- Molina Healthcare (Salt Lake City, UT)
- …**Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, providers, ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals… more
- Molina Healthcare (Salt Lake City, UT)
- …provide quality and cost-effective member care. This position will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with ... Serves as a clinical resource for utilization management, CMOs, physicians and member/ provider inquiries/ appeals . + Provides training and support to clinical… more