• Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Las Cruces, NM)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina ...the healthcare quality improvement literature and within Molina plans. + Develops and implements targeted collection of… more
    Molina Healthcare (08/21/25)
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  • Specialist, Appeals & Grievances (Medicare…

    Molina Healthcare (Las Cruces, NM)
    …response; assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (08/21/25)
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  • Senior Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Las Cruces, NM)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **Job Description** **Job Summary** Molina 's Quality Improvement Sr. Overreader conducts oversight and...**E/KNOWLEDGE, SKILLS & ABILITIES:** * 5 years experience in healthcare Quality/HEDIS specific to abstraction and overreading. **PR** **E**… more
    Molina Healthcare (08/21/25)
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  • Analyst, Healthcare Analytics - SQL/Power…

    Molina Healthcare (Las Cruces, NM)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
    Molina Healthcare (08/21/25)
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  • Senior Specialist, Delegation Oversight (Remote)

    Molina Healthcare (Las Cruces, NM)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.… more
    Molina Healthcare (08/21/25)
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  • Certified Coder (Risk Adjustment/Outpatient…

    Molina Healthcare (Las Cruces, NM)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... to Risk Adjustment + Builds positive relationships between providers and Molina by providing coding assistance when necessary + Responsible for administrative… more
    Molina Healthcare (08/21/25)
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  • RN Program Manager, Healthcare Services

    Molina Healthcare (Las Cruces, NM)
    …DESCRIPTION** **Job Summary** This position will require an active RN license. Molina Healthcare Services (HCS) works with members, providers and ... for process improvement opportunities. + Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement… more
    Molina Healthcare (08/21/25)
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  • Supervisor, Care Review (RN) Utilization…

    Molina Healthcare (Las Cruces, NM)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place… more
    Molina Healthcare (08/20/25)
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  • Lead Analyst, Configuration Information Management

    Molina Healthcare (Las Cruces, NM)
    …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: $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 (08/20/25)
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  • Director, Provider Network Management & Analytics…

    Molina Healthcare (Las Cruces, NM)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... results working within complex data sets and analytics ideally in the Healthcare or Payer field + 3-5 years' experience managing/supervising employees or leadership… more
    Molina Healthcare (08/20/25)
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