• Specialist , Appeals

    Molina Healthcare (Atlanta, GA)
    …+ 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 (07/18/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Atlanta, GA)
    …and Marketplace request authorization. Strongly prefer candidates with a background in appeals and grievances . Excellent computer multi-tasking skills and good ... position we are seeking a (RN) Registered Nurse who must be licensed for the state they reside This...internet connectivity of high speed required **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical… more
    Molina Healthcare (08/02/25)
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