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Molina Healthcare Jobs in Washington

79 Jobs Found

Job Summary Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments. Researches claims processing guidelines, provider contracts, fee schedules and system configurations to determ......
Job Summary • Ensures execution of claim handling strategies; including appropriate determination of coverage, processing guidelines and metrics. • Coordinates work flow and staffing of day-to-day activities as well as assigns and monitors wor......
Job Summary Creates and manages the required documentation for QI Compliance. Essential Functions Conduct review and investigation of potential quality of care issues in collaboration with dedicated clinical and non-clinical health plan sta......
Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative pla......
Job Summary Responsible for intermediate to large scale projects and project teams made up of internal and external resources to deliver business solutions and services to the department. Interacts closely with internal staff, external corporate ......
Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative pla......
Job Summary Under the supervision of the Clinic Supervisor and/or Administrator in the reception and medical records area of the center. Primary responsibility: To ensure all external and internal PHI (personal health information) requests for cop......
Job Summary Under the supervision of the Clinic Supervisor and/or Administrator in the reception and medical records area of the center. Primary responsibility: To ensure all external and internal PHI (personal health information) requests for co......
Job Summary Respond to telephone inquiries from both Molina Members and Providers and provide accurate, efficient, and courteous service.Essential Functions • Respond to incoming calls from members and providers excluding provider claims calls.• Ach......
Job Summary The Manager of Member Services provides guidance oversight to Member Services Supervisors and staff to ensure the department meets the company’s Strategic Goals while modeling Molina’s Core Values. The Manager analyzes reports to iden......
Job Summary • Ensures execution of claim handling strategies; including appropriate determination of coverage, processing guidelines and metrics.• Coordinates work flow and staffing of day-to-day activities as well as assigns and monitors work of st......
Job Summary • Under general direction, identifies and initiates continuous quality improvements regarding member engagement and member retention. • Manages and develops a team focused on meeting or exceeding established performance targets. Ta......
Job Summary Accountable for understanding financial results and determining how to communicate results to benefit the financial performance of the organization. Responsible for preparing monthly financial and data analysis for senior management t......
Job Summary • Under general direction, identifies and initiates continuous quality improvements regarding member engagement and member retention.• Manages and develops a team focused on meeting or exceeding established performance targets. Targets ......
Job Summary The Manager of Member Services provides guidance oversight to Member Services Supervisors and staff to ensure the department meets the company’s Strategic Goals while modeling Molina’s Core Values. The Manager analyzes reports to identi......
Job Summary Accountable for understanding financial results and determining how to communicate results to benefit the financial performance of the organization. Responsible for preparing monthly financial and data analysis for senior management team......
Job Summary Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments. Researches claims processing guidelines, provider contracts, fee schedules and system configurations to deter......
Job Summary This position reports to the Clinic Administrator and assigned Clinic Supervisor. The Medical Assistant (MA) is responsible for performing patient oriented procedures under the clinical supervision of a practitioner, Nurse Practitione......
Job Summary Negotiates agreements with highly visible providers who are strategic to the success of the Plan, including, integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable provider......
Job Summary Respond to telephone inquiries from both Molina Members and Providers and provide accurate, efficient, and courteous service. Essential Functions • Respond to incoming calls from members and providers excluding provider claims c......
Job Summary This position reports to the Clinic Administrator and assigned Clinic Supervisor. The Medical Assistant (MA) is responsible for performing patient oriented procedures under the clinical supervision of a practitioner, Nurse Practitioner,......
Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative ......