Molina Healthcare

Support merger and acquisition transactions by developing financial models, analyzing industry trends, and coordinating deal activities. | Minimum 5 years of experience in financial modeling and analysis, with a background in finance or investment banking, and strong communication skills. | Job Description Job Summary This position will be responsible for supporting the execution of merger and acquisition transactions and will actively contribute in advancing Molina Healthcare’s overall growth strategy. The role entails working closely with the senior members of the Corporate Development team and will actively interact with the business leaders and senior management team at Molina. The ideal candidate will have at least two years of experience as an analyst at an investment bank or similar firm. Knowledge/Skills/Abilities • Develop financial models and perform analyses to assess potential acquisition, joint venture and other business development opportunities (i.e., discounted cash flow, internal rate of return and accretion/dilution) • Prepare ad-hoc analyses and presentations to help facilitate various discussions • Research and analyze industry trends, competitive landscape and potential target companies • Coordinate deal activities among internal cross-functional teams and external parties • Coordinate due diligence and closing-related activities • Actively participate in reviewing and negotiating transaction agreements • Prepare board and senior management presentations Job Qualifications REQUIRED EDUCATION: Bachelor's degree in Accounting or Finance or related fields REQUIRED EXPERIENCE: • Minimum 5 years’ experience in financial modeling and analysis • Ability to synthesize complex ideas and translate into actionable information • Strong analytical and modeling skills • Excellent verbal and written communication skills • Highly collaborative and team-oriented with a positive, can-do attitude • Ability to multi-task, set priorities and adhere to deadlines in a high-paced organization PREFERRED EXPERIENCE: • Prior analyst experience in investment banking strongly preferred • Healthcare industry experience preferred PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. 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. #PJCorp #LI-AC1 Pay Range: $80,412 - $156,803 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Leading complex claims research projects, conducting root cause analysis, ensuring compliance, and collaborating across departments. | 5+ years in claims processing or research, expertise in regulatory and contractual claims requirements, strong analytical and project management skills, proficiency in claims systems and data analysis. | **Job Description** • *Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. Analyst, Claims Research serves as a senior-level subject matter expert in claims operations and research, leading the most complex and high-priority claims projects. This role involves advanced root cause analysis, regulatory interpretation, project management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership, develops remediation strategies, and ensures timely and accurate project execution, all while driving continuous improvement in claims performance and compliance. Additionally, the Sr. Analyst will represent the organization internally and externally in meetings, serving as a key liaison to communicate findings and resolution plans effectively. • *Job Duties** + Uses advanced analytical skills to conduct research and analysis for issues, requests, and inquiries of high priority claims projects + Assists with reducing re-work by identifying and remediating claims processing issues + Locate and interpret regulatory and contractual requirements + Expertly tailors existing reports or available data to meet the needs of the claims project + Evaluates claims using standard principles and applicable state specific policies and regulations to identify claims processing error + Act as a senior claims subject matter expert, advising on complex claims issues and ensuring compliance with regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated through provider inquiries, complaints, or internal audits. + Conducts advanced root cause analysis to identify and resolve systemic claims processing errors, collaborating with multiple departments to define and implement long-term solutions. + Interprets regulatory and contractual requirements to ensure compliance in claims adjudication and remediation processes. + Develops, tracks, and / or monitors remediation plans, ensuring claims reprocessing projects are completed accurately and on time. + Provides in-depth analysis and insights to leadership and operational teams, presenting findings, progress updates, and results in a clear and actionable format. + Takes the lead in provider meetings, when applicable, clearly communicating findings, proposed solutions, and status updates while maintaining a professional and collaborative approach. + Proactively identifies and recommends updates to policies, SOPs, and job aids to improve claims quality and efficiency. + Collaborates with external departments and leadership to define claims requirements and ensure alignment with organizational goals. + QNXT • *Job Qualifications** • *REQUIRED QUALIFICATIONS:** + 5+ years of experience in medical claims processing, research, or a related field. + Demonstrated expertise in regulatory and contractual claims requirements, root cause analysis, and project management. + Advanced knowledge of medical billing codes and claims adjudication processes. + Strong analytical, organizational, and problem-solving skills. + Proficiency in claims management systems and data analysis tools + Excellent communication skills, with the ability to tailor complex information for diverse audiences, including executive leadership and providers. + Proven ability to manage multiple projects, prioritize tasks, and meet tight deadlines in a fast-paced environment. + Microsoft office suite/applicable software program(s) proficiency • *PREFERRED QUALIFICATIONS:** + Bachelor's Degree or equivalent combination of education and experience + Project management + Expert in Excel and PowerPoint + Familiarity with systems used to manage claims inquiries and adjustment requests To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 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 - $106,214 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *Job Description** • *Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. Analyst, Claims Research serves as a senior-level subject matter expert in claims operations and research, leading the most complex and high-priority claims projects. This role involves advanced root cause analysis, regulatory interpretation, project management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership, develops remediation strategies, and ensures timely and accurate project execution, all while driving continuous improvement in claims performance and compliance. Additionally, the Sr. Analyst will represent the organization internally and externally in meetings, serving as a key liaison to communicate findings and resolution plans effectively. • *Job Duties** + Uses advanced analytical skills to conduct research and analysis for issues, requests, and inquiries of high priority claims projects + Assists with reducing re-work by identifying and remediating claims processing issues + Locate and interpret regulatory and contractual requirements + Expertly tailors existing reports or available data to meet the needs of the claims project + Evaluates claims using standard principles and applicable state specific policies and regulations to identify claims processing error + Act as a senior claims subject matter expert, advising on complex claims issues and ensuring compliance with regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated through provider inquiries, complaints, or internal audits. + Conducts advanced root cause analysis to identify and resolve systemic claims processing errors, collaborating with multiple departments to define and implement long-term solutions. + Interprets regulatory and contractual requirements to ensure compliance in claims adjudication and remediation processes. + Develops, tracks, and / or monitors remediation plans, ensuring claims reprocessing projects are completed accurately and on time. + Provides in-depth analysis and insights to leadership and operational teams, presenting findings, progress updates, and results in a clear and actionable format. + Takes the lead in provider meetings, when applicable, clearly communicating findings, proposed solutions, and status updates while maintaining a professional and collaborative approach. + Proactively identifies and recommends updates to policies, SOPs, and job aids to improve claims quality and efficiency. + Collaborates with external departments and leadership to define claims requirements and ensure alignment with organizational goals. + QNXT • *Job Qualifications** • *REQUIRED QUALIFICATIONS:** + 5+ years of experience in medical claims processing, research, or a related field. + Demonstrated expertise in regulatory and contractual claims requirements, root cause analysis, and project management. + Advanced knowledge of medical billing codes and claims adjudication processes. + Strong analytical, organizational, and problem-solving skills. + Proficiency in claims management systems and data analysis tools + Excellent communication skills, with the ability to tailor complex information for diverse audiences, including executive leadership and providers. + Proven ability to manage multiple projects, prioritize tasks, and meet tight deadlines in a fast-paced environment. + Microsoft office suite/applicable software program(s) proficiency • *PREFERRED QUALIFICATIONS:** + Bachelor's Degree or equivalent combination of education and experience + Project management + Expert in Excel and PowerPoint + Familiarity with systems used to manage claims inquiries and adjustment requests To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 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 - $106,214 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Design and implement data governance frameworks, ensure data quality and compliance, and lead data engineering projects supporting AI solutions in healthcare. | 8+ years of data management experience, leadership in data projects, expertise in Azure Data Services, Power BI, and healthcare data regulations. | **JOB SUMMARY - Lead Data Engineer** A Lead Data Engineer collaborates with the Data Quality and Governance team to ensure data pipelines, data integrity, and compliance by defining data strategies, implementing Data Governance capabilities, creating self-service data assets, and integrating robust data quality and governance frameworks to support trustworthy AI solutions. Key responsibilities include designing scalable data architectures, establishing data quality standards and monitoring, managing