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Claims Member Appeals Processor
Job Summary Point of contact for submission/resolution of Provider Disputes and/or Member Appeals Resolutions. Assesses and completes appropriate...
Posted on 5/22/2013
WI - West Allis
Community Outreach Coordinator
Molina Healthcare has an immediate opportunity for a Community Outreach Coordinator at our Grand Rapids, MI location. This role serves as a vital link...
MI - Grand Rapids
MANAGER- Youth Programs
MOLINA HEALTHCARE - MANAGER OF YOUTH PROGRAMS Job Summary To lead outreach activities and build partnerships with community organizations, elected...
CA - Sacramento
Manager, Healthcare Services
Job Description Manager, Healthcare Services II JOB SUMMARY: Manages the day to day integrated team of health plan based staff responsible for cost...
TX - Houston
RN Care Review Clinician II
Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization...
TX - San Antonio
Case Manager I (Remote)
Job Description Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical...
TX - El Paso
RN Case Manager II (Remote)
TX - Edinburg
Clinical Trainer - Health Care Services
Clinical Trainer - Healthcare Services Job Summary Reviews healthcare service delivery and provides standardized training programs for plan staff to...
Posted on 5/21/2013
CA - Long Beach
SURS RN Analyst I
Molina Healthcare has immediate opportunities for SURS RN Analyst I at our Baton Rouge, LA location. Reviews claims using medical records and system...
LA - Baton Rouge
Healthcare Analyst II
POSITION SUMMARY: Healthcare Analyst II is an individual contributor role that provides senior-level healthcare analysis for the state health plans,...
OH - Columbus
Care Review Clinician I - LVN
Molina Healthcare has immediate opportunities for four (4) Care Review Clinician I - LVN at our Irving, TX location. Works with the Utilization...
TX - Irving
Care Review Processor I
Job Summary Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for Molina Members that require...
IL - Springfield
Case Manager I - LMSW
Molina Healthcare has an immediate opportunity for a Case Manager I - LMSW at our Edinburg, TX location. This role is responsible for health care...
Healthcare Services Manager RN
Molina Healthcare has an immediate opportunity for (2) two Healthcare Services Manager II RN at our Troy, MI location. This role manages the day to...
MI - Troy
Case Manager II
Molina Healthcare has an immediate opportunity for a Case Manager II RN at our Troy, MI location. This role is responsible for health care management...
Care Review Clinician II-Behavioral Health RN
Molina Healthcare has an immediate opportunity for two (2) Care Review Clinician II-Behavioral Health RN at our Troy, MI location. This role works...
Registered Nurse/Social Worker
Case Manager RN
Molina Healthcare has an immediate opportunity for a Case Manager II RN at our Houston, TX location. This role is responsible for health care...
Technical Lead
POSITION SUMMARY Leads the effort to support, manage and customize Human Resources, Payroll and Human Capital Management applications associated with...
Administrative Assistant
MOLINA HEALTHCARE - ADMINISTRATIVE ASSISTANT - FINANCE AND ACCOUNTING Job Summary Under direct supervision, provides general administrative support to...
WA - Bothell
RN - Care Review Clinician II
MOLINA HEALTHCARE - Care Review Clinician II - RN JOB SUMMARY Works with the Utilization Management team primarily responsible for inpatient medical...
Mgr Coding & Education
Job Summary The Coding and Education Manager will be responsible for enforcing coding standards among the health plans based on guidelines provided by...
Posted on 5/20/2013
Mgr Provider Contracts
Job Summary Plans, organizes, staffs, and assists in the supervision of the activities of the Plan's Provider Contracts unit within the Network...
CA - Pomona
Technical Writer II
Job Summary Creates, writes, edits and publishes a variety of end user documents including policies and procedures, training manuals, processing...
ME - Augusta
ETL Engineer I
Job Summary Responsible for designing and/or developing processes that translate complex Medicaid data from various sources to destinations. Requires...
VA - Glen Allen