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Processor Claims

Molina Healthcare

  • United States - California - Long Beach

  • June 24, 2020


Processor, ClaimsLong Beach, California • Job ID • 2001280 • 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...


Lead Analyst Healthcare Analytics Power BI

Molina Healthcare

  • United States - California - Long Beach

  • June 26, 2020


Job Description • Job Summary • Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations...


Director Provider Services

Molina Healthcare

  • United States - California - Long Beach

  • June 27, 2020


Job DescriptionJob Summary • Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with...


Medical Records Collector

Molina Healthcare

  • United States - Illinois - Oak Brook

  • June 26, 2020


Medical Records CollectorOak Brook, Illinois • Job ID • 2002469 • Job Description • Job Summary • Molina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail,...


Manager Info Security REMOTE

Molina Healthcare

  • United States - California - Long Beach

  • June 27, 2020


Job DescriptionJob Summary • Applies current computer science technologies to the design, development, evaluation, and integration of computer systems and networks to maintain system security. Works with commercial computer product vendors in the design and evaluation of state-of the- art secure...


Sr Configuration Info Management Analyst REMOTE

Molina Healthcare

  • United States - Washington - Bothell

  • June 29, 2020


Job DescriptionJob 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...


Adjuster Claims

Molina Healthcare

  • United States - California - Long Beach

  • June 26, 2020


Job DescriptionJob 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...


Lead Core Ops

Molina Healthcare

  • United States - California - Long Beach

  • June 28, 2020


Lead, Core OpsLong Beach, California • Job ID • 1904889 • 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...


Auditor Claims

Molina Healthcare

  • United States - California - Long Beach

  • June 26, 2020


Auditor, ClaimsLong Beach, California • Job ID • 2001022 • 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...


Adjuster Claims

Molina Healthcare

  • United States - California - Long Beach

  • June 28, 2020


Adjuster, ClaimsLong Beach, California • Job ID • 2001246 • 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...