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Molina Healthcare Careers 18 Jobs in Lexington, KY

  • Project Manager, Medicare Revenue

    Molina Healthcare - Lexington, Kentucky
    ... vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/program management, rather than the application of expertise in a specialized functional ...
  • Pharmacy Technician (National & State License)

    Molina Healthcare - Lexington, Kentucky
    ... /Management staff work to ensure that Molina members have access to all medically necessary prescription drugs ... state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior ...
  • Pharmacy Technician (Start time between 8-10am EST M-F)

    Molina Healthcare - Lexington, Kentucky
    ... .** Job Summary Molina Pharmacy Services/Management staff work to ensure that Molina members have ... . Articulates Pharmacy Management policies and procedures to pharmacy/health plan providers, other Molina staff ...
  • Customer Service Representative, Medicare Pharmacy

    Molina Healthcare - Lexington, Kentucky
    ... JOB DESCRIPTION Job Summary Molina Pharmacy Services/Management staff work to ... state laws. Jobs in this family include those involved in formulary management (such as, reviewing prior ...
  • Program Manager, Clinical Vendors

    Molina Healthcare - Lexington, Kentucky
    ... and monitors system analysis and program staff. This position's primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although ...
  • AVP, Medicare Call Center Operations (REMOTE)

    Molina Healthcare - Lexington, Kentucky
    ... Job Description Job Overview The Associate Vice President of Call Center ... day-to-day call center activities, including call volume management, workforce planning, and ...
  • Sr Rep, Enrollment - Remote

    Molina Healthcare - Lexington, Kentucky
    ... Management to support department goals. • Trains new staff on assignments and/or vendors on ... eligibility issue trends with Management. Manages high volumes of tasks to support regulatory ...
  • Program Director (Health Plan Performance) - REMOTE

    Molina Healthcare - Lexington, Kentucky
    ... JOB DESCRIPTION Job Summary Responsible for the Management of internal ... external vendors. Assigns, directs, and monitors system analysis and program staff. These positions ...
  • Care Review Clinician, Inpatient Review (RN): Kentucky

    Molina Healthcare - Lexington, Kentucky
    ... Management and knowledge of Interqual / MCG guidelines._** **_STATE OF KENTUCKY or COMPACT licensure ... days a year and we need staff who can be flexible and willing to work weekends and holidays ...
  • Sr Program Manager - Network Solutions and Operations

    Molina Healthcare - Lexington, Kentucky
    ... program management staff providing support and direction. Serves as the subject matter expert to ... . Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is ...
  • LVN Case Manager: Maternal Health Nurse

    Molina Healthcare - Lexington, Kentucky
    ... continuum, including behavioral health and long term care, for members with high need potential. HCS staff ... determines who may qualify for case management based on clinical judgment, changes in member's health or ...
  • Behavioral Health Clinician (Utilization Management) KENTUCKY

    Molina Healthcare - Lexington, Kentucky
    ... Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines._** STATE OF ... , Eastern Time Zone preferred. **_This department operates 365 days a year and we need staff who ...
  • Program Manager (NCQA Accreditation - QI Improvement)

    Molina Healthcare - Lexington, Kentucky
    ... . Assigns, directs, and monitors analysis and program staff according to NCQA Health Plan Accreditation ... Improvement management experience. Operational Process Improvement experience. Healthcare experience ...
  • Program Manager - Network Solutions and Operations

    Molina Healthcare - Lexington, Kentucky
    ... . 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 ...
  • Sr Project Manager (Claims / Configuration) Remote Eastern Time Zone

    Molina Healthcare - Lexington, Kentucky
    ... vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management, rather than the application of expertise in a specialized functional ...
  • Coordinator, Physician Service

    Molina Healthcare - Lexington, Kentucky
    ... medical staff and medical clinic operations. • Coordinates all functions of the Physician and Clinic on ... , Association** Certified Professional Medical Services Management (CPMSM) certification or in process ...
  • Care Review Clinician, Inpatient Review (RN)

    Molina Healthcare - Lexington, Kentucky
    ... Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual ... year and we need staff who can be flexible and willing to work some weekends and holidays. This is a ...
  • Lead Analyst, Config Info Mgmt - QNXT

    Molina Healthcare - Lexington, Kentucky
    ... staff on configuration functionality, enhancements, and updates. Works with internal and external ... documented. Creates management reporting tools to enhance communication on configurations updates and ...
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