Molina Healthcare jobs
Specialist, Facility Site Review (must reside in California)
Job Summary
Provides support for facility site review activities including routine document preparation and file management, site review meeting/travel scheduling, and office supply ordering. Facilitates activities including training and reporting, and supports projects and assignments aligned with functional facility site review processes and services. Provides feedback to leadership on facility site review program components...
Representative, Care Connections Member Advocate – Must Be Bilingual in Spanish – CA ONLY
Job Description
Please note the required shifts are Mon - Fri 10:00 AM 7:00 PM or Tues - Sat 7:00AM - 4:00PM 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
Care Manager (RN) – CA State License AND Compact
JOB DESCRIPTION Job Summary
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Completes comprehensive assessments of members per regulated timelines and determines wh...
Account Representative, Medicare Sales-LA-Fully bilingual-Spanish
JOB DESCRIPTION Job Summary
Provides support for Molina Medicare sales activities. Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within market areas to achieve revenue, profitability and retention goals. Adheres to ethical sales practices, compliance with Centers for Medicare and Medicaid Services (CMS), and other regulatory requirements.
Essential Job Dutie...
Senior Medical Director (IPA- Based in CA)
JOB DESCRIPTION Job SummaryLeads and manages a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care.
Position is based in California.
Essential Job Duties
Leads a team of medical directors responsible for assessing ap...