Molina Healthcare
Molina Healthcare is a dynamic force in the healthcare industry, driven by a commitment to providing quality care to underserved populations. They are actively seeking talented individuals who are passionate about making a difference and contributing to a healthier future for communities nationwide. Working at Molina offers the unique opportunity to be part of a mission-driven organization that values innovation, collaboration, and professional growth. With over 100 open positions, Molina has a wide array of career paths available for individuals with diverse skill sets. Whether you're a seasoned analyst with expertise in medical economics or data management, a licensed care manager eager to support behavioral health patients, or a developer specializing in QNXT applications, Molina offers a challenging and rewarding environment. Joining Molina Healthcare means joining a team dedicated to improving lives and shaping the future of healthcare delivery.
About the Company
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Open Positions
100Molina Healthcare is hiring a Pharmacy Customer Service Representative. This role is remote for those who live in Florida only. Bilingual- Spanish speaking is needed. Our agents assist with all Medica...
JOB DESCRIPTION Job Summary Leads and supervises team responsible for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or aut...
Job Description Job Summary Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction depar...
JOB DESCRIPTION ****Employee for this role must reside in the state of Florida**** Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting act...
***Remote with field travel in Dane County, WI*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborate...
Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies an...
Job Description Job Summary Molina Healthcare is seeking a Principal Engineer, Applications (Pega) to lead and elevate our enterprise application landscape. We are looking for a highly experienced, se...
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery o...
***Candidates For This Position Must Reside in/near Pierce or Thurston Counties*** ***Bilingual, Any Language Accepted, Spanish preferred*** Are you passionate about serving and helping your community...
JOB DESCRIPTION For this position we are seeking a Licensed Social Worker who lives in Kentucky and must be licensed for the state of Kentucky. Case Manager will work with KY Medicaid population provi...
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 co...
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, shelt...
Molina Healthcare is hiring five Pharmacy Technicians who will work 100% remotely. Schedules will be Monday–Friday, 10:00 AM–6:30 PM Mountain Standard Time. Bilingual in any language highly preferred ...
IRIS SDPC (RN) (HOME BASED, NO WEEKENDS/NO AFTER HOURS) Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summa...
Job Description Job Summary Molina Healthcare is seeking a Principal Engineer, Applications (Pega) to lead and elevate our enterprise application landscape. We are looking for a highly experienced, se...
JOB DESCRIPTION Opportunity for a TX licensed RN with experience working in women’s health; specifically, OB, L&D, or postpartum, to join our Texas Health Plan as a Case Manager. Your caseload will co...
JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multid...
JOB DESCRIPTION Job Summary Provides lead level support in the execution of merger and acquisition transactions and actively contributes to the advancement of Molina Healthcare’s overall growth strate...
Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies an...
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 co...
JOB DESCRIPTION Job SummaryThe Care Manager provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member ca...
JOB DESCRIPTION Job Summary Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning,...
JOB DESCRIPTION Job Summary Provides program management and strategic oversight for provider engagement, quality improvement, and risk adjustment initiatives. The position is responsible for planning,...
IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with lo...
JOB DESCRIPTION Opportunity for Texas licensed RN to join Molina as a Care Manager working with our Medicaid members in the Dallas, TX service delivery area. If hired, you will conduct face-to-face me...
JOB DESCRIPTION Job Summary Manages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products...
Job Description Job Summary The Sr. ER Consultant is generally responsible for the following: Mitigating risk for the organization and creating capacity for people leaders in counseling and guiding th...
JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healt...
JOB DESCRIPTION Job Summary Leads and directs team responsible for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves...
IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with lo...
***Remote with field travel in Dane County, WI*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborate...
Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies an...
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinica...
Job Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina H...
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representativ...
JOB DESCRIPTION Job SummaryLeads and supervises team supporting long-term care eligibility, screening processes and coordination for older adults and adults with physical or intellectual disabilities....
JOB DESCRIPTION Job Summary Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medi...
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integra...
IRIS SDPC (RN) (HOME BASED, NO WEEKENDS/NO AFTER HOURS) Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summa...
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home...
IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with lo...
Job Description Job Summary The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit...
Job Description Job Summary Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction depar...
Job Description Job Summary Molina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplement...
