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**JOB DESCRIPTION****Job Summary**Responsible for accurate and timely ...
Details
Summary
About the job:
implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.**KNOWLEDGE/SKILLS/ABILITIE S**+ Loads and maintain contract,...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
**JOB DESCRIPTION****Job Summary**Responsible for accurate and timely ...
Details
Summary
About the job:
implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.**KNOWLEDGE/SKILLS/ABILITIE S**+ Analyze and interpret data...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with ...
Details
Summary
About the job:
members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES - Serves as a community based member advocate and resource, using...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Social and Human Service Assistants
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
**JOB DESCRIPTION****Job Summary**Provides customer support and stellar ...
Details
Summary
About the job:
service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.**Job Duties**- Provide service support to members and/or providers using one or more contact center communication channels and across multiple states and/or products. To include, but not limited to, phone, chat, email, and off phone...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
JOB DESCRIPTION Job Summary Provides customer support and stellar service to ...
Details
Summary
About the job:
meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences. Job Duties - Provide service support to members and/or providers using one or more contact center communication channels and across multiple states and/or products. To include, but not limited to, phone, chat, email, and off phone work...
Location:
Ohio City, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Entry Level Jobs (less than $30K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
JOB DESCRIPTION Opportunity for a OH licensed LSW or LISW in the Cincinnati ...
Details
Summary
About the job:
services area to join our team as a Field Case Manager. Responsibilities for this position include conducting face-to-face interviews with our members in their homes. Schedule is Monday – Friday, 8 AM - 5 PM EDT. Mileage is reimbursed through our benefits package. Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for...
Location:
Cincinnati, OH
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Case Manager
Licensed Social Worker
Driver's License
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
**JOB DESCRIPTION****Job Summary**This role is on the Corporate Financial ...
Details
Summary
About the job:
Planning and Analysis team primarily supporting G&A submissions. The successful candidate in this position will assist in the management of G&A oversight of several business units, supporting the monthly close function, forecasting / budgeting, headcount / vendor tracking and any ad hoc reporting requests for leadership decision making / support.**KNOWLEDGE/SKILLS/ABILITIES**+ Financial analysis including budgeting, forecasting, close reporting, and month-end variance analysis+ Complete accurate and timely financial...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Financial and Investment Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
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State: OH
Company Name: Molina Healthcare
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