data lineage, and ensuring adherence to regulatory requirements and privacy policies • *KNOWLEDGE, SKILLS & ABILITIES** (Occupational knowledge and specific technical and professional skills and abilities required to perform the essential duties of this job): • *1. Data Quality & Governance Leadership** + Define and enforce data quality standards, validation rules, and monitoring systems tailored to healthcare data. + Collaborate with data stewards, compliance officers, and business stakeholders to resolve data integrity issues and ensure consistent data across systems. + Develop and maintain metadata management, data dictionaries, and stewardship workflows. • *2. Regulatory Compliance & Security** + Ensure all data engineering practices align with healthcare regulations such as HIPAA, HITECH, and other privacy laws. + Implement data governance policies that support secure, ethical, and compliant data usage across the organization. • *3. Data Architecture & Lifecycle Management** + Design scalable data architectures that support healthcare analytics and AI/ML workflows. + Automate data lineage tracking, governance documentation, and audit trails to support transparency and traceability. + Establish data lifecycle policies for retention, archiving, and disposal in accordance with regulatory and operational requirements. • *5. AI/ML Enablement** + Collaborate with data scientists and ML engineers to ensure data pipelines meet model training and inference requirements. + Architect and implement end-to-end AI pipelines using Agentic AI and GenAI frameworks. + Support the development of trustworthy AI by ensuring the use of reliable, consented, and well-governed data to ensure AI enabled solutions around Data Governance. • *6. Cross-Functional Collaboration** + Partner with clinical informatics, compliance, IT, and analytics teams to align data engineering efforts with healthcare delivery goals and governance strategies. • *7. Lead by example** + Must be hands on Data quality, Data Governance tools, Databricks, Power BI + Experience in Azure Data Services (like Azure Databricks, Unity Catalog, Purview, Azure Data Factory) and Power BI + Ability to lead, in solving technical issues while engaged with infrastructure and vendor support teams + Analyze current business practices, processes and procedures and identify opportunities for leveraging Microsoft Azure data & analytics PaaS services. • *8. Leadership & Mentorship** + Lead and mentor a team of data engineers, fostering a culture of quality, compliance, and innovation. + Oversee project delivery and ensure alignment with enterprise data governance objectives. • *JOB FUNCTION:** Responsible for all the aspects of architecture, design and implementation of Data Governance in Databricks • *REQUIRED EDUCATION:** Bachelor's Degree • *REQUIRED EXPERIENCE:** + 8 + years of data management experience + Prior experience leading projects or teams + Strong experience on Data Lake, Data Warehouse, Data Validation & Certification, Data Quality, Metadata Management and Data Governance + Experience in Azure Data Services (like Azure Databricks, Unity Catalog, Purview, Azure Data Factory) and Power BI, and in programming languages such as, PySpark/Python/SQL, etc. + Preferred experience in building stream-processing systems, using solutions such as Kafka, Storm or Spark-Streaming + Experience in implementing AI based solutions in Data Governance space • *PREFERRED EDUCATION:** Master's Degree • *PREFERRED EXPERIENCE:** Experience in the healthcare industry is preferred • *\#LI-Remote** 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: $107,028.57 - $208,705.4 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *JOB SUMMARY - Lead Data Engineer** A Lead Data Engineer collaborates with the Data Quality and Governance team to ensure data pipelines, data integrity, and compliance by defining data strategies, implementing Data Governance capabilities, creating self-service data assets, and integrating robust data quality and governance frameworks to support trustworthy AI solutions. Key responsibilities include designing scalable data architectures, establishing data quality standards and monitoring, managing data lineage, and ensuring adherence to regulatory requirements and privacy policies • *KNOWLEDGE, SKILLS & ABILITIES** (Occupational knowledge and specific technical and professional skills and abilities required to perform the essential duties of this job): • *1. Data Quality & Governance Leadership** + Define and enforce data quality standards, validation rules, and monitoring systems tailored to healthcare data. + Collaborate with data stewards, compliance officers, and business stakeholders to resolve data integrity issues and ensure consistent data across systems. + Develop and maintain metadata management, data dictionaries, and stewardship workflows. • *2. Regulatory Compliance & Security** + Ensure all data engineering practices align with healthcare regulations such as HIPAA, HITECH, and other privacy laws. + Implement data governance policies that support secure, ethical, and compliant data usage across the organization. • *3. Data Architecture & Lifecycle Management** + Design scalable data architectures that support healthcare analytics and AI/ML workflows. + Automate data lineage tracking, governance documentation, and audit trails to support transparency and traceability. + Establish data lifecycle policies for retention, archiving, and disposal in accordance with regulatory and operational requirements. • *5. AI/ML Enablement** + Collaborate with data scientists and ML engineers to ensure data pipelines meet model training and inference requirements. + Architect and implement end-to-end AI pipelines using Agentic AI and GenAI frameworks. + Support the development of trustworthy AI by ensuring the use of reliable, consented, and well-governed data to ensure AI enabled solutions around Data Governance. • *6. Cross-Functional Collaboration** + Partner with clinical informatics, compliance, IT, and analytics teams to align data engineering efforts with healthcare delivery goals and governance strategies. • *7. Lead by example** + Must be hands on Data quality, Data Governance tools, Databricks, Power BI + Experience in Azure Data Services (like Azure Databricks, Unity Catalog, Purview, Azure Data Factory) and Power BI + Ability to lead, in solving technical issues while engaged with infrastructure and vendor support teams + Analyze current business practices, processes and procedures and identify opportunities for leveraging Microsoft Azure data & analytics PaaS services. • *8. Leadership & Mentorship** + Lead and mentor a team of data engineers, fostering a culture of quality, compliance, and innovation. + Oversee project delivery and ensure alignment with enterprise data governance objectives. • *JOB FUNCTION:** Responsible for all the aspects of architecture, design and implementation of Data Governance in Databricks • *REQUIRED EDUCATION:** Bachelor's Degree • *REQUIRED EXPERIENCE:** + 8 + years of data management experience + Prior experience leading projects or teams + Strong experience on Data Lake, Data Warehouse, Data Validation & Certification, Data Quality, Metadata Management and Data Governance + Experience in Azure Data Services (like Azure Databricks, Unity Catalog, Purview, Azure Data Factory) and Power BI, and in programming languages such as, PySpark/Python/SQL, etc. + Preferred experience in building stream-processing systems, using solutions such as Kafka, Storm or Spark-Streaming + Experience in implementing AI based solutions in Data Governance space • *PREFERRED EDUCATION:** Master's Degree • *PREFERRED EXPERIENCE:** Experience in the healthcare industry is preferred • *\#LI-Remote** 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: $107,028.57 - $208,705.4 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Develop and maintain reporting solutions for healthcare quality metrics, analyze large datasets, and support performance improvement projects. | Requires extensive experience in healthcare data analysis, SQL, and familiarity with healthcare quality measures like HEDIS. | **Job Description** • *Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. Assist with research, development, and completion of special performance improvement projects. • *ESSENTIAL JOB DUTIES:** + Work cross functionally with various departments to capture and document requirements, build reporting solutions, and educate users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along with corresponding tracking of progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team productivity reporting. + Development and QA of ad-hoc as well as automated analytical as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support HEDIS audit and revenue at risk reporting. + Calculate and track HEDIS rates for all intervention outcome and for overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex as well as large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis. + Do root cause analysis for business data issues as assigned by the team lead. + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization, and performance. + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Track, Facilitate and Manage changes in the Datawarehouse platform and perform transparent upgrades to analytic reporting modules to ensure no impact to the end users. + Conduct preliminary and post impact analyses for any logic and source code changes for data analytics and reporting module keeping other variables as constant that are not of focus. + Develop oneself as HEDIS subject matter expert to help health plan improve performance on underperforming measures. • *Job Qualifications** • *REQU** **I** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Bachelor's Degree in Computer Science, Finance, Math or Economics or equivalent discipline • *REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + 5+ Years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design + 5+ years of experience in working with Microsoft T-SQL, SSIS and SSRS. + Familiarity with Data Science Techniques and languages like Python and R programming would be an added advantage. + 3+ years of experience with Microsoft Azure, AWS, or Hadoop. + 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of business among Medicaid, Marketplace and Medicare/MMP. + 3+ Years of experience in working with increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics. + 3+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality, finance, and health plan functions • *PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. 