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Senior Representative, Provider Services - Remote

Molina Healthcare, Inc.
Ohio
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JOB DESCRIPTION Job Summary Molina Health Plan Provider Network Management ...
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Summary
About the job:
and 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...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Molina Healthcare, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Manager, HCS Operations Support - REMOTE

Molina Healthcare, Inc.
Ohio
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Job Description Job Summary Molina Healthcare Services (HCS) works with ...
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Summary
About the job:
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 patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Knowledge/Skills/Abilities • Provides management and oversight for operational teams that...
Location:
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)
From:
Molina Healthcare, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Specialist, Provider Network Administration - Remote

Molina Healthcare, Inc.
Ohio
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JOB DESCRIPTION Job Summary Provider Network Administration is responsible ...
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Summary
About the job:
for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES - Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system. - Reviews/analyzes data by applying job knowledge and experience to ensure...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
Molina Healthcare, Inc.
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Program Manager - ADT/HIE Clinical Data Acquisition - Remote

Molina Healthcare, Inc.
Ohio
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JOB DESCRIPTION Job Summary Responsible for internal business projects and ...
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Summary
About the job:
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 vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties - Active collaborator with people who are responsible for internal business...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Molina Healthcare, Inc.
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Program Manger - Provider Portal Implementation - Remote

Molina Healthcare, Inc.
Ohio
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JOB DESCRIPTION Job Summary Responsible for internal business projects and ...
Details
Summary
About the job:
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 vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties - Act as primary contact for issue resolution related to the Availity Provider...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Molina Healthcare, Inc.
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Pega Lead Engineer, Applications

Molina Healthcare, Inc.
Ohio
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JOB DESCRIPTION Job Summary Molina Healthcare is seeking a Lead Engineer, ...
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Summary
About the job:
Applications ( Pega ) to elevate our enterprise application landscape. We are looking for a highly experienced, self-motivated professional with technology and software development experience, including deep expertise in Pega -based solutions and enterprise system design. As a senior technical leader, you will drive architectural decisions and ensure that our applications are scalable, secure, and aligned with strategic objectives. Applies and promotes key principles (e.g., stability, scalability, performance, security,...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Molina Healthcare, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Reports Developer, Medicare, Medicaid - SQL/Databricks/Power BI - Remote

Molina Healthcare, Inc.
Ohio
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Job Summary Collects, validates, analyzes, and organizes healthcare data ...
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Summary
About the job:
into meaningful reports for management decision making as well as designing, developing, testing and deploying reports to provider networks and other end users for operational and strategic analysis. Maintains existing portfolio of compliance and operational reports. KNOWLEDGE/SKILLS/ABILITIES - Collaborates with customers to create specifications for new reports and support change requests for existing reports with line-of-sight to business processes - Creates reports using Microsoft SQL Reporting Services and PowerBI....
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Molina Healthcare, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Field Family Nurse Practitioner (Walnut Creek, CA)

Molina Healthcare
Ohio
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**JOB DESCRIPTION****Job Summary**The Care Connections Nurse Practitioners ...
Details
Summary
About the job:
focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and "pop up" clinic.The Nurse Practitioner will be required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, women's health).Perform...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Nurse Practitioners
Career Level / Education:
Master's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Basic Life Support
Certified Registered Nurse
American Academy of Nurse Practitioners
American Nurses Credentialing Center
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

LPN / Licensed Practical Nurse

International Staffing Consultants
Gratiot, OH
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LPN / Licensed Practical Nurse Location: Gratiot, Ohio Are you seeking a ...
Details
Summary
About the job:
fulfilling career opportunity in healthcare within a vibrant and supportive community? Look no further! Join our integrated healthcare system based in east central Ohio as a Licensed Practical Nurse (LPN). Our organization is dedicated to providing exceptional care to our patients while fostering a collaborative and compassionate work environment. About Us: Our healthcare system is a not-for-profit organization with over 300 physicians and multiple outpatient care centers throughout the region. Serving as the largest...
Location:
Gratiot, OH
Job Type:
Full-Time
Permanent
Occupation:
Licensed Practical and Licensed Vocational Nurses
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
International Staffing Consultants
Certifications / Licenses:
Certification in Cardiopulmonary Resuscitation
Licensed Practical Nurse
Certified Registered Nurse
IV Certification
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

CT Tech / CAT Scan Technologist

International Staffing Consultants
Centerburg, OH
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TITLE: CT Tech / Cat Scan Technologist LOCATION: Centerburg, Ohio Now is ...
Details
Summary
About the job:
your chance to join a top hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for individuals who share the same values. You could live or work in a small town close to Columbus, Ohio so you can be offered all the amenities of a small town and big city at the same time? If that sounds like the change you are looking for, please read on.. What they are looking for: •Graduate of an...
Location:
Centerburg, OH
Job Type:
Part-Time
Full-Time
Permanent
Occupation:
Radiologic Technologists and Technicians
Career Level / Education:
Associate's degree
Salary:
High Income Jobs ($80K-$99K)
From:
International Staffing Consultants
Certifications / Licenses:
Certification in Cardiopulmonary Resuscitation
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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