- Molina Healthcare (Green Bay, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.… more
- Molina Healthcare (Green Bay, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **Job Description** **Job Summary** Molina 's Quality Improvement Sr. Overreader conducts oversight and...**E/KNOWLEDGE, SKILLS & ABILITIES:** * 5 years experience in healthcare Quality/HEDIS specific to abstraction and overreading. **PR** **E**… more
- Molina Healthcare (Green Bay, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... to Risk Adjustment + Builds positive relationships between providers and Molina by providing coding assistance when necessary + Responsible for administrative… more
- Molina Healthcare (Green Bay, WI)
- …response; assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina … more
- Molina Healthcare (Green Bay, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina ...the healthcare quality improvement literature and within Molina plans. + Develops and implements targeted collection of… more
- Molina Healthcare (Green Bay, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Molina Healthcare (Green Bay, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... complex, often highly technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified… more
- Molina Healthcare (Green Bay, WI)
- …DESCRIPTION** **Job Summary** This position will require an active RN license. Molina Healthcare Services (HCS) works with members, providers and ... for process improvement opportunities. + Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement… more
- Molina Healthcare (Green Bay, WI)
- …is responsible for performing outreach attempts and handle inbound calls for our Molina Healthcare members. Duties include, but are not limited to, transferring ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina … more
- Molina Healthcare (Green Bay, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and… more