JOB DESCRIPTION
Job Summary
Responsible for achieving established goals improving Molinas enrollment growth objectives, with primary responsibility for Medicaid. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages..
KNOWLEDGE/SKILLS/ABILITIES
- Under limited supervision, responsible for carrying out enrollment events and achieving assig...
Data Analyst (Healthcare Required) – CA ONLY – REMOTE
Hospice Oversight Case Manager (RN) California
HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)
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 ...
Field Family 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...
Rep, Provider Relations HP (LOS ANGELES COUNTY)
Job Description
******Employee must reside in Los Angeles County. Will have up to 60% daytime travel throughout Los Angeles County meeting with Providers.******
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 ...
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