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: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *Job Description** • *Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking outcome. Assist with research, development, and completion of special performance improvement projects. • *ESSENTIAL JOB DUTIES:** + Work cross functionally with various departments to capture and document requirements, build reporting solutions, and educate users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along with corresponding tracking of progress and impact of such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team productivity reporting. + Development and QA of ad-hoc as well as automated analytical as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support HEDIS audit and revenue at risk reporting. + Calculate and track HEDIS rates for all intervention outcome and for overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex as well as large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis. + Do root cause analysis for business data issues as assigned by the team lead. + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies to predict future trends in cost, utilization, and performance. + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Track, Facilitate and Manage changes in the Datawarehouse platform and perform transparent upgrades to analytic reporting modules to ensure no impact to the end users. + Conduct preliminary and post impact analyses for any logic and source code changes for data analytics and reporting module keeping other variables as constant that are not of focus. + Develop oneself as HEDIS subject matter expert to help health plan improve performance on underperforming measures. • *Job Qualifications** • *REQU** **I** **RED ED** **U** **C** **A** **TI** **O** **N** **:** Bachelor's Degree in Computer Science, Finance, Math or Economics or equivalent discipline • *REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + 5+ Years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design + 5+ years of experience in working with Microsoft T-SQL, SSIS and SSRS. + Familiarity with Data Science Techniques and languages like Python and R programming would be an added advantage. + 3+ years of experience with Microsoft Azure, AWS, or Hadoop. + 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of business among Medicaid, Marketplace and Medicare/MMP. + 3+ Years of experience in working with increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics. + 3+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality, finance, and health plan functions • *PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. 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: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Lead design and deployment of AI conversational agents, integrate with enterprise systems, and mentor developers. | Require 5-7 years of experience in applicable business and systems, with skills in AI, APIs, and enterprise integrations, and a relevant bachelor's degree. | **JOB DESCRIPTION** • *Job Summary** We are seeking a Senior AI Developer/Engineer to lead the design and deployment of intelligent conversational agents across IT, HR, and enterprise platforms. 1. Develop and implement AI-driven virtual assistants using Moveworks, Oracle GenAI Agents, and Microsoft Azure AI Copilot. 2. Design conversational flows, intents, and memory for multi-turn interactions. 3. Integrate AI agents with enterprise systems like ServiceNow, Oracle HCM, and Microsoft Teams. 4. Create custom agent workflows and automation using APIs and low-code tools. 5. Apply prompt engineering and fine-tune LLMs to ensure accuracy and tone alignment. 6. Implement testing frameworks, QA processes, and user acceptance validation. 7. Manage deployments, monitor performance, and ensure secure data handling. 8. Continuously enhance AI agent capabilities using platform updates and analytics insights. 9. Document architectures, workflows, and operational procedures. 10. Ensure compliance with AI governance, data privacy, and responsible AI principles. 11. Collaborate with cross-functional teams across IT, HR, and AI governance committees. 12. Mentor developers and promote best practices in AI development. 13. Stay current with new Moveworks and Azure AI features for enterprise automation. 14. Strong skills in Python, REST APIs, OAuth 2.0, and enterprise integrations required. 15. Ideal candidate has experience with LLMs, chatbots, and secure cloud AI deployment. • *JOB QUALIFICATIONS** • *REQUIRED EDUCATION:** Bachelor’s Degree in Business Administration or Information Technology or equivalent combination of education and experience • *REQUIRED EXPERIENCE:** 5-7 years related experience in a combination of applicable business and business systems • *REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** • *PREFERRED EDUCATION:** • *PREFERRED EXPERIENCE:** • *PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** • *STATE SPECIFIC REQUIREMENTS:** 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: $77,969 - $117,000 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *JOB DESCRIPTION** • *Job Summary** We are seeking a Senior AI Developer/Engineer to lead the design and deployment of intelligent conversational agents across IT, HR, and enterprise platforms. 1. Develop and implement AI-driven virtual assistants using Moveworks, Oracle GenAI Agents, and Microsoft Azure AI Copilot. 2. Design conversational flows, intents, and memory for multi-turn interactions. 3. Integrate AI agents with enterprise systems like ServiceNow, Oracle HCM, and Microsoft Teams. 4. Create custom agent workflows and automation using APIs and low-code tools. 5. Apply prompt engineering and fine-tune LLMs to ensure accuracy and tone alignment. 6. Implement testing frameworks, QA processes, and user acceptance validation. 7. Manage deployments, monitor performance, and ensure secure data handling. 8. Continuously enhance AI agent capabilities using platform updates and analytics insights. 9. Document architectures, workflows, and operational procedures. 10. Ensure compliance with AI governance, data privacy, and responsible AI principles. 11. Collaborate with cross-functional teams across IT, HR, and AI governance committees. 12. Mentor developers and promote best practices in AI development. 13. Stay current with new Moveworks and Azure AI features for enterprise automation. 14. Strong skills in Python, REST APIs, OAuth 2.0, and enterprise integrations required. 15. Ideal candidate has experience with LLMs, chatbots, and secure cloud AI deployment. • *JOB QUALIFICATIONS** • *REQUIRED EDUCATION:** Bachelor’s Degree in Business Administration or Information Technology or equivalent combination of education and experience • *REQUIRED EXPERIENCE:** 5-7 years related experience in a combination of applicable business and business systems • *REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** • *PREFERRED EDUCATION:** • *PREFERRED EXPERIENCE:** • *PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** • *STATE SPECIFIC REQUIREMENTS:** 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: $77,969 - $117,000 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Lead and manage internal business projects and programs, ensuring delivery within scope, schedule, and budget, with a focus on process improvement and organizational change. | Bachelor's degree with 3-5 years of project management experience, healthcare knowledge, and proficiency in project management tools like Microsoft Project and Visio. | **JOB DESCRIPTION** • *Job Summary** Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. • *Job Duties** + Provide project summaries that will be senior leadership facing with ties to market SAI goals. + Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. + Plans and directs schedules as well as project budgets. + Monitors the project from inception through delivery. + May engage and oversee the work of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule • *JOB QUALIFICATIONS** • *REQUIRED EDUCATION** : Bachelor's Degree or equivalent combination of education and experience. • *REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent presentation and communication skills. + Experience partnering with different levels of leadership across the organization. • *PREFERRED EDUCATION** : Graduate Degree or equivalent combination of education and experience. • *PREFERRED EXPERIENCE** : • 5-7 years of Program and/or Project management experience. • Provider Network and SAI • Excel and PowerPoint • Managed Care experience. • Experience working in a cross functional highly matrixed organization. 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: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *JOB DESCRIPTION** • *Job Summary** Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. • *Job Duties** + Provide project summaries that will be senior leadership facing with ties to market SAI goals. + Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. + Plans and directs schedules as well as project budgets. + Monitors the project from inception through delivery. + May engage and oversee the work of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and manages team in planning and executing business programs. + Serves as the subject matter expert in the functional area and leads programs to meet critical needs. + Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule • *JOB QUALIFICATIONS** • *REQUIRED EDUCATION** : Bachelor's Degree or equivalent combination of education and experience. • *REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent presentation and communication skills. + Experience partnering with different levels of leadership across the organization. • *PREFERRED EDUCATION** : Graduate Degree or equivalent combination of education and experience. • *PREFERRED EXPERIENCE** : • 5-7 years of Program and/or Project management experience. • Provider Network and SAI • Excel and PowerPoint • Managed Care experience. • Experience working in a cross functional highly matrixed organization. 