• Associate Specialist, Appeals & Grievances

    Molina Healthcare (Buffalo, NY)
    …and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or detailed bills ... year of customer service/provider service experience in a managed care or healthcare environment. + Strong verbal and written communication skills. To all current… more
    Molina Healthcare (08/30/25)
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  • AVP, Strategy

    Molina Healthcare (Rochester, NY)
    …least 3+ years of experience in strategic management consulting post-MBA with healthcare experience * Strong quantitative aptitude and commercial acumen * Strategy ... and synthesis and draw out solutions and create action plans * Prior healthcare experience * Strong project management skills and ability to handle multiple,… more
    Molina Healthcare (08/30/25)
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  • (Sales) Compliance Analyst

    Molina Healthcare (Buffalo, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare 's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized ... + Policy & Procedures **PREFERRED QUALIFICATIONS:** + BA/BS and/or CHC (Certified in Healthcare Compliance) To all current Molina employees: If you are interested in… more
    Molina Healthcare (08/29/25)
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  • Representative, Customer Experience

    Molina Healthcare (Albany, NY)
    …Ability to effectively communicate in a professionally setting. **Job Qualifications** **REQUIRED EDUCATION ** : HS Diploma or equivalent combination of education ... Customer Service experience in a fast paced, high volume environment **PREFERRED EDUCATION ** : Associate's Degree or equivalent combination of education and… more
    Molina Healthcare (08/31/25)
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  • Lead Analyst, Data (Remote)

    Molina Healthcare (Rochester, NY)
    …members as requested on all things data related **Job Qualifications** **REQUIRED EDUCATION :** Associate degree or equivalent combination of education and ... years **PREFERRED EDUCATION :** Bachelor's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 7-9 years To all current Molina… more
    Molina Healthcare (08/31/25)
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  • Senior Analyst, Data - AI/ML/SQL/Salesforce…

    Molina Healthcare (Syracuse, NY)
    …members as requested on all things data related. **JOB QUALIFICATIONS** **Required Education ** Associate degree or equivalent combination of education and ... years **Preferred Education ** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina… more
    Molina Healthcare (08/29/25)
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  • Analyst, Data - AI/ML/SQL/Salesforce - Remote

    Molina Healthcare (Albany, NY)
    …and systems to support the departments goals. **JOB QUALIFICATIONS** **Required Education ** Associate's Degree or equivalent combination of education and ... years **Preferred Education ** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 3-5 years To all current Molina… more
    Molina Healthcare (08/29/25)
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  • Analyst, Provider Configuration

    Molina Healthcare (Albany, NY)
    …Provider Services/Provider Problem Research & Resolution. **JOB QUALIFICATIONS** **Required Education ** Associate degree or equivalent combination of education ... experience **Preferred Education ** Bachelor's Degree or equivalent combination of education and experience To all current Molina employees: If you are interested… more
    Molina Healthcare (08/28/25)
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  • Senior Program Manager - Network Solutions…

    Molina Healthcare (Syracuse, NY)
    …Monitors programs from initiation through delivery. **JOB QUALIFICATIONS** **Required Education ** Bachelor's Degree or equivalent combination of education ... License, Certification, Association** PMP Certification (and/or comparable coursework) **Preferred Education ** Graduate Degree or equivalent combination of education more
    Molina Healthcare (08/28/25)
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  • Adjuster, Claims (Remote)

    Molina Healthcare (Syracuse, NY)
    …standards. + Other duties as assigned. + QNXT-preferred **JOB QUALIFICATIONS** **Required Education ** Associate degree or equivalent combination of education and ... Years **Preferred Education ** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 3-5 years To all current Molina… more
    Molina Healthcare (08/27/25)
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