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Molina Healthcare jobs - Troy, MI

Viewing 1 - 10 of 53 jobs

  • Lead Healthcare Analyst

    Managed Care Company - Troy, MI

    Lead Healthcare Analyst is an individual contributor role that provides lead healthcare analysis for the state health ... of the team, including training of Healthcare Analyst level personnel and internal customers. • Provides necessary...

    30+ days ago from IvyExec

  • Healthcare Transitions Supervisor RN

    Molina Healthcare - Troy, MI

    other Molina employees and external customers. • Complies with required workplace safety standards. ... certification, Certified Professional in Health Care Quality (CPHQ), or other healthcare or management...

    30+ days ago from Molina Healthcare, Inc

  • RN Director Healthcare Services

    Molina Healthcare - Troy, MI

    for cost effective delivery of healthcare services for Molina members. Works with the Vice President of Healthcare ... Molina and the Healthcare Services Team. • Conducts self in a professional manner at all times. • Maintains cooperative...

    30+ days ago from Molina Healthcare, Inc

  • Supervisor Provider Information

    Molina Healthcare - Troy, MI

    policies • Maintain regular attendance based on agreed-upon schedule • Maintain confidentiality and comply with ... service and/or encounter claims 2 – 3 years leadership in a healthcare environment Preferred Licensure/Certification:...

    6 hours ago from Molina Healthcare, Inc

  • Medical Director

    Molina Healthcare - Troy, MI

    oversight in appropriateness and medical necessity of healthcare services provided to Plan members, targeting ... managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment,...

    2 days ago from Molina Healthcare, Inc

  • Case Manager II

    Molina Healthcare - Troy, MI

    Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal ... (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management...

    3 days ago from Molina Healthcare, Inc

  • Lead Inquiry Reseacrch & Resolution

    Molina Healthcare - Troy, MI

    skills • Ability to abide by Molina’s policies • Ability to maintain attendance to support required quality and quantity of work • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) •...

    10 days ago from Molina Healthcare, Inc

  • Member Services Representative II

    Molina Healthcare - Troy, MI

    Job Summary Respond to telephone inquiries from both Molina Members and Providers and provide accurate, efficient, and ... • Proficient in discussion and execution of Molina's policies and procedures in accordance with regulatory...

    10 days ago from Molina Healthcare, Inc

  • QI Spec II - Interventions

    Molina Healthcare - Troy, MI

    or equivalent experience Required Licensure/Certification/Associations: N/A Preferred Education: Preferred field: clinical, public health or healthcare Preferred Experience: N/A Preferred Licensure/Certification/Associations: Some...

    13 days ago from Molina Healthcare, Inc

  • Compliance Specialist

    Molina Healthcare - Troy, MI

    • Works with all business segments of Molina Healthcare to increase awareness of the importance of the compliance, ... Equivalent experience defined as three – five year’s experience working in a healthcare/HMO/insurance/government program...

    15 days ago from Molina Healthcare, Inc

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