- Molina Healthcare (Madison, 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 (Madison, 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 (Madison, 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 (Madison, 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 (Madison, 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 (Madison, 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 (Madison, 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 (Madison, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... results working within complex data sets and analytics ideally in the Healthcare or Payer field + 3-5 years' experience managing/supervising employees or leadership… more
- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews… more
- Molina Healthcare (Madison, WI)
- …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more