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  • 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 — 2024-04-22  
  • 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 — 2024-04-18  
  • ***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit ...

    Molina Healthcare — 2024-04-22  
  • JOB DESCRIPTION Job Summary Responsible for continuous quality improvements regarding member engagement and member retention.  Represents Member issues in areas involving ...

    Molina Healthcare — 2024-04-24  
  • Infinisource Consulting SolutionsDescription: nventory lead Stock Record Officer (SRO)Job DetailsJob TypeFull-time, ContractArlington, VADescriptionINFINISOURCE CONSULTING ...

    Infinisource Consulting Solutions — 2024-04-24  
  • 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 — 2024-04-27  
  • AVP, Health Plan Operations - New Mexico Albuquerque, New Mexico

    *Must live in New Mexico   Job Description Job SummaryMolina Health Plan Operations jobs are responsible for the development and administration of State Health Plan's operational ...

    Molina Healthcare — 2024-04-22  
  • JOB DESCRIPTION Job Summary Molina Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, ...

    Molina Healthcare — 2024-04-24  
  • Medical Director (Medicare) Long Beach, California

    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 — 2024-04-02  
  • Job Summary The position will oversee and manage the Vendor Management team responsible of managing and coordinating the vendor activities between contracted entities and ...

    Molina Healthcare — 2024-04-15  
  • Must live in New Mexico   JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development ...

    Molina Healthcare — 2024-04-22  
  • 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 — 2024-04-21  
  • JOB DESCRIPTIONJob SummaryClinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance standards.We are seeking ...

    Molina Healthcare — 2024-04-27  
  • Molina Healthcare is hiring in New Mexico for several Billing & Claims, Tribal Liaisons.  These roles are specifically responsible for working with tribal entities regarding ...

    Molina Healthcare — 2024-04-22  
  • Mgr, Healthcare Services San Antonio, Texas

    JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ...

    Molina Healthcare — 2024-04-27  
  • Quality Review Nurse San Francisco, California

    San Francisco Health PlanAs a member of the Population Health and Quality department, the Quality Review Nurse (QRN) will support key clinical quality initiatives at San Francisco ...

    San Francisco Health Plan — 2024-04-06  
  • Job Description Job Summary Molina’s Medicare Stars function oversees, plans, and implements new and existing healthcarequality improvement initiatives and education programs; ...

    Molina Healthcare — 2024-04-05  
  • Job Description Job Summary Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and ...

    Molina Healthcare — 2024-04-05  
  • JOB DESCRIPTION Candidate must reside in the State of New Mexico Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members ...

    Molina Healthcare — 2024-04-22  
  • JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ...

    Molina Healthcare — 2024-04-27  

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