Jobs at Molina Healthcare in Albuquerque, NM - Page 2

21 job openings within 25 miles

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Displaying results 16 - 21 of 21

Bilingual Contact Center Associate Rep

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member rela...

Lead, Call Center

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member rel...

Clinical Appeals Nurse (RN)

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryClinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance standards.Knowledge/Skills/Abilities• The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or up...

Marketplace, Member Rep I ( Call / Contact Center )

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryProvide new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolve member inquiries and complaints fairly and effectively. Provide product and service information to members, and identifies opportunities to maintain and increase member relatio...

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress ...

Sr Account Rep, Medicare (Albuquerque, Santa Fe, Gallup, and Farmington)

Molina Healthcare - Albuquerque, NM

Job DescriptionJob SummaryResponsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedur...