• AVP, Quality Improvement (Remote in Georgia)

    Molina Healthcare (NY)
    …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.… more
    Molina Healthcare (09/18/25)
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  • Principal Data Scientist - Generative AI, Machine…

    Molina Healthcare (NY)
    …and aligning data initiatives with business goals. Lead the development and implementation of data models, collaborate with cross-functional teams, and stay updated ... decision-making within the organization and be the pioneer on generative AI healthcare solutions, aimed at revolutionizing healthcare operations as well as… more
    Molina Healthcare (08/08/25)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (Albany, NY)
    …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.… more
    Molina Healthcare (08/31/25)
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  • Senior Analyst, Business Systems

    Molina Healthcare (Rochester, NY)
    …business and system problems. + Leads development teams through project implementation . + Provides excellent customer service to internal and external customers ... relations concerning technical projects, including notifying the client of implementation schedules and co-ordination and assistance in presentation of results.… more
    Molina Healthcare (09/26/25)
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  • VP, Ltss - Health Care Operations (Remote)

    Molina Healthcare (Syracuse, NY)
    …partnership with market and LTSS leadership and cross-functional partners, regarding implementation and management of programs that enable older adults and ... Experience in working across regulatory agencies in program development and implementation . + Experience in working across regulatory agencies in program development… more
    Molina Healthcare (09/25/25)
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  • Provider Contracts Manager HP - Core

    Molina Healthcare (Syracuse, NY)
    …adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... system lead by developing and maintaining provider contracts in contract management software . * Targets and recruits additional providers to reduce member access… more
    Molina Healthcare (09/25/25)
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  • Analyst, Configuration Oversight (Claims Auditor)

    Molina Healthcare (Buffalo, NY)
    …contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, ... authorizations, fee schedules, and other business requirements + Proficient in claims software and audit tools not limited to QNXT, PEGA, NetworX pricer, Webstrat,… more
    Molina Healthcare (09/17/25)
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  • Director, Clinical Systems

    Molina Healthcare (Yonkers, NY)
    …of product ownership of clinical applications including design, development, implementation , and oversight of technology that drives core utilization management, ... written and verbal communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse (RN).… more
    Molina Healthcare (10/01/25)
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  • Lead Engineer, Applications - Mobile Apps - Remote

    Molina Healthcare (NY)
    …framework within Architectural compliance and governance. **KNOWLEDGE/SKILLS/ABILITIES** + Develops software (hands on code development) to meet key business ... Degree in relevant field **Required Experience** + 3+ years of hands-on technical implementation experience in mid to large IT Enterprise environments. + 5-6 years… more
    Molina Healthcare (10/01/25)
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  • 340B Pharmacy Manager-Pharmacist

    Bassett Healthcare (Cooperstown, NY)
    …and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers (PBMs), and ... the annual HRSA recertification is completed. + Provides oversight for the implementation of process improvement initiatives and creates an environment that places… more
    Bassett Healthcare (09/19/25)
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