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17 molina healthcare jobs in Doral, FL

Appeals Clerk

Molina Healthcare 100+ Reviews Miami, FL

Job Summary Handles written response to all incoming correspondence, appeals and complaints, from members and outside agencies. Creates weekly statis… Molina Healthcare

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Care Review Processor I

Molina Healthcare 100+ Reviews Miami, FL

. • Meet attendance guidelines per Molina Healthcare policy. • Follow “Standards of Conduct” guidelines… as described in Molina Healthcare HR policy. • Comply with required workplace safety standards. Knowledge… Molina Healthcare

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QI Spec I - Interventions

Molina Healthcare 100+ Reviews Miami, FL

Job SummaryResponsible for implementing and monitoring local QI and HEDIS interventions. Essential Functions • Assists Interventions Manager… Molina Healthcare

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Government Contracts Specialist

Molina Healthcare 100+ Reviews Miami, FL

Job SummaryPerform government contracts activities including maintenance of state correspondence and regulatory databases, communication of deliverabl… Molina Healthcare

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Project Manager

Molina Healthcare 100+ Reviews Miami, FL

DUTIES: Under the direction of an Information Technology manager, coordinate project teams for business projects. Serve as a change agent between bu… Molina Healthcare

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Mgr Healthcare Services I Prior Auth (MIA)

Molina Healthcare 100+ Reviews Miami, FL

effective delivery of healthcare services for Molina members. Oversees staff responsible for establishing… Molina and the Healthcare Services Team. • Conducts self in a professional manner at all times… Molina Healthcare

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Healthcare Analyst II

Molina Healthcare 100+ Reviews Miami, FL

Job Summary Healthcare Analyst II is an individual contributor role that provides senior-level… healthcare analysis for the state health plans, including quantification and analysis of health care costs… Molina Healthcare

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Chart Review Specialist

Molina Healthcare 100+ Reviews Miami, FL

actions can be considered • Applies national Molina standards and external auditor standards (where… Molina Healthcare

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Analyst Business

Molina Healthcare 100+ Reviews Miami, FL

Job Summary • Provides analytical, problem solving expertise, including: definition and documentation, specifications. Recognizes, identifies and do… Molina Healthcare

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Dir Compliance (MIA)

Molina Healthcare 100+ Reviews Miami, FL

as an objective body that reviews, promotes and evaluates compliance issues/concerns for Molina Healthcare… assessments, monitoring program for Molina Healthcare departments. Provides post audit findings… Molina Healthcare

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Financial Operation Analyst II (MIA)

Molina Healthcare 100+ Reviews Miami, FL

interactions (Molina Texas) Knowledge/Skills/Abilities • Proficiency with PC based systems, and the ability… with all communications • Ability to transform and load various types of data to useable formats for Molina Molina Healthcare

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Prov Network Bus Analyst II

Molina Healthcare 100+ Reviews Miami, FL

Job Summary Responsible for accurately interpreting specific State and/or Federal Benefits, provider Contracts, as well as, additional business requir… Molina Healthcare

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Supv UM II (MIA)

Molina Healthcare 100+ Reviews Miami, FL

activities aimed at providing Molina Healthcare members with the right care at the right place at the right… and collaboration to enhance the continuity of care including Behavioral Health and Long Term Care for Molina Molina Healthcare

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Broker Channel Manager

Molina Healthcare 100+ Reviews Miami, FL

on each GA to determine CAP if needed or relationship ended • Work as liaison between Molina Molina Healthcare

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Healthcare Analyst I

Molina Healthcare 100+ Reviews Miami, FL

Job Summary Healthcare Analyst I is an individual contributor role that provides healthcare Molina Healthcare

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