Top 217 Molina healthcare Jobs in Florida

Lead, Healthcare Services (Remote in Florida)
Molina Healthcare —Florida
- $29.05 - $56.64 an hour
- Full-time
- LMFT
- LVN
- RN License
- Health insurance
Representative, Support Center
Molina Healthcare —Florida
- $14.00 - $24.02 an hour
- Overtime
- Sales
- HIPAA
- Communication skills
- Health insurance
8d
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida
Molina Healthcare —Jacksonville, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
Auditor, Clinical Services
Molina Healthcare —Jacksonville, FL
- $29.05 - $56.64 an hour
- Full-time
- RN License
- HIPAA
- Mid-level
- Health insurance
Associate Program Manager, Process & Performance Monitoring, Managed Care (Remote in FL Preferred)
Molina Healthcare —Florida
- $21.82 - $42.55 an hour
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Continuous improvement
- Health insurance
Case Management Processor
Molina Healthcare —Jacksonville, FL
- $14.90 - $29.06 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
Supervisor, Healthcare Services Operations Support
Molina Healthcare —Florida
- $45,390.00 - $88,511.46 a year
- Full-time
- Research
- Administrative experience
- Senior level
- Health insurance
5d
Care Review Clinician (RN) Remote
Molina Healthcare —Mid Florida, FL
- $26.41 - $51.49 an hour
- 8 hour shift
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Care Manager - Multiple Openings in FL (BH, LPN, LVN)
Molina Healthcare —Jacksonville, FL
- $24.00 - $46.81 an hour
- Full-time
- LVN
- Mid-level
- Driver's License
- Health insurance
Senior Specialist, Government Contracts
Molina Healthcare —Florida
- $45,390.00 - $88,511.46 a year
- Full-time
- Research
- Mid-level
- 1 year
- Health insurance
Care Review Clinician, ABA
Molina Healthcare —Jacksonville, FL
- $26.41 - $51.49 an hour
- Full-time
- Mid-level
- Travel
- Organizational skills
- Health insurance
Supervisor, Healthcare Services
Molina Healthcare —Mid Florida, FL
- $66,456 - $129,590 a year
- Full-time
- LMFT
- LVN
- RN License
- Health insurance
Analyst, Business - SQL (Remote in Florida)
Molina Healthcare —Jacksonville, FL
- $49,930 - $97,363 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- SQL
- Health insurance
Examiner, Claims
Molina Healthcare —Florida
- $14.00 - $26.42 an hour
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
Specialist, Member Engagement
Molina Healthcare —Florida
- $14.90 - $29.06 an hour
- Full-time
- Mid-level
- 2 years
- Communication skills
- Health insurance
Program Director - Home Health Coordinator Planning Office (Florida Health Plan) - Remote in Florida
Molina Healthcare —Florida
- $80,412.00 - $156,803.45 a year
- Full-time
- Remote
- 3 years
- Finance
- Master's degree
- Health insurance
Health Plan Provider Relations Manager (North Central Florida)
Molina Healthcare —Jacksonville, FL
- $60,415 - $117,809 a year
- Full-time
- 6 years
- Mid-level
- Presentation skills
- Health insurance
Adjuster, Claims
Molina Healthcare —Florida
- $14.00 - $26.42 an hour
- Full-time
- Customer service
- Research
- Organizational skills
- Health insurance
Project Manager (supports FLA Medicaid CMS, Medicaid experience preferred)
Molina Healthcare —Orlando, FL
- $60,415 - $117,809 a year
- Full-time
- Mid-level
- 3 years
- Pediatrics
- Health insurance
Senior Health Educator- Pediatric Oncology/Hematology - Remote
Molina Healthcare —Orlando, FL
- $49,930 - $97,363 a year
- Full-time
- Remote
- Bachelor of Science
- Databases
- Organizational skills
- Health insurance

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molina healthcare jobs near florida

Lead, Healthcare Services (Remote in Florida)

Molina Healthcare -
Florida

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Job Details

Full-time
$29.05 - $56.64 an hour

Benefits

Health insurance

Qualifications

Customer communication
Managed care organization experience
Employee relationship building
Productivity software

Full Job Description

JOB DESCRIPTION

Job Summary

This position will offer remote work flexibility, but the individual hired for this role will need to reside in Florida.

Provides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral health, and other clinical programs, and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Provides level support to healthcare services department staff - devising/implementing delegation assignment strategies, facilitating healthcare services processes and communicating/coordinating activities.
Resolves issues and complaints that arise in day-to-day healthcare services operations and communicates escalation issues to healthcare services leadership.
Assists in training of healthcare services staff according to department standards, policies and procedures.
Maintains a minimal caseload to ensure adherence to appropriate guidelines and provide assistance to staff who have an ongoing member caseloads that may required additional support.
Collaborates with and keeps healthcare service leadership apprised of operational issues, staffing issues, system and program needs.
As a subject matter expert clinical lead, provides support, recommendations and education as appropriate to all other clinical and non-clinical staff.
Monitors healthcare services staff workload for adherence to policies, procedures, guidelines, and program specific requirements.
Actively participates in the department auditing program to review, communicate findings and identify opportunities for improved quality and compliance.
Shares quality and productivity scores with individual staff for awareness.
Provides feedback to healthcare services leadership on staff performance issues and consults with leadership on corrective action as necessary for performance improvement.
May collaborate with leadership to ensure the daily authorization reconciliation report (DARR) is run each work day and cases found non-compliant or missing compliance elements are remediated promptly.
May collaborate with leadership ensuring the care management monitoring tool (CMMT) is run every work day and cases are addressed to maintain health rid assessment (HRA) and care plan compliance.
Acts as liaison to both internal and external customers on behalf of both Molina and healthcare services department areas.
Maintains confidentiality, effective workplace relationships and adheres to company code of conduct.
Attends/participates in departmental, company-wide, and external committees, task forces, or work groups as assigned. groups as assigned.
Local travel may be required (based upon state/contractual requirements).

Required Qualifications

At least 4 years experience in health care, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.

Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master Social Worker (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

Demonstrated knowledge of community resources.

Proactive and detail-oriented.

Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

Ability to work independently, with minimal supervision and demonstrate self-motivation.

Responsive in all forms of communication.

Ability to remain calm in high-pressure situations.

Ability to develop and maintain professional relationships.

Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

Excellent problem-solving, and critical-thinking skills.

Strong verbal and written communication skills.

Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Registered Nurse (RN). License must be active and unrestricted in state of practice.
Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification.
Medicaid/Medicare population experience.
Clinical experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $29.05 - $56.64 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

molina healthcare jobs in florida

Lead, Healthcare Services (Remote in Florida)

Representative, Support Center

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida

Auditor, Clinical Services

Associate Program Manager, Process & Performance Monitoring, Managed Care (Remote in FL Preferred)

Case Management Processor

Supervisor, Healthcare Services Operations Support

Care Review Clinician (RN) Remote

Care Manager - Multiple Openings in FL (BH, LPN, LVN)

Senior Specialist, Government Contracts

Care Review Clinician, ABA

Supervisor, Healthcare Services

Analyst, Business - SQL (Remote in Florida)

Examiner, Claims

Specialist, Member Engagement

Program Director - Home Health Coordinator Planning Office (Florida Health Plan) - Remote in Florida

Health Plan Provider Relations Manager (North Central Florida)

Adjuster, Claims

Project Manager (supports FLA Medicaid CMS, Medicaid experience preferred)

Senior Health Educator- Pediatric Oncology/Hematology - Remote

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