Molina Healthcare jobs in El Monte, CA

A healthcare organization is seeking a skilled individual to provide senior-level administrative support for program operations. The role involves managing participant referrals, data entry, and ensuring operational efficiency while maintaining a high level of confidentiality. Required qualifications include a Bachelor's degree and at least 2 years of relevant experience in healthcare or...

Sr IRIS Training SpecialistJob SummaryThe Sr IRIS Training Specialist is responsible for delivering a standard training curriculum for all incoming IRIS Consultants, developing training materials to ensure consistent training among IRIS Consultant staff, and leading and executing training activities and initiatives to support IRIS program operations and field staff in the areas of referrals,...

Job Description Job Summary Supervises and mentors a team focused on primary, urgent, and preventative care services in various non-clinical community settings such as homes, nursing facilities, shelters, and pop-up clinics, in any environment where members feel most comfortable and are receptive to care that aligns with Molina Healthcare's philosophy and mission. Provides direct medical care to...

A leading healthcare organization in Long Beach, California, is seeking a Senior Program Management Professional. The role involves managing internal projects, directing teams, and ensuring successful product delivery. Candidates should have extensive project management experience, strong leadership abilities, and a background in Managed Care. This position offers a competitive benefits and...

JOB DESCRIPTION Job Summary Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external...

Molina Healthcare seeks an experienced Business Analyst to support the Nebraska Health plan by providing expertise in claims analysis and service recovery efforts. The ideal candidate will have a strong background in business analysis, experience in managed care, and proficiency in relevant tools like SQL and Salesforce. This competitive role involves collaboration with various teams to enhance...

JOB DESCRIPTION Job Summary Support the Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts. Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs...

Employer Industry: Healthcare Technology Why consider this job opportunity: - Opportunity for career advancement and growth within the organization - Competitive benefits and compensation package - Work on innovative projects involving generative AI healthcare solutions - Supportive and collaborative work environment - Chance to make a significant impact on healthcare operations and member...

Molina Healthcare is seeking an experienced Senior Data Scientist to lead data science projects in a collaborative team environment. The role requires overseeing the development of AI technologies and data models, deriving analytical insights to drive strategic initiatives. Candidates should possess a Master's degree and 10+ years of relevant experience, particularly in the healthcare sector....

Job Summary Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. Knowledge/Skills/Abilities - Ability to provide strategic leadership on projects while also managing multiple, complex challenging projects and managing...

Job Description Job Summary Provides subject matter expertise for the design and implementation of value-based care programs across Medicaid, Medicare, and Marketplace populations, ensuring alignment with clinical, quality and financial goals. Job Duties - Leads the end-to-end design of value-based care programs that are responsive to market needs and tailored for Medicaid, Medicare, and...

A leading healthcare provider in California seeks a Project Manager to oversee process improvements and manage multiple complex projects. This role requires a Bachelor's degree and 5-8 years of relevant experience. The ideal candidate will have strong leadership skills, knowledge of project management techniques, and the ability to learn new software quickly. A competitive benefits package is...

Job Description JOB DESCRIPTION Job Summary Provides strategy and leadership to a multidisciplinary team of healthcare services professionals, in some or all of the following functions: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), and other clinical programs. Leads team responsible for assessing, facilitating, planning and...

Job Description JOB DESCRIPTION Job Summary The Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easier for them to connect to the care they need. The MFE conducts interviews and screens potentially eligible recipients for enrollment into Government Programs...

JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who must be licensed for the state of South Carolina and or compact license. Care Manager RN will work with Medicaid/Medicare SC population completing assessments, care plans, educating, and connecting to community resources. Excellent computer skills and attention to detail are very important to multitask between systems,...

Job Description For this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of OH Case Manager RN will work in remote and field setting supporting Medicare and Medicaid l health population. This role will be supporting our HIDE-SNP population, completing face to face assessments, care plans, and providing education and...

Job Description JOB DESCRIPTION Job Summary The Marketplace Facilitated Enroller (MFE) is responsible for identifying prospective members that do not have health insurance and assisting with the enrollment process ultimately making it easier for them to connect to the care they need. The MFE conducts interviews and screens potentially eligible recipients for enrollment into Government Programs...

Job Description JOB DESCRIPTION For this position we are seeking a TX licensed Occupational Therapist to join the utilization management team conducting reviews for cases requiring OT services. Preference will be given to those OTs who have worked with and have a high level of knowledge of Interqual/MCG guidelines. Excellent computer, multi-tasking skills, and analytical thought processes are...

Job Description JOB DESCRIPTION Job Summary Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives that they choose? Then you'll want to keep reading about this rewarding work opportunity! We are currently looking for a Registered Nurse licensed in Wisconsin to become our next IRIS Self-Directed Personal Care (SDPC) RN....

Job Description Field Travel throughout Dane County, WI 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...