Jobs at Molina Healthcare in Spokane, WA

12 job openings within 25 miles

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Assoc Specialist, Corp Credentialing

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryMolina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria in order to minimize liability to the company and to maximize safety for members.Knowledge/Skills/AbilitiesResponsible for coordinating assigned aspe...

Assoc Specialist, Corp Credentialing

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryMolina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria in order to minimize liability to the company and to maximize safety for members.Knowledge/Skills/AbilitiesResponsible for coordinating assigned aspe...

Case Manager, Substance Use Disorder (Chelan, Douglas, Grant County)

Molina Healthcare - Spokane, WA

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 ...

Specialist, Claims Recovery / collections

Molina Healthcare - Spokane, WA

Recovery Specialist are Responsible for reviewing Medicaid, Medicare and Marketplace claims for over paymentsWorking knowledge of claims processing, payments, multiple State billing guidelines and claims processing policies and procedures. Researching claim payment guidelines, billing guidelines, audit results, multiple state and federal regulations to dete...

Field Based RN, Transition of Care Coach (Tri-Cities, Washington)

Molina Healthcare - Spokane, WA

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 ...

Field Case Manager, Chemical Dependency Professional (Chelan, Douglas, Grant County)

Molina Healthcare - Spokane, WA

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 ...

Coding Analyst, Claim Disputes

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryEstablish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the...

Assoc Specialist, Disputes

Molina Healthcare - Spokane, WA

Coordinate, upload and maintain department images for multiple health plans using multiple applications in an accurate and complete manner.Data entry into department applications with accuracy, efficiency and in a timely manner.Good knowledge of computerized claims processing systemsComprehensive knowledge of health care customer service, regulatory requireme...

Field Case Manager ( Coeur d'Alene, ID )

Molina Healthcare - Spokane, WA

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 ...

Program Coordinator, Claims Services

Molina Healthcare - Spokane, WA

This is a Not IT or Systems position Job SummaryProvides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in support of the functional processes, programs and/or services. Also provides the ad...

Review Nurse, Medical Claims

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.Kn...

Assoc Specialist, Claims Recovery

Molina Healthcare - Spokane, WA

Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.Knowledge/Skills/Abilities• Sort, date stamp and d...