- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... needs. + Conducts research with available data to locate members Molina Healthcare has been unable to contact (eg, reviewing internal databases, contacting… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $67,725 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... ** Molina Health** care is hiring for a remote...attention to detail, analysis, and excellent communication. **Job Summary** Molina Pharmacy Services/Management staff work to ensure that … more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **JOB DESCRIPTION** **Job Summary** Molina 's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **JOB SUMMARY (Purpose of the Job & high-level summary):** The Molina Healthcare Internship Program shares an objective to create a ... for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification To all current Molina employees: If… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $67,725 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... work during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Azure, AWS, or Hadoop. + 5+ Years of experience with predictive modeling in healthcare quality data. + 5+ Years of experience in Analysis related to HEDIS rate… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... procedures applicable to job-related subject areas. + Must have worked in US Healthcare government programs such as Medicare, Medicaid, the Affordable Care Act, or… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare 's HIPAA Compliance team supports privacy compliance operations for all Molina product lines enterprise ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina … more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **Job Summary** The Risk & Quality Performance Manager position will support Molina 's Risk & Quality Solutions (RQS) team. This position collaborates with various… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... claims processing system, benefit configuration. + SQL knowledge is preferred. + Healthcare experience is required, + Experience working in a managed care… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... minimize administrative expense, and improve performance. **Job Duties** * Lead Molina 's Payment Integrity Content Ideation, Research and Edit Development teams in… more
- Molina Healthcare (Louisville, KY)
- …concerning member eligibility. + Quality review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. **JOB ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina … more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... must reside in Jefferson County.** **JOB DESCRIPTION** **Job Summary** Molina 's Behavioral Health function provides leadership and guidance for utilization… more
- Molina Healthcare (Louisville, KY)
- …**_Further Details to be discussed during our interview process._** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews… more
- Molina Healthcare (Louisville, KY)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... scrum team + Basic to intermediate knowledge of C# + Familiarity with healthcare data and concepts + Familiarity with QNXT + Excellent analytical and problem-solving… more
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