Molina Healthcare Jobs - Page 4 | CareerArc

Jobs at Molina Healthcare - Page 4

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Manager, Member Services

Molina Healthcare - Irving, TX

Job Description Job Summary Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

Lead Analyst, Config Info Mgmt

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adhe...

Specialist, Health Plan Communications

Molina Healthcare - Jackson, MS

Job Description Job Summary Responsible for the development of communications and marketing activities aimed at brand and message management. Develops, implements, and manages communications programs. Knowledge/Skills/Abilities • With minimal supervision, writes and develops content to support the creation of internal and external communication and ...

Supv, Member Services

Molina Healthcare - Louisville, KY

Job Description Job Summary Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

Sr Analyst, Config Info Mgmt

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adhe...

Auditor, Claims

Molina Healthcare - Louisville, KY

Job Description Job Summary 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/Skil...

Specialist, Community Engagement

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Knowledge/Skills/Abilities • Under limited supervision, responsible fo...

Lead, Outbound Services

Molina Healthcare - Louisville, KY

Job Description Job Summary This individual has overall responsibility to meet and exceed set performance for themselves on a monthly basis. The Team Lead will also help the Supervisor achieve the key performance objectives set for the outbound services team as a whole. The Team Lead will also be responsible for management of the team when the Supervisor is out. ...

Analyst, Business

Molina Healthcare - Louisville, KY

Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifica...

Rep, Quality Engagement 1

Molina Healthcare - Louisville, KY

Job Description Job Summary Provides outreach to existing members focusing on driving member adherence to quality initiatives. Facilitates member inbound and outbound calls and other media to actively engage members to assist with scheduling appointments, arrange transportation and ensure member successfully fulfills requirements as outlined in quality programs. Con...

Assoc Rep, Provider InquiryR&R

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provide...

Specialist, Appeals & Grievances

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid

Sr Specialist, Appeals & Grievances

Molina Healthcare - Louisville, KY

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid

Assoc Specialist, Appeals & Grievances

Molina Healthcare - Louisville, KY

Job Description Job Summary Molina Healthcare's Appeals & Grievances jobs are responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. Knowledge/Skills/Abilities • Enters denia...

Sr Analyst, Business

Molina Healthcare - Louisville, KY

Job Description Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifica...