138 Molina Healthcare Jobs

POSITION SUMMARY Responsible for answering calls regarding EDI transaction processing. Requires the ability to review health care data in ANSI X12 and XML formats and assist providers…

POSITION SUMMARY This position will coordinate with all PIM functional areas enterprise wide to ensure accurate provider demographics, including all additions, changes or terminations…

Job Summary Under general direction, develops software and modification enhancements to a MMIS through all phases of a system lifecycle. Contributes to the company's success through…

POSITION SUMMARY This position will coordinate with all PIM functional areas enterprise wide to ensure accurate provider demographics, including all additions, changes or terminations…

Job Summary Under general direction, develops software and modification enhancements to a MMIS through all phases of a system lifecycle. Contributes to the company's success through…

POSITION SUMMARY This position will coordinate with all PIM functional areas enterprise wide to ensure accurate provider demographics, including all additions, changes or terminations…

Under general direction, develops software and modification enhancements to a MMIS through all phases of a system lifecycle. Contributes to the company's success through excellent…

Job Summary Supervises and provides direct oversight of the activities of the Provider Services Call Center, Provider Correspondence, Field Representatives, and/or member services…

Job Summary Supervise Member Services Representative through delegation of duties and monitoring of daily operations, according to department's policies and procedures. Essential…

Under general direction, develops software and modification enhancements to a MMIS through all phases of a system lifecycle. Contributes to the company's success through excellent…

MOLINA HEALTHCARE - TALENT DEVELOPMENT ANALYST Job Summary/Essential Functions The Talent Development Analyst, under limited guidance, designs, plans, coordinates and implements…

Programmer Analyst POSITION SUMMARY Primarily responsible for leading the design, development, testing and implementation of custom software applications and off the shelf technologies…

Job Summary Models and applies software engineering methods and techniques to more complex design, development, evaluation, integration, qualification initiatives and supports…

POSITION SUMMARY This position requires a senior-level writer with experience in content development, compilation, editing and submission of proposals for government sponsored…

Job Summary Directly supervises daily activities/tasks performed by non-exempt and/or exempt employees. Monitors operations of Claims Department unit and actively assists, or…

Job Summary Point of contact for submission/resolution of Provider Disputes and/or Member Appeals Resolutions. Assesses and completes appropriate documentation for tracking/trending…

JOB SUMMARY Negotiates assigned contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable…

Medical Director - Behavorial Health Provides medical oversight in appropriateness and medical necessity of healthcare services provided to Plan members, targeting improvements…

Job Summary This primary care physician will work in the health centers providing primary care medical care services to the patients of the Community Healthcare Network. Essential…

Job Summary The Director of Member Services provides high-level oversight and guidance to the Member Services Manager and staff to ensure the department meets the company's Strategic…