• Lead Analyst, Config Info Mgmt - QNXT

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $67,725 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
    Molina Healthcare (11/10/24)
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  • Pharmacy Technician - (CPhT) Remote PST Hours

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... ** Molina Health** care is hiring for a remote...attention to detail, analysis, and excellent communication. **Job Summary** Molina Pharmacy Services/Management staff work to ensure that … more
    Molina Healthcare (11/09/24)
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  • Specialist, Quality Interventions/QI Compliance-…

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **JOB DESCRIPTION** **Job Summary** Molina 's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement… more
    Molina Healthcare (11/09/24)
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  • Intern, Quality Improvement (Must reside…

    Molina Healthcare (Covington, KY)
    **JOB DESCRIPTION** **JOB SUMMARY (Purpose of the Job & high-level summary):​** The Molina Healthcare Internship Program shares an objective to create a ... for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties… more
    Molina Healthcare (11/08/24)
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  • VP, Marketplace Clinical Operations (Remote)

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification To all current Molina employees: If… more
    Molina Healthcare (11/08/24)
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  • Lead Analyst, Data Quality Analytics…

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Azure, AWS, or Hadoop. + 5+ Years of experience with predictive modeling in healthcare quality data. + 5+ Years of experience in Analysis related to HEDIS rate… more
    Molina Healthcare (11/02/24)
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  • Sr Admin, IT Systems - Azure/VMWare - Remote

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $67,725 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
    Molina Healthcare (11/02/24)
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  • Lead Business Analyst (Managed Care Required)…

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... procedures applicable to job-related subject areas. + Must have worked in US Healthcare government programs such as Medicare, Medicaid, the Affordable Care Act, or… more
    Molina Healthcare (11/02/24)
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  • Sr Analyst, Healthcare Analytics/ Provider…

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... work during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
    Molina Healthcare (11/02/24)
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  • Compliance Analyst (HIPAA/Privacy)

    Molina Healthcare (Covington, KY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare 's HIPAA Compliance team supports privacy compliance operations for all Molina product lines enterprise ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (10/30/24)
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  • VP, Payment Integrity - REMOTE

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... minimize administrative expense, and improve performance. **Job Duties** * Lead Molina 's Payment Integrity Content Ideation, Research and Edit Development teams in… more
    Molina Healthcare (10/17/24)
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  • Sr Benefits Analyst - Config info Mgmt - QNXT

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... claims processing system, benefit configuration. + SQL knowledge is preferred. + Healthcare experience is required, + Experience working in a managed care… more
    Molina Healthcare (10/17/24)
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  • Sr Rep, Enrollment - Remote

    Molina Healthcare (Covington, KY)
    …concerning member eligibility. + Quality review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. **JOB ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (10/13/24)
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  • Care Review Clinician, Inpatient Review (RN)

    Molina Healthcare (Covington, KY)
    …**_Further Details to be discussed during our interview process._** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews… more
    Molina Healthcare (10/02/24)
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  • Lead Systems Analyst, TCIM - Tech Support, Data…

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... scrum team + Basic to intermediate knowledge of C# + Familiarity with healthcare data and concepts + Familiarity with QNXT + Excellent analytical and problem-solving… more
    Molina Healthcare (09/22/24)
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  • Care Connections Representative - (REMOTE) must…

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... The Care Connections Representative primary focus is to conduct outbound calls to Molina members and schedule appointments with our Nurse Practitioners. As part of … more
    Molina Healthcare (09/22/24)
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  • Member Navigator -Bilingual (English/Spanish,…

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **KNOWLEDGE/SKILLS/ABILITIES** + Strong working knowledge of medical terminology and healthcare landscape preferred + Excellent written and verbal communication… more
    Molina Healthcare (09/22/24)
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  • Sr Analyst, Config Info Mgmt- Medicare /QNXT…

    Molina Healthcare (Covington, KY)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $67,725 - $141,371 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
    Molina Healthcare (09/06/24)
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  • Case Manager (RN) (Must Reside in OH or MS)

    Molina Healthcare (Cincinnati, OH)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (11/12/24)
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  • RN Supervisor, Healthcare Services…

    Molina Healthcare (Cincinnati, OH)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Experience** 3-5 years **Required License, Certification, Association** Active, unrestricted, Healthcare Related license in California if applicable. Willing to… more
    Molina Healthcare (11/10/24)
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