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US - ID - Nampa
March 21, 2025
Job Summary • Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting (Power BI and Databricks) to enable informed business decisions. Gains insight into key business problems and deliverables by...
US - IA - Des Moines
May 9, 2025
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. Oversees analysis of complex claim...
US - AZ - Phoenix
May 2, 2025
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...
US - IA - Cedar Rapids
May 9, 2025
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. Oversees analysis of complex claim...
US - UT - Salt Lake City
May 5, 2025
JOB DESCRIPTION • Job Summary • The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most...
US - GA - Macon
May 4, 2025
JOB DESCRIPTION Job Summary Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs....
US - AZ - Scottsdale
April 17, 2025
JOB DESCRIPTION Job Summary Molina 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...
US - GA - Columbus
April 14, 2025
JOB DESCRIPTION Job Summary A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ability to work independently, self-navigate organizational and technical challenges. Performs research and analysis of healthcare...