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Company: Molina Healthcare
Location: Detroit, MI
Career Level: Director
Industries: Healthcare, Pharmaceutical, Biotech

Description



Director Healthcare / Managed Care Claims Production Directs Healthcare / Managed care claim processes, productions, and inventories functions to accomplish timely, accurate, consistent, and cost-effective performance. Monitor claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards. Monitor and manage exempt managerial and supervisory staff and unit performance to support company goals.
Knowledge/Skills/Abilities
• Effectively translates strategic goals into specific operating and resource plans.
• Demonstrates a keen understanding of financial and business principles and industry/job knowledge; acts in a fair and ethical manner.
• Organizes and leads individuals and teams toward the pursuit of a common vision and goal attainment.
• Proactively participates in key company initiatives and demonstrates skill in communication, collaboration, and consensus-building.
• Responsible for planning, coordinating and managing units and activities within the department.

Qualifications

Job Qualifications

Required Education
Graduate 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

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.
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