- Molina Healthcare (Phoenix, AZ)
- …experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 -… more
- Molina Healthcare (Scottsdale, AZ)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- Molina Healthcare (Mesa, AZ)
- …review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare ... Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and… more
- Molina Healthcare (Chandler, AZ)
- …members, and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EXPERIENCE:** Experience with Medicare and Medicare ... Molina Healthcare is hiring on our outbound Medicare Member Engagement team. This role is remote...and will work 8am to 430pm Pacific Standard Time. Medicare Member Engagement Specialists will be making outbound welcome… more
- Molina Healthcare (Phoenix, AZ)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with ... the standards and requirements established by the Centers for Medicare and Medicaid. **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of… more
- CVS Health (Scottsdale, AZ)
- …Summary** The Senior Coordinator is a member of the Pharmacy Benefit Manager (PBM) Finance Operations Department. The Senior Coordinator will play a pivotal ... in overseeing and executing vital financial operations in support of the Medicare Prescription Payment Program (M3P). This position encompasses a broad spectrum of… more
- Molina Healthcare (Chandler, AZ)
- …provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- Molina Healthcare (Chandler, AZ)
- …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... staff on process improvement and problem-solving methodologies + Conducts educational sessions with staff and leaders and coaches them on process improvement projects. **JOB QUALIFICATIONS** **Required Education** Bachelor's degree required in a related field… more
- Molina Healthcare (Chandler, AZ)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- Humana (Phoenix, AZ)
- …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital ... capabilities, new ways of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of this expanding Digital… more
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