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home...
JOB DESCRIPTION Job SummaryProvides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the con...
IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with lo...
JOB DESCRIPTION Job Summary Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point ...
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery o...
Job Description ***This role will support the Massachusetts Health Plan*** Job Summary Under general supervision, this position has lead responsibilities for accessing, integrating, data compilation, ...
Job Description Job Summary The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider enga...
** Must be a resident of Illinois JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisc...
JOB DESCRIPTION Job Summary Provides support for health management activities within the care management/care coordination functions. Collaborates with multidisciplinary team coordinating integrated d...
Molina Healthcare is hiring a Pharmacy Customer Service Representative. This role is remote for those who live in Florida only. Bilingual- Spanish speaking is needed. Our agents assist with all Medica...
JOB DESCRIPTION Job Summary Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medi...
JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risk...
JOB DESCRIPTION Job Summary Provides senior level support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing pr...
Job Description Job Summary Database Developer is responsible for the overall development, maintenance, and integrity of various reporting database. You will be responsible for testing, reviewing SQL ...
JOB DESCRIPTION Job Summary Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings...
JOB DESCRIPTION Job Summary Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point ...
IRIS SDPC (RN) (HOME BASED, NO WEEKENDS/NO AFTER HOURS) Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summa...
JOB DESCRIPTION Provides subject matter expertise and leadership for national value-based programs (VBP) activities. Manages and leads the development and implementation of value-based programs/contra...
Job Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina H...
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 co...
JOB DESCRIPTION Job Summary Provides lead level support in the execution of merger and acquisition transactions and actively contributes to the advancement of Molina Healthcare’s overall growth strate...
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinica...
Molina Healthcare is hiring 4 Remote Pharmacists to support our Medication Therapy Management (MTM) and clinical pharmacy services activities. This role contributes to overarching pharmacy strategy fo...
***Candidates For This Position Must Reside in/near Pierce or Thurston Counties*** ***Bilingual, Any Language Accepted, Spanish preferred*** Are you passionate about serving and helping your community...
JOB DESCRIPTION Job Summary Facilitates advanced practice clinical consultations for enrolled members including in-home histories, physical assessments and care plans; strives to ensure member progres...
JOB DESCRIPTION Job Summary Provides senior level analyst support for finance activities including financial analysis, reporting, forecasting, trending and modeling to support Molina's Ohio Health Pla...
JOB DESCRIPTION For this position we are seeking a Licensed Social Worker who lives in Kentucky and must be licensed for the state of Kentucky. Case Manager will work with KY Medicaid population provi...
JOB DESCRIPTION Job Summary Provides lead level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized re...
Job Description ***This role will support the Massachusetts Health Plan*** Job Summary Under general supervision, this position has lead responsibilities for accessing, integrating, data compilation, ...
Job Description Job Summary Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. Appli...
JOB DESCRIPTION Job SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to ...
JOB DESCRIPTION Job Summary The Care Manager provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member c...
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery o...
Job Description Job Summary The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider enga...
JOB DESCRIPTION Job Summary Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point ...
JOB DESCRIPTION Job SummaryLeads and supervises team supporting long-term care eligibility, screening processes and coordination for older adults and adults with physical or intellectual disabilities....
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integra...
JOB DESCRIPTION Job SummaryProvides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the con...
JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed ...
JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed ...
JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavior...
Job Description Job Summary The AVP, Network Market Engagement is responsible for contributing to the strategic planning and performance improvement direction for assigned markets. This role serves as...
IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with lo...
IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with lo...
JOB DESCRIPTION Job Summary Facilitates advanced practice clinical consultations for enrolled members including in-home histories, physical assessments and care plans; strives to ensure member progres...
JOB DESCRIPTION Job Summary The Care Manager (BH) provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of mem...
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinica...
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 co...
JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for...
Job Description Position will require up to 20% Travel Upstate/Downstate NY. Job Summary Analyzes and determines training needs for the New York Sales and Retention teams based on NYSOH contractual re...
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 co...
Job Description Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina H...
JOB DESCRIPTION Job Summary Leads and supervises team responsible for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or aut...
JOB DESCRIPTION Job Summary Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavior...
IRIS Consultant JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with lo...
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, shelt...