[Skip to main content](#main-content) [OpenNash Jobs](https://jobs.opennash.com/) [Hiring report](/reports/hiring/) · [All Molina Healthcare jobs](https://jobs.opennash.com/companies/molina-healthcare/) · [Search jobs](/search/) Molina Healthcare · United States # Care Review Processor United States Healthcare & Clinical Listed on Molina Healthcare’s official careers site. Posted August 24, 2026. Check that it is still open and apply there. [Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2038430) [OpenNash Jobs](https://jobs.opennash.com/) / [Molina Healthcare](https://jobs.opennash.com/companies/molina-healthcare/) / Care Review Processor ## Job description ### JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. ### Essential Job Duties - Provides telephone, clerical and data entry support for the care review team. - Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges and billing codes. - Responds to requests for authorization of services submitted via phone, fax and mail according to operational timeframes. - Contacts physician offices according to department guidelines to request missing information from authorization requests or for additional information as requested medical directors. ### Required Qualifications - At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience. - Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation. - Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines. - Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence. - Willingness to learn and adapt to new programs, software systems, and lines of business. - Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards. - Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence. - Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence. - Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines. - Ability to collaborate effectively with team members and internal departments. - Basic Microsoft Office suite/applicable software program(s) proficiency. ### Preferred Qualifications - Previous experience in a health care correspondence or clinical communications role, with an understanding of regulatory and accreditation rules related to clinical determinations. ### 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 ## At a glance - Posted by the employer: Aug 24, 2026 - First seen by OpenNash: Oct 11, 2026 - Last checked: Oct 18, 2026 - Listed for: 55 days - Location: United States[Apply on Molina Healthcare’s careers site →](https://hckd.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/2038430) ## More jobs at Molina Healthcare ### [Associate Analyst, Provider Configuration](https://jobs.opennash.com/companies/molina-healthcare/jobs/8536d4cf5ecef9181415/) United States ### [Care Review Clinician, Applied Behavioral Analysis (ABA)](https://jobs.opennash.com/companies/molina-healthcare/jobs/db6392055f4082099f51/) United States ### [Clinical Validation Reviewer (DRG-RN)](https://jobs.opennash.com/companies/molina-healthcare/jobs/d8d2a9acba9d817b1255/) United States ### [Clinical Validation Reviewer (RN)](https://jobs.opennash.com/companies/molina-healthcare/jobs/0a542f06ec60c970567a/) United States ### [Clinical Validation Reviewer (RN) - Itemized Bill Review Exp Preferred](https://jobs.opennash.com/companies/molina-healthcare/jobs/d56e9c39638300b066d0/) United States ## Similar jobs at other companies ### [Quality Review Specialist](https://jobs.opennash.com/companies/huntington-bank/jobs/9e051876131c2fbf1aea/) Huntington Bank · Columbus, OH ### [Contracts Review Analyst](https://jobs.opennash.com/companies/aramark/jobs/476e5cbf7d347434df54/) Aramark · Rockville, MD, US ### [Insp Material Review Board](https://jobs.opennash.com/companies/lockheed-martin/jobs/6a8e095630beb855964e/) Lockheed Martin · Stratford, CT ### [Model Risk Review Specialist II](https://jobs.opennash.com/companies/huntington-bank/jobs/ad35a4beb00887e36e9b/) Huntington Bank · Columbus, OH ### [Material Processor](https://jobs.opennash.com/companies/lockheed-martin/jobs/3ddd04cfedc4d68bb1ff/) Lockheed Martin · Orlando, FL OpenNash lists jobs from employers’ own careers sites and does not handle applications. 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