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: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Support cross-functional initiatives by analyzing business needs, documenting requirements, and driving operational improvements in a healthcare setting. | Bachelor's degree in Business, Healthcare Administration, or related field, with 2-5 years of experience in business analysis, preferably in managed care or CMS environment, and familiarity with Agile methodologies. | **JOB DESCRIPTION** • *Job Summary** Molina Healthcare is seeking a seasoned Business Analyst to support cross-functional initiatives across all lines of business. This role will collaborate with teams in various departments (Claims, Enrollment, Provider Network, IT, Compliance, etc.) to analyze business needs, document requirements, and drive operational improvements. The ideal candidate will bring strong analytical skills, healthcare experience, and a deep understanding of Centers for Medicare and Medicaid Services (CMS) programs and regulations. • *KNOWLEDGE/SKILLS/ABILITIES** + Articulate requirements into concise and clear directions for project members (Business Owners, Developers, Testers, etc.) to understand and execute + Facilitate collaboration across departments to ensure alignment and compliance + Ingenuity to gather requirements for system enhancements and operational changes from simple to complex projects + Ability to analyze intricate business processes and data to identify gaps + Utilize researched data and IT/Healthcare knowledge to recommend viable and sustainable solutions + Monitor performance and contribute to continuous improvement efforts + Strong communication and stakeholder engagement skills extending to executive levels • *JOB QUALIFICATIONS** • *Required Education** + Bachelor's degree in Business, Healthcare Administration, or related field or equivalent work experience • *Required Experience** + 2-5 years of experience in business analysis, preferably in a managed care or CMS environment + Familiarity with Agile methodologies and tools like Jira or SharePoint • *Preferred License, Certification, Association** + Six Sigma, CBAP, or similar certification preferred 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: $77,969 - $128,519 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *JOB DESCRIPTION** • *Job Summary** Molina Healthcare is seeking a seasoned Business Analyst to support cross-functional initiatives across all lines of business. This role will collaborate with teams in various departments (Claims, Enrollment, Provider Network, IT, Compliance, etc.) to analyze business needs, document requirements, and drive operational improvements. The ideal candidate will bring strong analytical skills, healthcare experience, and a deep understanding of Centers for Medicare and Medicaid Services (CMS) programs and regulations. • *KNOWLEDGE/SKILLS/ABILITIES** + Articulate requirements into concise and clear directions for project members (Business Owners, Developers, Testers, etc.) to understand and execute + Facilitate collaboration across departments to ensure alignment and compliance + Ingenuity to gather requirements for system enhancements and operational changes from simple to complex projects + Ability to analyze intricate business processes and data to identify gaps + Utilize researched data and IT/Healthcare knowledge to recommend viable and sustainable solutions + Monitor performance and contribute to continuous improvement efforts + Strong communication and stakeholder engagement skills extending to executive levels • *JOB QUALIFICATIONS** • *Required Education** + Bachelor's degree in Business, Healthcare Administration, or related field or equivalent work experience • *Required Experience** + 2-5 years of experience in business analysis, preferably in a managed care or CMS environment + Familiarity with Agile methodologies and tools like Jira or SharePoint • *Preferred License, Certification, Association** + Six Sigma, CBAP, or similar certification preferred 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: $77,969 - $128,519 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Oversee and lead a sales team, develop business strategies, conduct market research, and build relationships to drive enrollment and membership growth. | Minimum 5-7 years in sales or outreach, experience managing teams, proficiency in data management tools, and strong communication skills. | Job Description Job Summary The Manager, Business Development, Facilitated Enrollments, is responsible for for overseeing daily operations and driving individual and team performance. The Manager will lead a team of Facilitated Enrollers in a designated region(s) making data-informed decisions to drive performance, resource allocation and lead generation. This is a field-based leadership role that is accountable for meeting sales and enrollment targets, as well as increasing market share, leveraging product and market synergies driving overall membership growth and retention. Leads managed-care related business development activities for competitive intelligence, which may also include attendance/participation national, state, and local conferences, seminars, and meetings as well as any other business development support activities, as needed. Job Duties • Manage and oversee a local field-based team of Facilitated Enrollers that orchestrate member events, potential customer events, and community-based goodwill and general awareness that make Molina the insurer of choice • Leads business development support projects from inception through completion. • Develop and execute effective business plans to reflect strategy, tactics, key relationships, and commensurate resources for the respective region. This will include goals, recruitment, sales/business development events, market partnerships, and engagement • Conduct regular sales-related training/coaching, focusing on increasing sales, overcoming objections, expanding markets, selling the full portfolio, presentations skills, prospecting, compliance and quality updates, etc. • Build, maintain, deepen, and leverage internal and external strategic relationships that create sales opportunities. • Leads analyses and market research utilized for business development activities. • Gathers research and intelligence, including monitoring activity in other markets. • Create and execute effective resource sharing strategies, including lead routing, kiosk assignments, community meeting assignments, and participation in other Molina best practices. • Collaborate with the Marketing team to produce positive outcomes, notably lead generation, member enrollment, and membership growth • Focus on professional development of the team and mentoring the Facilitated Enrollers • Develop and implement provider engagement strategies • Ensure compliance with state regulations as well as health plan policies and procedures Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent work experience REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • Minimum 5-7 years sales or sales experience (Demonstrated experience managing a team of sales and/or outreach staff with KPIs in a regulated environment) • Minimum 5-7 years of business to business, business to consumer direct marketing, outside sales, or community outreach experience • Demonstrated Proficiency in Microsoft Office; Agility in the use of data management databases (i.e. SharePoint, PowerBi). • Strong communication skills, including written, phone and video to manage and engage with corporate and external partners (ie Providers, community based organizations, etc...) in a culturally competent manner • Strong relationship building skills and ability to work engage customers and prospective members • Ability to manage and prioritize deliverables • Effective in sourcing and use of market research information and market strategies • Prior experience in structured sales, service, or business development • Experience in a deadline-driven environment to meet or exceed sales promotion/marketing targets in compliant manner within a heavily regulated marketplace. • Understanding of Individual Exchange, Medicaid, and NY State of Health Marketplace • Able to travel State wide up to 80% of the time within assigned sales territories REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: • Must have reliable transportation and a valid state driver's license with no restrictions meeting Molina requirements PREFERRED EDUCATION: • Graduate Degree or equivalent combination of education and experience PREFERRED EXPERIENCE: • Understanding of the healthcare industry • Bilingual skills • Local market experience • Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations, and/or underserved communities • Creative thinker with proven track record of innovative ideas working within structured (including matrixed organizations), high velocity environments 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.

No core software engineering responsibilities are present in your profile. | Requires 3-5 years supporting, designing, or implementing application changes, and knowledge of software development tools and methodologies. | **Knowledge/Skills/Abilities** •Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. •Evaluates alternative systems solutions and recommends solution that best meets the need of the business. •Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. •Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. •Provides subject matter expertise and reviews applications designs built using .Net Framework 1.1/2.0, C#, VB.NET, ASP.NET, VB6.0, VB Script, Java Script, XML, HTML, DHTML, SharePoint server, BizTalk Server 2004/6, Microsoft SQL Server 2000/5, DTS/SSIS/SSRS on windows platform. •Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. •Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). •Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. •Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. •Works independently and resolves complex business problems with no supervision. •Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. •Works with project managers to define work assignments for development team(s). •Identifies, defines and plans software engineering process improvements and verifies compliance. •Mentors and trains systems/programmer analysts on software applications, business domain and design standards. •Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. •Recommends, schedules and performs software systems/applications improvements and updates. •Conducts studies pertaining to designs of new information systems to meet current and projected needs. •Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. •Excellent verbal and written communication skills •Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. • *Job Qualifications** • *Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience • *Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. • *Preferred Education** Master's Degree • *Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. 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: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *Knowledge/Skills/Abilities** •Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. •Evaluates alternative systems solutions and recommends solution that best meets the need of the business. •Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination. •Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. •Provides subject matter expertise and reviews applications designs built using .Net Framework 1.1/2.0, C#, VB.NET, ASP.NET, VB6.0, VB Script, Java Script, XML, HTML, DHTML, SharePoint server, BizTalk Server 2004/6, Microsoft SQL Server 2000/5, DTS/SSIS/SSRS on windows platform. •Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently. •Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s). •Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system. •Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas. •Works independently and resolves complex business problems with no supervision. •Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality. •Works with project managers to define work assignments for development team(s). •Identifies, defines and plans software engineering process improvements and verifies compliance. •Mentors and trains systems/programmer analysts on software applications, business domain and design standards. •Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. •Recommends, schedules and performs software systems/applications improvements and updates. •Conducts studies pertaining to designs of new information systems to meet current and projected needs. •Defines and plans software releases in accordance with other software applications. Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned. •Excellent verbal and written communication skills •Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes. • *Job Qualifications** • *Required Education** Bachelor's Degree in Computer Science or related field or equivalent experience • *Required Experience** 3-5 years experience supporting, designing and/or implementing application changes. • *Preferred Education** Master's Degree • *Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. 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: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Support and interpret regulatory and functional requirements related to healthcare coverage and reimbursement, coordinate with stakeholders, and manage disputes and claims. | Minimum 4 years of experience in managed care or health insurance, strong analytical skills, knowledge of claims processing, and proficiency in Excel. | **JOB DESCRIPTION** • *Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. • *JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. + Monitors regulatory sources to ensure all updates are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. + Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. + Where applicable, codifies the requirements for system configuration alignment and interpretation. + Provides support for requirement interpretation inconsistencies and complaints. + Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible. + Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. + Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. • *Recoveries & Disputes** + Review and validate provider complaints and payment disputes, ensuring accurate and timely resolution in line with policy and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. + Evaluate root cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable insights and recommendations to leadership to drive continuous improvement. • *Skills & Competencies** + Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of claim system configurations, payment policies, and audit processes. + Exceptional analytical, problem-solving, and documentation skills. + Ability to translate complex business problems into clear system requirements and process improvements. + Proficiency in Excel + Knowledge in QNXT preferred + Strong communication and stakeholder management skills with ability to influence across teams. • *KNOWLEDGE/SKILLS/ABILITIES** + Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation are agreed on and clear for solutioning. + Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. + Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. + Ability to concisely synthesize large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. + Ability to work independently in a remote environment. + Ability to work with those in other time zones than your own. • *JOB QUALIFICATIONS** • *Required Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. + Policy/government legislative review knowledge + Strong analytical and problem-solving skills + Familiarity with administration systems + Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams + Previous success in a dynamic and autonomous work environment • *Preferred Qualifications** + Project implementation experience + Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 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 - $128,519 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *JOB DESCRIPTION** • *Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. • *JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. + Monitors regulatory sources to ensure all updates are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. + Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. + Where applicable, codifies the requirements for system configuration alignment and interpretation. + Provides support for requirement interpretation inconsistencies and complaints. + Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible. + Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. + Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. • *Recoveries & Disputes** + Review and validate provider complaints and payment disputes, ensuring accurate and timely resolution in line with policy and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. + Evaluate root cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable insights and recommendations to leadership to drive continuous improvement. • *Skills & Competencies** + Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of claim system configurations, payment policies, and audit processes. + Exceptional analytical, problem-solving, and documentation skills. + Ability to translate complex business problems into clear system requirements and process improvements. + Proficiency in Excel + Knowledge in QNXT preferred + Strong communication and stakeholder management skills with ability to influence across teams. • *KNOWLEDGE/SKILLS/ABILITIES** + Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation are agreed on and clear for solutioning. + Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. + Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. + Ability to concisely synthesize large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. + Ability to work independently in a remote environment. + Ability to work with those in other time zones than your own. • *JOB QUALIFICATIONS** • *Required Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. + Policy/government legislative review knowledge + Strong analytical and problem-solving skills + Familiarity with administration systems + Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams + Previous success in a dynamic and autonomous work environment • *Preferred Qualifications** + Project implementation experience + Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 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 - $128,519 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Designs and implements data processes, analyzes large datasets, develops reports and dashboards, and supports projects related to healthcare data and analytics. | Requires 3-7 years of experience in data analysis, healthcare claims, and technical skills like SQL, PowerBI, and ETL, with a relevant degree or experience. | **JOB DESCRIPTION** • *Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. • *KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting + Extracts and compiles various sources of information and large data sets from various systems or applications + Set up process for monitoring, tracking and trending information and data using various systems or applications + Prepares well-organized, easily understood reports, analysis, and summary of findings for use by management + Assists in preparation of regularly produced reports to support executive decision-making + Researches and analyze report results identifying opportunities and trends + Works with internal, external and enterprise individuals as needed to research, develop, and document new standard reports or processes + Consolidates data from multiple sources, using industry-based tools or manually; able to process data effectively using Microsoft Excel + Supports management and other team members as requested on all things data related. + Supports Operations and Implementations of special projects + Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud, waste and abuse. + Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. • *JOB QUALIFICATIONS** • *Required Education** Associate degree or equivalent combination of education and experience • *Required Experience** 3-5 years • *Preferred Education** Bachelor's Degree or equivalent combination of education and experience • *Preferred Experience** 5-7 years 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: $77,969 - $141,371 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *JOB DESCRIPTION** • *Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. • *KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting + Extracts and compiles various sources of information and large data sets from various systems or applications + Set up process for monitoring, tracking and trending information and data using various systems or applications + Prepares well-organized, easily understood reports, analysis, and summary of findings for use by management + Assists in preparation of regularly produced reports to support executive decision-making + Researches and analyze report results identifying opportunities and trends + Works with internal, external and enterprise individuals as needed to research, develop, and document new standard reports or processes + Consolidates data from multiple sources, using industry-based tools or manually; able to process data effectively using Microsoft Excel + Supports management and other team members as requested on all things data related. + Supports Operations and Implementations of special projects + Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud, waste and abuse. + Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. • *JOB QUALIFICATIONS** • *Required Education** Associate degree or equivalent combination of education and experience • *Required Experience** 3-5 years • *Preferred Education** Bachelor's Degree or equivalent combination of education and experience • *Preferred Experience** 5-7 years 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: $77,969 - $141,371 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Manage and lead Medicare Star Ratings programs, coordinate cross-functional teams, and oversee program outcomes. | Requires 4-6 years of Medicare Stars experience, project management skills, and knowledge of quality improvement programs. | **Job Description** • *Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Plans and directs schedules as well as program budgets. Monitors the programs and initiatives from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions’ primary focus is project/program management for Stars Program and Quality improvement activities, as week as the application of expertise in a specialized functional field of knowledge. • *Job Duties** • Leads and collaborates with teams & health plans impacted by Medicare Quality Improvement programs involving enterprise, department or cross-functional teams of subject matter experts, delivering products through the design process to completion. • Manages, plana and executes Medicare Star Ratings programs. Assigns and monitors work of program management staff providing support and direction. • Supports Stars program execution and governance needs to communication, measure outcomes