Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria - effectively minimizing liability to the company and maximizing safety for ...
Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria - effectively minimizing liability to the company and maximizing safety for ...
Sr Growth & Community Engagement (Medicaid, Must Reside in FL)
$19.84 - $38.69/hr
Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid. Works collaboratively with key departments across ...
Sr Growth & Community Engagement (Medicaid, Must Reside in FL)
$19.84 - $38.69/hr
Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid. Works collaboratively with key departments across ...
Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the ...
Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the ...
Pharmacist, Prior Auth/Utilization Management, Remote
Long Beach, CA · On-site +1
$80K - $156K/yr
Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. This position is remote and can be worked from a variety of locations within the US. Shift times can be either 8 ...
Pharmacist, Prior Auth/Utilization Management, Remote
Long Beach, CA · On-site +1
$80K - $156K/yr
Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. This position is remote and can be worked from a variety of locations within the US. Shift times can be either 8 ...
Pharmacist, Prior Auth/Utilization Management, Remote
Fort Lauderdale, FL · Remote
$80K - $156K/yr
Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. This position is remote and can be worked from a variety of locations within the US. Shift times can be either 8 ...
Pharmacist, Prior Auth/Utilization Management, Remote
Fort Lauderdale, FL · Remote
$80K - $156K/yr
Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. This position is remote and can be worked from a variety of locations within the US. Shift times can be either 8 ...
Specialist, Growth & Community Engagement (FLORIDA)
Long Beach, CA · On-site +1
$18.04 - $35.17/hr
Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the ...
Specialist, Growth & Community Engagement (FLORIDA)
Long Beach, CA · On-site +1
$18.04 - $35.17/hr
Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the ...
Intern
Long Beach, CA · On-site +1
$8.33 - $18.05/hr
Job Summary The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business ...
Intern
Long Beach, CA · On-site +1
$8.33 - $18.05/hr
Job Summary The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Provider Relations Representative
Long Beach, CA · On-site +1
$19.84 - $38.69/hr
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Provider Relations Representative
Long Beach, CA · On-site +1
$19.84 - $38.69/hr
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Molina's leadership team leads with empowering you to do what you love best by helping others. Bilingual (Spanish) Highly Desired! **Candidates for this position must live in or near Queens and have ...
New
Molina's leadership team leads with empowering you to do what you love best by helping others. Bilingual (Spanish) Highly Desired! **Candidates for this position must live in or near Queens and have ...
New
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Molina's leadership team leads with empowering you to do what you love best by helping others. Bilingual (Spanish) Highly Desired! **Candidates for this position must live in or near Queens and have ...
New
Molina's leadership team leads with empowering you to do what you love best by helping others. Bilingual (Spanish) Highly Desired! **Candidates for this position must live in or near Queens and have ...
New
Sr Growth & Community Engagement (Medicaid, Must Reside in FL)
$19.84 - $38.69/hr
Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid. Works collaboratively with key departments across ...
Sr Growth & Community Engagement (Medicaid, Must Reside in FL)
$19.84 - $38.69/hr
Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid. Works collaboratively with key departments across ...
Job Summary Leads and directs team responsible for Molina sales and distribution activities. Responsible for increasing membership through direct sales and marketing of Molina products within ...
Job Summary Leads and directs team responsible for Molina sales and distribution activities. Responsible for increasing membership through direct sales and marketing of Molina products within ...
Job Summary Leads and directs team responsible for Molina sales and distribution activities. Responsible for increasing membership through direct sales and marketing of Molina products within ...
Job Summary Leads and directs team responsible for Molina sales and distribution activities. Responsible for increasing membership through direct sales and marketing of Molina products within ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication ...
Molina information
See salary details
$10.34 - $13.81
0% of jobs
$13.81 - $17.29
1% of jobs
$17.29 - $20.76
5% of jobs
$20.76 - $24.24
13% of jobs
$25.57 is the 25th percentile. Wages below this are outliers.
$24.24 - $27.71
16% of jobs
The median wage is $31.07 / hr.
$27.71 - $31.18
16% of jobs
$31.18 - $34.66
15% of jobs
$37.87 is the 75th percentile. Wages above this are outliers.
$34.66 - $38.13
11% of jobs
$38.13 - $41.61
15% of jobs
$41.61 - $45.08
6% of jobs
$45.08 - $48.56
3% of jobs
$10
$32
$48
How much do molina jobs pay per hour?
What can new employees expect in terms of training and support when starting a role at Molina Healthcare?
What is a Molina job and what do employees typically do?
What is a Molina job?
A Molina job typically refers to a position at Molina Healthcare, a managed care company that provides health services to individuals and families receiving government assistance, such as Medicaid and Medicare. Jobs at Molina Healthcare vary and include roles in customer service, case management, nursing, IT, finance, and more. Employees at Molina work to improve health outcomes by coordinating care, supporting patients, and ensuring efficient healthcare services. Positions may require healthcare experience, technical skills, or customer service expertise, depending on the role.
What is the difference between Molina vs Medical Assistant?
| Aspect | Molina | Medical Assistant |
|---|---|---|
| Credentials | Typically requires health insurance or managed care certifications | Requires CMA, RMA, or similar medical assisting certification |
| Work Environment | Insurance companies, healthcare administration | Clinics, hospitals, outpatient settings |
| Employer & Industry | Health insurance providers, managed care organizations | Medical offices, clinics, hospitals |
While Molina primarily refers to a health insurance provider or managed care organization, Medical Assistants work directly in clinical settings assisting healthcare providers. The main difference lies in Molina's focus on insurance and administrative roles, whereas Medical Assistants are involved in patient care and clinical tasks.
What are the key skills and qualifications needed to thrive as a Healthcare Case Manager at Molina, and why are they important?

Full-time
Posted 3 days ago
Molina Healthcare rating
8.0
Based on 192 frontline employees who took The Breakroom Quiz
145th of 260 rated insurance
Job description
JOB DESCRIPTION Job Summary
Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria - effectively minimizing liability to the company and maximizing safety for members. Responsible for initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations in the Molina network.
Essential Job Duties
Evaluates credentialing applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures and regulatory requirements, while meeting production goals.
Communicates with health care providers to clarify questions and request any missing information.
Updates credentialing software systems with required information.
Requests recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals.
Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants.
Completes data corrections in the credentialing database necessary for processing of recredentialing applications.
Reviews claims payment systems to determine provider status, as necessary.
Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals.
Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusions.
Reviews and processes daily alerts for Medicare opt-out reports to determine if any provider has opted out of Medicare.
Reviews and processes daily National Practitioner Data Bank (NPDB) continuous query reports and takes appropriate action when new reports are found.
Maintains a high level of confidentiality related to provider information.
Required Qualifications
At least 1 year of experience in a data processing, production, and/or administrative role - preferably in a health care setting, or equivalent combination of relevant education and experience.
Data entry skills.
Self-direction and logical thinking abilities.
Internet research experience.
Ability to work cross-collaboratively in a highly matrixed organization with internal/external stakeholders.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
Health care industry experience.
Production-related 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
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About Molina Healthcare
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980