- Molina Healthcare (San Antonio, TX)
- …Pay Range: $77,969 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... Identifies and analyzes potential sources of loss to minimize risk and estimates the potential financial consequences of an occurring loss. Through the proper combination of casualty and liability insurance, ensures that the provider organization is adequately… more
- Molina Healthcare (TX)
- …Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system… more
- Molina Healthcare (TX)
- …cases. Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... This includes direct management of internal teams and external vendors handling both first-pass and second-pass recovery efforts. The role requires experience across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP),… more
- Bowman (Austin, TX)
- …discounts Eligibility for certain benefits may vary based on position, location , and employment status. **Physical Demands and Working Environment** + Primarily ... indoor professional office environment which may include bright/dim light, and noise. + Mobility around an office environment. + Frequent and prolonged use of standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.… more
- Molina Healthcare (TX)
- …Pay Range: $77,969 - $95,000 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... It is a centralized corporate function supporting compliance activities at individual state health plans. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsibility for supporting the day to day operations and initiatives of the… more
- Molina Healthcare (Houston, TX)
- …Pay Range: $80,412 - $150,000 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... Assists in development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for most complex process analysis, design, and simulation. + Requires… more
- Molina Healthcare (San Antonio, TX)
- …Pay Range: $97,299 - $189,679 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and resolving contracted provider disputes for 20+ states. * Provides direct… more
- Molina Healthcare (Austin, TX)
- …Pay Range: $77,969 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment… more
- Molina Healthcare (San Antonio, TX)
- …Pay Range: $77,969 - $105,000 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... Duties include all aspects of the Accounting function, such as, control of accounts and records, recording of transactions, analysis of financial data, preparation budgets, forecasts, financial statements and accounting schedules/reports, and auditing… more
- Molina Healthcare (Fort Worth, TX)
- …Pay Range: $88,453 - $172,981 / ANNUAL *Actual compensation may vary from posting based on geographic location , work experience, education and/or skill level. ... As Director of CTM Oversight & Resolution you set the standards and controls that internal teams and delegated vendors must follow, and you keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy, and quality functions. You… more