and develop initiatives to improve Star Ratings. • Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet critical needs. • Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities • Leads Health plan leadership discussions to provide recommendations, performance results and opportunity assessments for improvement. • Works with operational leaders within the business to provide recommendations on opportunities for process improvements, organizational change management, program management and other processes related to Medicare Star Ratings • Plans and directs schedules Program initiatives, as well as program budgets. • Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation through delivery through outcomes measurement. • Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs. • *Job Qualifications** • *REQUIRED EDUCATION** : Bachelor’s Degree or equivalent combination of education and experience • *REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 4-6 years of Medicare Stars Program and project management experience Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs Medicare experience Excellent presentation and communication skills Experience partnering with different level of leadership across the organization • *PREFERRED EXPERIENCE** : 7+ years of Medicare Stars Program experience • *PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Six Sigma Black Belt Certification, ITIL Certification desired 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: $80,412 - $188,164 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *Job Description** • *Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Plans and directs schedules as well as program budgets. Monitors the programs and initiatives from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions’ primary focus is project/program management for Stars Program and Quality improvement activities, as week as the application of expertise in a specialized functional field of knowledge. • *Job Duties** • Leads and collaborates with teams & health plans impacted by Medicare Quality Improvement programs involving enterprise, department or cross-functional teams of subject matter experts, delivering products through the design process to completion. • Manages, plana and executes Medicare Star Ratings programs. Assigns and monitors work of program management staff providing support and direction. • Supports Stars program execution and governance needs to communication, measure outcomes and develop initiatives to improve Star Ratings. • Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet critical needs. • Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities • Leads Health plan leadership discussions to provide recommendations, performance results and opportunity assessments for improvement. • Works with operational leaders within the business to provide recommendations on opportunities for process improvements, organizational change management, program management and other processes related to Medicare Star Ratings • Plans and directs schedules Program initiatives, as well as program budgets. • Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation through delivery through outcomes measurement. • Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs. • *Job Qualifications** • *REQUIRED EDUCATION** : Bachelor’s Degree or equivalent combination of education and experience • *REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 4-6 years of Medicare Stars Program and project management experience Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs Medicare experience Excellent presentation and communication skills Experience partnering with different level of leadership across the organization • *PREFERRED EXPERIENCE** : 7+ years of Medicare Stars Program experience • *PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Six Sigma Black Belt Certification, ITIL Certification desired 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: $80,412 - $188,164 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Developing and executing distribution strategies, managing distributor relationships, and driving sales growth in Medicare and Marketplace products. | Bachelor's degree, 10+ years experience in Medicare or Marketplace product marketing/distribution, strong relationship-building and strategic skills, insurance licensing. | **Job Description** • *Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit that will execute on Molina's Medicare national broker distribution strategy with National Marketing Organizations (NMO's) and other topline distributors. He/she will recruit, train, and motivate a group of external distributors/wholesalers that will deliver industry leading results via business development activities. • *Knowledge/Skills/Abilities** • Prospecting, appoints and manages agency relationships to achieve sales and profitability objectives. • Develop and execute a market level distribution strategy that drives significant sales growth of Marketplace and Medicare products with accounts. • Build and maintain strong, focused relationships with distributors at all levels • Participate in planning and execution with internal business units in order to drive growth and profit growth • Develop and execute sales plan with each NMO partner to help contribute to our corporate objective. • Maintain up-to-date knowledge of local market trends, competitive intelligence, core product strategies, and other indicators ensuring a competitive edge. • Represent our organization at trade shows and industry events • Develop and manage national co-op marketing strategy (strategy, management & communication) • Ensure National Marketing Organizations and other top line distributors follow CMS and State Guidelines, along with basic ethical sales practices • Collaborate with Marketing to develop marketing opportunities for National Marketing Organizations and other top line distributors. • *Job Qualifications** • *Required Education** • Bachelor's degree required • *Required Experience** • 10+ years' experience securing and retaining National Marketing Organizations to market Medicare or Marketplace products • Must be able to demonstrate critical, strategic thinking skills to drive positive outcomes with key NMO partners • Build strong working relationships with internal and external partners, driving positive energy through influential leadership • Strong presentation and public speaking skills • Strategic thinker capable of developing long term and best in class distribution relationships • 60% travel required • *Required License, Certification, Association** • Must be insurance licensed. If not must get license within 90 days after start date. • *Preferred Education** Advanced degree desirable 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: $77,969 - $141,371 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *Job Description** • *Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit that will execute on Molina's Medicare national broker distribution strategy with National Marketing Organizations (NMO's) and other topline distributors. He/she will recruit, train, and motivate a group of external distributors/wholesalers that will deliver industry leading results via business development activities. • *Knowledge/Skills/Abilities** • Prospecting, appoints and manages agency relationships to achieve sales and profitability objectives. • Develop and execute a market level distribution strategy that drives significant sales growth of Marketplace and Medicare products with accounts. • Build and maintain strong, focused relationships with distributors at all levels • Participate in planning and execution with internal business units in order to drive growth and profit growth • Develop and execute sales plan with each NMO partner to help contribute to our corporate objective. • Maintain up-to-date knowledge of local market trends, competitive intelligence, core product strategies, and other indicators ensuring a competitive edge. • Represent our organization at trade shows and industry events • Develop and manage national co-op marketing strategy (strategy, management & communication) • Ensure National Marketing Organizations and other top line distributors follow CMS and State Guidelines, along with basic ethical sales practices • Collaborate with Marketing to develop marketing opportunities for National Marketing Organizations and other top line distributors. • *Job Qualifications** • *Required Education** • Bachelor's degree required • *Required Experience** • 10+ years' experience securing and retaining National Marketing Organizations to market Medicare or Marketplace products • Must be able to demonstrate critical, strategic thinking skills to drive positive outcomes with key NMO partners • Build strong working relationships with internal and external partners, driving positive energy through influential leadership • Strong presentation and public speaking skills • Strategic thinker capable of developing long term and best in class distribution relationships • 60% travel required • *Required License, Certification, Association** • Must be insurance licensed. If not must get license within 90 days after start date. • *Preferred Education** Advanced degree desirable 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: $77,969 - $141,371 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Assist in analyzing large datasets to identify errors, overpayments, or fraud, and support operational improvements through data analysis. | Currently enrolled undergraduate with a GPA of 3.0 or higher, pursuing a degree related to Data Science or Programming, with computer skills in MS Office and internet research. | **JOB DESCRIPTION** • *Job Summary** The Molina Healthcare Internship Program shares an objective to create a stepping stone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina’s culture, Mission and Values.​ • *KNOWLEDGE, SKILLS & ABILITIES** ​ • *Payment Integrity Analytics** ​ + Assist in analyzing large datasets to identify potential errors, overpayments, or fraudulent activity.​ + Work collaboratively with senior data scientists and analysts to conduct exploratory and diagnostic data analysis that supports payment integrity projects.​ + Utilize statistical analysis, machine learning techniques including supervised learning and rule-based logic to detect potentially incorrectly paid claims.​ + Contribute to improve data quality, perform data audits, identify discrepancies and resolve issues.​ + Support the identification of opportunities for operational improvement or growth based on analytical findings.​ + Areas of exposure may include:​ + Economics/Finance​ + Data Analysis / Science​ + Fraud, Waste, and Abuse (FWA)​ + Other data intensive areas​ • *Preferred Experience** ​ + Must possess clear and professional written, verbal and interpersonal communication skills.​ + Strong work ethic, self-motivated and ability to develop relationships.​ + Good time management, organizational and interpersonal skills required​ + Computer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.