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Sr Analyst, Medical Economics (Remote in New Mexico)
Everything Else · Molina Healthcare · Albuquerque, NMJOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthca...TopUSAJobs.com ·14 hours ago on TopUSAJobsTools -
Specialist, Appeals & Grievances (Must reside in New Mexico)
Everything Else · Molina Healthcare · Albuquerque, NMJOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements establish...TopUSAJobs.com ·12 hours ago on TopUSAJobsTools -
Specialist, Appeals & Grievances (Must reside in New Mexico)
Everything Else · Molina Healthcare · Los Lunas, NMJOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements establish...TopUSAJobs.com ·1 day ago on TopUSAJobsTools -
Specialist, Appeals & Grievances (Must reside in New Mexico)
Everything Else · Molina Healthcare · Rio Rancho, NMJOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements establish...TopUSAJobs.com ·1 day ago on TopUSAJobsTools -
Sr Analyst, Healthcare Analytics (Remote)
Healthcare · Molina Healthcare · Albuquerque, NMJOB DESCRIPTION Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization an...TopUSAJobs.com ·1 day ago on TopUSAJobsTools -
Sr Analyst, Finance (Remote)
Everything Else · Molina Healthcare · Albuquerque, NMJOB DESCRIPTION Job Summary Responsible for analysis of financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, investments, financial regulations, and similar financial proje...TopUSAJobs.com ·1 day ago on TopUSAJobsTools -
Customer Experience Rep (Must live in New Mexico, Bilingual preferred)
Everything Else · Molina Healthcare · Albuquerque, NMMolina's Customer Experience team has several opportunities within our organization. - Molina supports members and providers for different lines of businesses across multiple states. - We are committed to providing excellent customer service to ou...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Remote Family Nurse Practitioner (field visits required)
Healthcare · Molina Healthcare · Albuquerque, NMJOB DESCRIPTION Job Summary The Care Connections Nurse Practitioners 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...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Sr Specialist, Provider Engagement- Remote in New Mexico
Everything Else · Molina Healthcare · Albuquerque, NMJob Description Job SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Sr Specialist, Govt Contracts (Remote in NM)
Everything Else · Molina Healthcare · Albuquerque, NMJOB DESCRIPTION Job Summary Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care ser...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
Tribal Liaison (Billing & Claims) Remote in New Mexico
Accounting/Finance · Molina Healthcare · Albuquerque, NMMolina Healthcare is hiring in New Mexico for several Billing & Claims, Tribal Liaisons. -These roles are specifically responsible -for working with tribal entities regarding billing and claims support and resolution activities. Highly qualified...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
ITU Tribal Liaison, Managed Care (NM Only Remote)
Everything Else · Molina Healthcare · Albuquerque, NMMolina Healthcare is in search of an -I.T.U. Tribal Liaison, specifically with in-depth knowledge of Managed Care. Candidates for this role must reside within the state of New Mexico and be open to state-wide travel. We are also seeking someone wh...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
Dir, Growth & Community Engagement - New Mexico
Everything Else · Molina Healthcare · Albuquerque, NMJOB DESCRIPTION Job Summary --- Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. -Works collaboratively with key departments across the enterprise to improve overal...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
AVP, Health Plan Operations - New Mexico
Healthcare · Molina Healthcare · Albuquerque, NM*Must live in New Mexico - Job Description Job SummaryMolina Health Plan Operations jobs are responsible for the development and administration of State Health Plan's operational departments, programs and services, in alignment with Molina H...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
Senior Provider Relations Representative
Everything Else · Molina Healthcare · Albuquerque, NM***Remote and must live in New Mexico*** 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...TopUSAJobs.com ·Over 4 weeks ago on TopUSAJobsTools