• Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (Dayton, OH)
    …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/ D /V. Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary… more
    Molina Healthcare (09/28/25)
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  • Case Management Processor

    Molina Healthcare (Akron, OH)
    …to identify principle member needs and works under the direction of the care manager to implement care plan. * Schedules member visits with care managers as needed. ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications * Certified Medical Assistant (CMA).… more
    Molina Healthcare (09/28/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Cleveland, OH)
    …Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical, ... Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare… more
    Molina Healthcare (09/26/25)
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  • Pharmacist

    BrightSpring Health Services (Columbus, OH)
    …Time Off + Flexible Schedules + Tuition Reimbursement + 401k + Employee Discount Program + DailyPay Our team at PharMerica promotes a variety of initiatives designed ... federal and state regulatory agencies and policy + Informs the Pharmacy Manager of medication related errors + Assists facility/agency staff personnel with… more
    BrightSpring Health Services (09/23/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Cincinnati, OH)
    …and written communication skills. + Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** + Registered Nurse (RN). The ... Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional… more
    Molina Healthcare (09/20/25)
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  • Transition of Care Coach (RN) (Pacific Business…

    Molina Healthcare (OH)
    …site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from ... Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific Business Hours** **Candidates… more
    Molina Healthcare (09/14/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Akron, OH)
    …and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an Accredited School of ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in… more
    Molina Healthcare (09/06/25)
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