MOLINA HEALTHCARE, INC.

Molina Healthcare, Inc., a multi-state healthcare organization, provides managed health care services to low-income families and individuals under the Medicaid and Medicare programs and through the state insurance marketplaces. As of December 31, 2018, it served approximately 3.8 million members in 14 states and the Commonwealth of Puerto Rico, who are eligible for Medicaid, Medicare, and other government-sponsored health care programs. The company offers its health care services for its members through contracts with a network of providers, including physicians and physician groups, hospitals ... , ancillary providers, and pharmacies. Molina Healthcare, Inc. was founded in 1980 and is headquartered in Long Beach, California. More
Headquartered in Long Beach, CA
Total Employees 7,500 - 15,000
Company Earnings $10B - $50B
Industry Insurance

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Job Description. Job Summary. Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures. Knowledge/Skills/Abilities. • Develop sales strategies to procure sufficient number of referrals and other self-generated leads to meet sales targets through active participation in community events and targeted community outreach to grou... view job details

Job Description. Job Summary:. Supporting day to day IT office administrative duties as required by Executive Managers. Troubleshoots hardware and software problems, assists users with desktop applications and provides user training. Utilizes applications such as Altiris to track user requests from trouble-ticket generation through problem resolution. Escalates a problem to other network or system support personnel when the problem is not easily identified and corrected. Knowledge/Skills/Abilities. • Provides level 2 support for any computer or network problems that should arise within MMS. • ... view job details

Job Description. Job Summary. Provides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site. Knowledge/Skills/Abilities. • Heavy scheduling and management of travel arrangements for VP and department. • Prepares extensive expenses reports and manage submission process for department in Concur (Expense Management tool). • Manages VP and department's calendars to include meetings, conferences and. appointments. • Process bu... view job details

Job Description. Job Summary:. Our ideal candidate will have previous experience as a Business Analyst and or Claims Examiner working in a managed care organization.  In this role you will focus on claims analysis to determine the root cause of why a claim is paid incorrectly, duplicated, overpaid, etc. You will analyze 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 data sets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on... view job details

Job Description. Job Summary. 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 forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements.  Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in managemen... view job details

Job Description. Job Summary. Assist business teams with developing requirements for major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues related to Medicaid claims processing, and coordinates and manages project teams in the development of large multi-system, multi-platform projects. Knowledge/Skills/Abilities. • Works closely with customer to develop requirements for major projects of considerable complexity. • Prepares general system design specifications.. • Creates, reviews, analyzes and estimates project ... view job details

Job Description. Job Summary. Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise-wide. It is a centralized corporate function supporting compliance activities at individual state health plans. Knowledge/Skills/Abilities. The Compliance Analyst position is primarily responsibility for supporting the day to day operations and initiatives of the Compliance Department.. • Provides technical expertise to Molina interdepartmental regulatory & legislative interpretation inquiries. • Performs Plan Required Reporting. • Interpret and analyzes Medi... view job details

Job Description. 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 business decisions. May run standard recurring queries as well as adhoc queries. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, qu... view job details

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 business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutio... view job details

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 business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutio... view job details