- Molina Healthcare (Iowa City, IA)
- …of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience . **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical… more
- Molina Healthcare (Iowa City, IA)
- …Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as ... specialties in: surgical, Ob/Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience … more
- Molina Healthcare (Iowa City, IA)
- …**Required Experience ** + 4+ years managed care experience + Experience participating in value-based program & contract design and implementation for ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with… more