​ + Excellent critical thinking/problem solving skills​ + Ability to handle confidential information​ + Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)​ • *PROGRAM REQUIREMENTS:** ​ + Must be currently enrolled in an undergraduate program as a freshman, sophomore, or junior + Minimum GPA of 3.0 or higher + Pursuing a degree in Data Science, Data Analysis, or Programming Related + Must have unrestricted authorization to work in the United States + Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026  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: $21.16 - $21.66 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *JOB DESCRIPTION** • *Job Summary** The Molina Healthcare Internship Program shares an objective to create a stepping stone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina’s culture, Mission and Values.​ • *KNOWLEDGE, SKILLS & ABILITIES** ​ • *Payment Integrity Analytics** ​ + Assist in analyzing large datasets to identify potential errors, overpayments, or fraudulent activity.​ + Work collaboratively with senior data scientists and analysts to conduct exploratory and diagnostic data analysis that supports payment integrity projects.​ + Utilize statistical analysis, machine learning techniques including supervised learning and rule-based logic to detect potentially incorrectly paid claims.​ + Contribute to improve data quality, perform data audits, identify discrepancies and resolve issues.​ + Support the identification of opportunities for operational improvement or growth based on analytical findings.​ + Areas of exposure may include:​ + Economics/Finance​ + Data Analysis / Science​ + Fraud, Waste, and Abuse (FWA)​ + Other data intensive areas​ • *Preferred Experience** ​ + Must possess clear and professional written, verbal and interpersonal communication skills.​ + Strong work ethic, self-motivated and ability to develop relationships.​ + Good time management, organizational and interpersonal skills required​ + Computer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.​ + Excellent critical thinking/problem solving skills​ + Ability to handle confidential information​ + Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)​ • *PROGRAM REQUIREMENTS:** ​ + Must be currently enrolled in an undergraduate program as a freshman, sophomore, or junior + Minimum GPA of 3.0 or higher + Pursuing a degree in Data Science, Data Analysis, or Programming Related + Must have unrestricted authorization to work in the United States + Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026  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: $21.16 - $21.66 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Managing internal business projects and programs across departments, overseeing project delivery from inception to completion, and engaging with senior leadership. | Extensive experience in program management, industry knowledge in healthcare or managed care, leadership skills, and ability to manage multiple complex projects. | JOB DESCRIPTION Job Summary Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members. Senior Program Management Professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership skills; should be well experienced and comfortable presenting to C level executives; ability to drive structure and organization; extensive working knowledge of portfolio and project management tools and methodologies; ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing, written and verbal communication abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic relationship with Corporate EPMO and IT. Manage the issue escalation/resolution process. KNOWLEDGE/SKILLS/ABILITIES • Manages programs using staff and matrixed resources with oversight from AVP and VP as needed • Serves as industry Subject Matter Expert in the functional area and leads programs to meet critical needs • Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management • Consultative role, develops business case methodologies for programs, develops and coordinates implementation of business strategy • Collaborates and facilitates activities with other units at corporate and Molina Plans. JOB QUALIFICATIONS Required Education Bachelor's degree or equivalent combination of education and experience Required Experience 7-9 years Preferred Education Graduate Degree or equivalent combination of education and experience Preferred Experience 10+ years experience Managed Care industry experience - Medicaid, Medicare, Marketplace. Network Management and Public Policy New Program implementation experience (inpatient/outpatient) Behavioral Health - Configuration, PCM, Providers Billing Guides 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.

Manage program documentation, controls, budgets, governance, and stakeholder collaboration to support program success and compliance. | At least 4 years of program/project management experience, operational process improvement, managed care experience, proficiency with Microsoft Project and Visio, and strong communication skills. | **JOB DESCRIPTION** • *Job Summary** Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. • *Job Duties** + Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective programs. + Manages program budget, as applicable, supporting project prioritization. + Collaborate with Legal, Compliance, and Information Security to ensure governance standards are upheld. + Tracks performance metrics and ensures value realization from deployed solutions. + Coordinates recurring meetings to support governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management. + Collaborate with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral. + Routinely reviews program collateral to ensure current and accurate reflection of business needs. + Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team. + Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generates and distributes standard reports on schedule. • *JOB QUALIFICATIONS** • *REQUIRED QUALIFICATIONS** : + At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience. + Operational Process Improvement experience. + Managed Care experience, preferably in a shared service, CoE or matrixed environment. + Experience with Microsoft Project and Visio. + Strong presentation and communication skills. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 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 - $129,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Lead and manage complex enterprise project testing including test planning, execution, risk mitigation, and stakeholder communication. | Bachelor's degree plus 7+ years of combined business and business systems experience with strong leadership and technical testing skills. | **Job Description** • *Job Summary** Interfaces with internal and external customers in reviewing scope and developing requirements and plans for testing / quality assurance for enterprise projects of considerable complexity. Works with cross functional teams to prepare comprehensive test design specifications for functional, regression, performance and security testing. Performs analysis to identify dependency points and common areas across multiple projects and optimizes the testing effort to reduce duplication. Manages project test resources in the development of large multi-system, multi-platform projects. Responsible for accurate and timely creation of test artifacts, tasks, execution schedule / plan, and manages stakeholder signoff. Closely reviews and tracks test execution and identifies risk, provides mitigation plan and communicates with project stakeholders and leadership. Manages test metrics such as sprint test velocity, defect density and defect leakage and identifies QA improvement opportunities. Understands and implements industry leading testing trends, tools and technologies such as AI, automation, etc. • *Job Duties** • Works closely with customers to develop test requirements for major cross functional enterprise projects • Prepares test design specifications for functional, regression, performance and security testing • Creates, reviews, analyzes and estimates project test requests and scope. • Performs research and analysis of customer-initiated inquiries and requests, utilizing technical tools as necessary to fully test reported issues/requirements . • Fields direct questions from project and cross functional teams regarding business, technical and operations rules that may impact testing. • Develops technical tests to validate complex business and system problems. • Provides guidance for development teams through project testing as needed. • Provides excellent customer service to internal and external customers handling all aspects of client relations concerning testing for technical projects, including notifying the client of implementation schedules and co-ordination and assistance in presentation of results. • Provides leadership by mentoring others and sharing business and system knowledge. • Develops, reviews and validates test results per requirements. • Develops and documents test plans and works with stakeholders to review and obtain signoff prior to starting test execution. Monitors for material changes to the test scope and manages the changes through formal change request process • Creates, presents and executes functional and acceptance test cases in accordance with the requirements of the solution/project. • Manages complex project testing tasks from requirements review through deployment, including work assignment, prioritization, issue triage etc. • Understands other Molina changes in process that may impact the customer and notifies the customer of such changes well ahead of their implementation. • Able to work in a cross functional project team setting while also able to complete tasks individually within the provided timeline or as needed, accelerated timeline to meet the desired deployment deadline. • Provides oversight across testing teams of multiple projects to identify risk and provide mitigation and ensure timely delivery • *Job Qualifications** • *REQUIRED EDUCATION:** •Bachelor’s Degree in Business Administration or Information Technology or equivalent combination of education and experience • *REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 7 + years experience in a combination of applicable business and business systems • *PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. 