Molina Healthcare jobs
Specialist, Medicare Member Engagement – Inbound (Remote in PST/Bilingual Preferred))
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...
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 ...
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 Clinician, Inpatient Review (RN) California Night Shift
***California residents preferred.
EMERGENCY ROOM ADMISSIONS REVIEW NURSE
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 throughout a 2 - 3 month training and then will move to a 3 day/12 hour shift after training is completed. Training hours are mandatory.
Hospice Oversight Care Manager (RN) California
HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)
*California residents preferred
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. ...
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, Compliance
JOB DESCRIPTION
Job Summary
Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise wide. It is a centralized corporate function supporting compliance activities at individual state health plans.
KNOWLEDGE/SKILLS/ABILITIES
The Compliance Analyst position is primarily responsibility for supporting the day to day operations and initiatives of the Compliance Depar...