Live Chat
Contact
Results based on filters ( 83 jobs found )
Job Ref: 300001036756823 Employer: Molina Healthcare Sector: Health ...
Details
Summary
About the job:
Insurance Qualifications: Senior Qualified Actuary Job Type: Full Time Salary and Benefits: Competitive Remote: Yes Location Country: United States State/Province/County: California - CA City: Long Beach Post Code: 90802 Map: ( Show on map ) Description Job Description JOB DESCRIPTION Job Summary This position is responsible for supporting development and pricing of Medicare products, which include MA-PD, D-SNP and MMP. KNOWLEDGE/SKILLS/ABILITIES The Director Medicare Product Development is a key member of a small team that...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
7
Graphic Literacy
5
Workplace Documents
5
Job Ref: 2025414 Employer: Molina Healthcare Sector: Health Insurance ...
Details
Summary
About the job:
Qualifications: Senior Qualified Actuary Job Type: Full Time Salary and Benefits: $87,568 - $189,732 per year Remote: No Location Country: United States Post Code: Not specified Map: ( Show on map ) Description JOB DESCRIPTION Job Summary This position is responsible for supporting development and pricing of Medicare products, which include MA-PD, D-SNP and MMP. KNOWLEDGE/SKILLS/ABILITIES The Director Medicare Product Development is a key member of a small team that is responsible for significantly contributing to Medicare...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
7
Graphic Literacy
5
Workplace Documents
5
JOB DESCRIPTION Job Summary Molina Provider Network Management and ...
Details
Summary
About the job:
Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with all relevant federal, state, and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
JOB DESCRIPTION Job Summary Responsible for accurate and timely ...
Details
Summary
About the job:
implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. KNOWLEDGE/SKILLS/ABILITIES - Analyze and interpret data to...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Network Architects
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
JOB DESCRIPTION Job Summary Molina's Quality Improvement function oversees, ...
Details
Summary
About the job:
plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. To proceed in the process candidates need experience in healthcare analytics, quality metric reporting and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified HEDIS Compliance Auditor
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
Job Ref: 300001027999305 Employer: Molina Healthcare Sector: Health ...
Details
Summary
About the job:
Insurance Qualifications: Part Qualified Actuary Job Type: Full Time Salary and Benefits: Competitive Remote: Yes Location Country: United States State/Province/County: California - CA City: Long Beach Post Code: 90802 Map: ( Show on map ) Description Job Description JOB DESCRIPTION Job Summary Responsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. KNOWLEDGE/SKILLS/ABILITIES - Collaborate with...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Associate of the Society of Actuaries
Actuarial Exams
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7
Job Ref: 300001045145389 Employer: Molina Healthcare Sector: Health ...
Details
Summary
About the job:
Insurance Qualifications: Graduate Actuary Job Type: Full Time Salary and Benefits: Competitive Remote: No Location Country: United States State/Province/County: California - CA City: Long Beach Post Code: 90802 Map: ( Show on map ) Description Job Description JOB DESCRIPTION Job Summary Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. KNOWLEDGE/SKILLS/ABILITIES - Support the development of the...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Actuarial Exams
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7
JOB DESCRIPTION Job Summary Responsible for estimating liabilities, ...
Details
Summary
About the job:
establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. KNOWLEDGE/SKILLS/ABILITIES - Support the development of the IBNR estimates and rate adequacy studies. Document assumptions. - Analyze results to identify early signs of trends or other issues related to medical care costs. - Perform actuarial studies related to medical care costs and trends. - Generate and distribute routine reports to support IBNR calculations, pricing, and financial...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Actuarial Exams
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7
JOB DESCRIPTION Job Summary The Pharmacy Manager, Health Plan Pharmacy ...
Details
Summary
About the job:
Services is an integral role of the Health Plan leadership team, assisting the team in understanding pharmacy quality, cost effectiveness and compliance and working closely with the Pharmacy Director or AVP to ensure that the Health Plan Pharmacy Program is consistent with Molina's overall pharmacy strategy. KNOWLEDGE/SKILLS/ABILITIES - Provides oversight and direction to Centralized Pharmacy Utilization Management team - Acts as liaison to internal and external customers to ensure prompt resolution of identified issues...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
JOB DESCRIPTION Job Summary Responsible for estimating liabilities, ...
Details
Summary
About the job:
establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. KNOWLEDGE/SKILLS/ABILITIES - Collaborate with Actuarial staff to complete IBNR estimates and rate adequacy studies. Document assumptions. - Analyze results to identify early signs of trends or other issues related to medical care costs. Recommend solutions to identified issues. - Design and perform actuarial studies related to medical care costs and trends. - Design and program...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Associate of the Society of Actuaries
Actuarial Exams
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

Current Filters

Refine

Industry
Location
Salary
Career/Education Level
Certificates
Occupation
Job Type
Other Opportunities

Clear All Filters
This user has no active resume. Please click here to manage resumes.
My OhioMeansJobs Notice
You have reached the maximum number of Saved Searches / Matches. You must remove an existing record before you can save a new one. Access your saved items here.
Confirm your search criteria, then select the frequency of your search and give it a name.
Career/Education Level: Bachelor's degree
Company Name: Molina Healthcare
How often do you want to receive emails?
All fields are required
This field is required
Save
Search Jobs
Advanced close
Select up to 10 occupations
Add Occupations
...
  • x
x close
Loading Map, please wait...
Position is accurate to the ZIP Code or city location only.
Loading Map, please wait...