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: $77,969 - $171,058 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. • *Job Description** • *Job Summary** Interfaces with internal and external customers in reviewing scope and developing requirements and plans for testing / quality assurance for enterprise projects of considerable complexity. Works with cross functional teams to prepare comprehensive test design specifications for functional, regression, performance and security testing. Performs analysis to identify dependency points and common areas across multiple projects and optimizes the testing effort to reduce duplication. Manages project test resources in the development of large multi-system, multi-platform projects. Responsible for accurate and timely creation of test artifacts, tasks, execution schedule / plan, and manages stakeholder signoff. Closely reviews and tracks test execution and identifies risk, provides mitigation plan and communicates with project stakeholders and leadership. Manages test metrics such as sprint test velocity, defect density and defect leakage and identifies QA improvement opportunities. Understands and implements industry leading testing trends, tools and technologies such as AI, automation, etc. • *Job Duties** • Works closely with customers to develop test requirements for major cross functional enterprise projects • Prepares test design specifications for functional, regression, performance and security testing • Creates, reviews, analyzes and estimates project test requests and scope. • Performs research and analysis of customer-initiated inquiries and requests, utilizing technical tools as necessary to fully test reported issues/requirements . • Fields direct questions from project and cross functional teams regarding business, technical and operations rules that may impact testing. • Develops technical tests to validate complex business and system problems. • Provides guidance for development teams through project testing as needed. • Provides excellent customer service to internal and external customers handling all aspects of client relations concerning testing for technical projects, including notifying the client of implementation schedules and co-ordination and assistance in presentation of results. • Provides leadership by mentoring others and sharing business and system knowledge. • Develops, reviews and validates test results per requirements. • Develops and documents test plans and works with stakeholders to review and obtain signoff prior to starting test execution. Monitors for material changes to the test scope and manages the changes through formal change request process • Creates, presents and executes functional and acceptance test cases in accordance with the requirements of the solution/project. • Manages complex project testing tasks from requirements review through deployment, including work assignment, prioritization, issue triage etc. • Understands other Molina changes in process that may impact the customer and notifies the customer of such changes well ahead of their implementation. • Able to work in a cross functional project team setting while also able to complete tasks individually within the provided timeline or as needed, accelerated timeline to meet the desired deployment deadline. • Provides oversight across testing teams of multiple projects to identify risk and provide mitigation and ensure timely delivery • *Job Qualifications** • *REQUIRED EDUCATION:** •Bachelor’s Degree in Business Administration or Information Technology or equivalent combination of education and experience • *REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 7 + years experience in a combination of applicable business and business systems • *PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. 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: $77,969 - $171,058 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Managing internal business projects, overseeing project schedules and budgets, and collaborating across teams to improve processes. | 3-5 years of project management experience, healthcare familiarity, proficiency with MS Project and Visio, and strong communication skills. | Job Description Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties • Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. • Plans and directs schedules as well as project budgets. • Monitors the project from inception through delivery. • May engage and oversee the work of external vendors. • Focuses on process improvement, organizational change management, program management and other processes relative to the business. • Leads and manages team in planning and executing business programs. • Serves as the subject matter expert in the functional area and leads programs to meet critical needs. • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. • Works with operational leaders within the business to provide recommendations on opportunities for process improvements. • Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. • Generate and distribute standard reports on schedule Job Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent combination of education and experience. Required Experience/Knowledge, Skills & Abilities • 3-5 years of Program and/or Project management experience. • Operational Process Improvement experience. • Healthcare experience. • Experience with Microsoft Project and Visio. • Excellent presentation and communication skills. • Experience partnering with different levels of leadership across the organization. Preferred Education Graduate Degree or equivalent combination of education and experience. Preferred Experience • 5-7 years of Program and/or Project management experience. • Managed Care experience. • Experience working in a cross functional highly matrixed organization. Preferred License, Certification, Association • PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. 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: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Manage provider network development and adequacy, conduct provider site visits, deliver training, troubleshoot issues, and ensure compliance with Molina policies and regulations. | Bachelor's degree or equivalent experience, 2-3 years customer service or provider services experience in managed care, familiarity with Medicaid and Medicare provider compensation methodologies. | Job Description Job Summary Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service. Knowledge/Skills/Abilities This role serves as the primary point of contact between Molina Health plan and the Provider community that serves Molina members. It's an external-facing, field-based position requiring a high degree of job knowledge, communication, and organizational skills to successfully engage high volume, high visibility providers (including senior leaders and physicians) to ensure provider satisfaction, education on key Molina initiatives, and improved coordination and partnership. • Under minimal direction, works directly with the Plan's external providers to educate, advocate, and engage as valuable partners, ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service. • Conducts regular provider site visits within assigned region/service area. Determines own daily or weekly schedule, as needed to meet or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to determine, for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. • Provides on-the-spot training and education as needed, which may include counseling providers diplomatically, while retaining a positive working relationship. • Independently troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative, Supervisor, or another Molina department is needed. Takes initiative in preventing and resolving issues between the provider and the Plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters. • Initiates, coordinates, and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians. Such meetings would occur to discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding, for example. • Independently delivers training and presentations to assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health systems, executive level decision makers, Association meetings, and JOC's). • Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives. Examples of such initiatives include administrative cost effectiveness, member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, etc.). • Trains other Provider Services Representatives as appropriate. • Role requires 80%+ same-day or overnight travel. (Extent of overnight travel will depend on the specific Health Plan and its service area.). Job Qualifications Required Education Bachelor's Degree or equivalent provider contract, network development and management, or project management experience in a managed healthcare setting. Required Experience • 2 - 3 years customer service, provider service, or claims experience in a managed care setting. • Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for service, capitation, and various forms of risk, ASO, etc. Preferred Education Bachelor's Degree. Preferred Experience • 5 years’ experience in managed healthcare administration and/or Provider Services. • 5 years’ experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, i.e., physician, group and hospital contracting, etc. 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: $21.16 - $46.42 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Managing internal business projects and programs, overseeing schedules and budgets, and collaborating with cross-functional teams. | Requires 3-5 years of project management experience, healthcare knowledge, and proficiency with project management tools. | JOB DESCRIPTION Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties • Active collaborator with people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. • Plans and directs schedules as well as project budgets. • Monitors the project from inception through delivery. • May engage and oversee the work of external vendors. • Focuses on process improvement, organizational change management, program management and other processes relative to the business. • Leads and manages team in planning and executing business programs. • Serves as the subject matter expert in the functional area and leads programs to meet critical needs. • Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements. Delivers the appropriate artifacts as needed. • Works with operational leaders within the business to provide recommendations on opportunities for process improvements. • Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. • Generate and distribute standard reports on schedule JOB QUALIFICATIONS REQUIRED EDUCATION : Bachelor's Degree or equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : • 3-5 years of Program and/or Project management experience. • Operational Process Improvement experience. • Healthcare experience. • Experience with Microsoft Project and Visio. • Excellent presentation and communication skills. • Experience partnering with different levels of leadership across the organization. PREFERRED EDUCATION : Graduate Degree or equivalent combination of education and experience. PREFERRED EXPERIENCE : • 5-7 years of Program and/or Project management experience. • Managed Care experience. • Experience working in a cross functional highly matrixed organization. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION : • PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. 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: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.