Jobs at Molina Healthcare - Page 6

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Examiner, Claims

Molina Healthcare - San Juan, Puerto Rico

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records. 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• Evaluates the adjudication of claims using standard principles and ...

Examiner, Claims

Molina Healthcare - San Juan, Puerto Rico

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records. 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• Evaluates the adjudication of claims using standard principles and ...

Examiner, Claims

Molina Healthcare - San Juan, Puerto Rico

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records. 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• Evaluates the adjudication of claims using standard principles and ...

Examiner, Claims

Molina Healthcare - San Juan, Puerto Rico

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records. 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• Evaluates the adjudication of claims using standard principles and ...

Examiner, Claims

Molina Healthcare - San Juan, Puerto Rico

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records. 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• Evaluates the adjudication of claims using standard principles and ...

Examiner, Claims

Molina Healthcare - San Juan, Puerto Rico

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records. 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• Evaluates the adjudication of claims using standard principles and ...

Case Manager (RN)

Molina Healthcare - Doral, FL

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 toward desir...

Executive Assistant

Molina Healthcare - Doral, FL

Job DescriptionJob SummaryProvides administrative level support to management and/or division team members. Prioritizes management/client requests in order to meet business objectives. Supports the day-to-day administrative operations of a department and/or site.Knowledge/Skills/Abilities• Composes and types routine memos and correspondence at a...

VP, Pharmacy Clinical Strategy (Remote)

Molina Healthcare - Long Beach, CA

POSITION SUMMARY:This position, reporting to the Senior Vice President of Pharmacy Services will have primary responsibility for: Provides executive leadership, direction and decision-making for Pharmacy Drug Cost /Trend Management and quality-improvement strategies in alignment with Pharmacy Strategic Plan and Business initiatives....

Program Manager

Molina Healthcare - Milwaukee, WI

Job DescriptionJob SummaryManages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and ...

Financial Reporting Analyst

Molina Healthcare - Long Beach, CA

The Financial Reporting Analyst will be responsible for the preparation and distribution of financial reports on a timely and accurate basis for both internal and external use. Duties include preparation and distribution of periodic financial statements for users other than those directly employed by the organization, and ensuring that all reports and disclosures comply with applicable governme...

Manager, Projects

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryFocuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management.Knowledge/Skills/Abilities• Ability to manage multiple complex, challenging projects simultane...

Mobile Unit Community Connector Driver

Molina Healthcare - Spokane, WA

Job DescriptionJob SummaryPerforms a variety of routine and complex transportation work in driving and coordinating transportation plans. Connect the member to community services and resources.Knowledge/Skills/AbilitiesDriver:• Drives mobile unit to destination. • Inspects mobile unit for defects before and after trips and reports any di...

Community Connector (Remote, Mason and Lewis County)

Molina Healthcare - Bothell, 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 toward desir...

Specialist, Appeals & Grievances

Molina Healthcare - Irving, TX

Job DescriptionJob SummaryResponsible 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...