- Molina Healthcare (IA)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. +… more
- Molina Healthcare (Cedar Rapids, IA)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine Provider No Surprises ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination… more
- Molina Healthcare (Davenport, IA)
- …and Marketplace request authorization. Strongly prefer candidates with a background in appeals and grievances . Excellent computer multi-tasking skills and good ... office with internet connectivity of high speed required **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for … more
- Molina Healthcare (Sioux City, IA)
- …Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances , Member Problem Research and Resolution, and the ... advocate organizations, subcontractors and enrollees. * Monitors all formal and informal grievances with Grievance personnel to identify trends or problem areas of… more
Recent Jobs
-
Senior Director of Violence Prevention Programs, Bureau of Health Equity Capacity Building
- City of New York (New York, NY)
-
PEAR Assistant Director
- University of Michigan (Ann Arbor, MI)
-
Hospital Phlebotomy Tech I - Float
- Sonora Quest (Phoenix, AZ)
-
Dental Hygienist
- East Boston Neighborhood Health Center (MA)