• Delivery Manager - Project Manager/Documentation/…

    Molina Healthcare (WA)
    …**Job Summary** The Delivery Manager will be responsible in delivering various technical projects that involves in (Compute, Storage, Network, Data Management) ... migration to Azure. The incumbent in this role will be closely working with PMO, Project technical team in delivering our key initiatives. The Delivery Manager will drive the deliverables with technical knowledge in the below areas. * Manage delivery of… more
    Molina Healthcare (06/19/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (Bellevue, WA)
    …guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed ... identify trends or discrepancies related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. +… more
    Molina Healthcare (07/24/25)
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  • Manager, Enrollment - REMOTE

    Molina Healthcare (Bellevue, WA)
    …automated process and manual input + Ensure quality control of data entered into QNXT and sent to external vendors + Oversees and participates in state, federal, and ... State, Federal, and business regulatory requirements and strong system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. +… more
    Molina Healthcare (08/01/25)
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  • Specialist, Configuration Oversight

    Molina Healthcare (Everett, WA)
    …as applied to the appropriate modules within the core processing system ( QNXT ). * Conducts focal audits on samples of processed transactions impacted by ... claims processing system . + Experience using claims processing system ( QNXT ). **PREFERRED EDUCATION:** Bachelor's Degree or equivalent combination of education and… more
    Molina Healthcare (07/18/25)
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  • Business Analyst

    Molina Healthcare (Vancouver, WA)
    …of Claims or Adjustment experience in Medicare and/or Medicaid + Familiarity with QNXT , iServe, Project Management To all current Molina employees: If you are ... interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.82 - $51.06 /… more
    Molina Healthcare (08/09/25)
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  • Clinical Services Auditor Remote based in WA state

    Molina Healthcare (Everett, WA)
    …were they are housed. Proficient technology experience and experience using CCA, QNXT , Epic, PRISM, IPRO SalesForce, UMK2, and Microsoft Office and Teams programs ... is highly preferred. Must be able to work independently in a high-volume environment, be detail-oriented, a self-starter, and manage work time wisely. Further details to be discussed during our interview process. Remote position in WA state. Work hours:… more
    Molina Healthcare (08/08/25)
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  • Manager, Claims (Portal Response)

    Molina Healthcare (Bellevue, WA)
    …combination of education and experience **Preferred Experience** 7-9 years QNXT and/or Salesforce **Preferred License, Certification, Association** + Certification ... in Training and Development preferred for manager overseeing Training unit + Internal Audit Certification a plus for manager overseeing Regulatory Quality Audit unit To all current Molina employees: If you are interested in applying for this position, please… more
    Molina Healthcare (07/30/25)
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  • Payment Integrity Subrogation Manager - REMOTE

    Molina Healthcare (Everett, WA)
    …in Medicaid, Medicare, and Marketplace lines of business. + Familiarity with QNXT claims processing platform. + Knowledge of legal procedures related to complex ... or litigated subrogation cases. Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
    Molina Healthcare (07/23/25)
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  • Azure ETL Developer

    Molina Healthcare (Tacoma, WA)
    …scrum team + Familiarity with healthcare data and concepts + Familiarity with QNXT + Excellent analytical and problem-solving abilities + Strong written and oral ... communication skills **Required Education** Bachelor's Degree or equivalent combination of education and experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina… more
    Molina Healthcare (07/02/25)
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  • Director, Applications (AI/Azure Databricks)…

    Molina Healthcare (Tacoma, WA)
    …**Job Summary** Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more ... business processes. Applies and promotes key principles (eg stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including… more
    Molina Healthcare (06/29/25)
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