Remote Jobs at Molina Healthcare

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Knowledge/Skills/Abilities Directs Health Plan strategic analysis and planning coordinating across business units to meet data analysis. Mentors, coaches, and provides guidance to direct reports. Identifies and sets departmental priorities in alignment with the operating plan, budget, and regulatory requirements. Perform deep dive analyses across health plans, provide actionable analytical insights and collaborate with Health plans and cross-functional teams to optimize revenue outcomes to meet enterprise wide goals. Observe Medicaid/Medicare/Marketpl ...

Job Description Job Summary Provides new and existing members as well as providers with the best possible service in relation to general service needs including questions about benefits, billing inquiries, service requests, suggestions and complaints. Resolves member and provider inquiries and complaints fairly and effectively. Provides product and service information to members and providers, and identifies opportunities to increase membership by improving our member and provider experience . Recommends and implements programs to support member and provider needs. Knows and supports Health Plans in achieving their contractual goals for service and compliance. This role will support contact center operations for all LOB's & is comprised of inbound/outbound. Ideal candidates would have contact center leadership experience within healthcare/managed care organizations. Knowledge/Skills/Abilities Provides multi-site, senior leadership and oversight for the Member and Provider Contact Cen ...