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  • Specialist, Appeals & Grievances New York, New York

    JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) ...

    Molina Healthcare — 2025-04-08  
  • Specialist, Appeals & Grievances Stamford, Connecticut

    JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) ...

    Molina Healthcare — 2025-04-29  
  • JOB DESCRIPTION Job Summary Responsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data ...

    Molina Healthcare — 2025-04-18  
  • JOB DESCRIPTION Job Summary Responsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data ...

    Molina Healthcare — 2025-04-18  
  • JOB DESCRIPTION Job Summary Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic ...

    Molina Healthcare — 2025-04-15  
  • JOB DESCRIPTION Job Summary Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, ...

    Molina Healthcare — 2025-05-01  
  • Job Description   Job Summary Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, ...

    Molina Healthcare — 2025-05-08  
  • JOB DESCRIPTION Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care ...

    Molina Healthcare — 2025-04-24  
  • National Contracting Director Albany, New York

    ***Remote and must live in the United States*** Job Description   Job Summary Molina's Provider Contracting function provides guidance, signature support services, standards ...

    Molina Healthcare — 2025-05-04  
  • JOB DESCRIPTION Remote in PST Bilingual Candidates preferred (Vietnamese, Mandarin, Cantonese or Spanish)  Job Summary Provides customer support and stellar service to meet ...

    Molina Healthcare — 2025-04-30  
  • Medical Director (Medicare) Albany, New York

    JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2025-05-01  
  • JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2025-04-14  
  • Medical Director (Nebraska) Omaha, Nebraska

    JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2025-04-15  
  • Medical Director (WA) Everett, Washington

    JOB DESCRIPTIONJob SummaryResponsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of policies ...

    Molina Healthcare — 2025-04-29  
  • Medical Director (Marketplace) Everett, Washington

    JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2025-04-10  
  • Medical Director (NE) Lincoln, Nebraska

    JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2025-05-08  
  • JOB DESCRIPTION Job Summary The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to the enterprise.  Primary ...

    Molina Healthcare — 2025-04-09  
  • Job Description Job SummaryResponsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment ...

    Molina Healthcare — 2025-04-16  
  • ***Remote and must live in Mississippi*** Job Description Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development ...

    Molina Healthcare — 2025-04-29  
  • Job Description Job Summary Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial ...

    Molina Healthcare — 2025-04-29  

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