Molina Healthcare Jobs & Careers in Doral, FL

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Provider Inquiry R & R Rep I (Claims - MIA)

Molina Healthcare Miami, FL

Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments. Researches claims… Glassdoor


Provider Services Rep II - (PBCH)

Molina Healthcare Miami, FL

Under general supervision/direction, responsible for supporting various provider services functions with an emphasis on working externally with… Glassdoor


VP Finance & Analytics (MIA)

Molina Healthcare Miami, FL

Lead financial analysis of the health plan’s performance. Lead and support financial and operational analysis for Medical Management and Provider… Glassdoor


Supv Member Services (MAI)

Molina Healthcare Miami, FL

Supervises call center functions including but not limited to: • Monitor performance and productivity standards for… Glassdoor


QI Spec II - Interventions (MIA)

Molina Healthcare Miami, FL

Responsible for implementing and monitoring local QI and HEDIS interventions. Essential Functions • Assists Interventions Manager in implementing… Glassdoor


Care Review Clinician II - 2 positions in Palm Beach

Molina Healthcare Miami, FL

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management… Glassdoor


Healthcare Transition Coach II

Molina Healthcare Miami, FL

in order of importance) • Identifies, assesses and manages Molina members during care transitions per established criteria. • Coordinates transition… Glassdoor


Care Review Clinician II LPN or RN (Palm Beach)

Molina Healthcare Miami, FL

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management… Glassdoor


Case Manager II RN (Palm Beach) – new

Molina Healthcare Miami, FL

Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of… Glassdoor


Quality Improvement Coord (MIA)

Molina Healthcare Miami, FL

Responsibility for complex tasks supporting multiple projects and programs including project tracking, project coordination, data management… Glassdoor

Updated Aug 31, 2014

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Molina Healthcare Chairman, President, and CEO; Chairman, Molina Healthcare of California J. Mario Molina

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Chairman, President, and CEO; Chairman, Molina Healthcare of California

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