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51 molina healthcare jobs in Columbus, OH

Inquiry D/A Resolution Coordinator – new

Molina Healthcare Inc. 100+ Reviews Columbus, OH

Point of contact for submission/resolution of Provider Disputes and/or Member Appeals Resolutions. Assesses and completes appropriate documentation… CareerBuilder

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Director Provider Services

Molina Healthcare Inc. 100+ Reviews Columbus, OH

Oversees the Plan's Provider Services functions and team members. Responsible for working collaboratively with all members of the Plan's Network… CareerBuilder

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Care Review Clinician II

Molina Healthcare Inc. 100+ Reviews Columbus, OH

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

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Provider Inquiry R & R Rep II – new

Molina Healthcare 100+ Reviews Columbus, OH

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

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Mgr Gov Contracts – new

Molina Healthcare 100+ Reviews Columbus, OH

narratives – Queue Statistics, Representative Statistics, Scorecards. Works with functional area owners to develop action plans for missed/at risk… Percipio Media

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Case Mgr I

Molina Healthcare 100+ Reviews Columbus, OH

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

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Supervisor Utilization Management II

Molina Healthcare 100+ Reviews Columbus, OH

Oversees the integrated Care Access and Monitoring team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization… Percipio Media

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Supv Case Management

Molina Healthcare 100+ Reviews Columbus, OH

Responsible for overseeing the Case Management staff focused on assisting varous groups and individuals with their health care needs to achieve… Percipio Media

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Supv Provider Inquiry R&R

Molina Healthcare 100+ Reviews Columbus, OH

Responsible for all Provider Inquiry Resolution for the Plan. Under direct supervision, responsible for the submission/resolution of Provider… Percipio Media

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Clinical Pharmacist

Molina Healthcare 100+ Reviews Columbus, OH

Develops and implements targeted drug utilization and disease state management strategies to deliver high quality, cost effective healthcare… Percipio Media

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Pharmacy Tech

Molina Healthcare 100+ Reviews Columbus, OH

As part of the integrated Healthcare Services team, responsible for assisting pharmacies, physician offices and other entities in the efficient… Percipio Media

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Administrative Asst

Molina Healthcare 100+ Reviews Columbus, OH

Under direct supervision, provides general administrative support to a department or group of professionals. Compiles and analyzes basic information… Percipio Media

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Manager Healthcare Services II -Utilization Management

Molina Healthcare 100+ Reviews Columbus, OH

Manages the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for Molina members… Percipio Media

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Administrative Assistant

Molina Healthcare 100+ Reviews Columbus, OH

Under direct supervision, provides general administrative support to a department or group of professionals. Compiles and analyzes basic information… Percipio Media

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Mgr Healthcare Services I – new

Molina Healthcare 100+ Reviews Columbus, OH

Manages the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for Molina members… Molina Healthcare

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