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Molina Healthcare Kentucky, Kentucky 3d ago
JOB DESCRIPTION Job Summary Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function supporting compliance activities. KNOWLEDGE...
Cisco Kentucky, Kentucky 2w ago
Job Title: Account Executive - Commercial Splunk, a Cisco company, is building a safer and more resilient digital world with an end-to-end full stack platform made for a hybrid, multi-cloud world. Leading enterprises use...
Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual in either Mandarin or Cantonese are highly desired. This role is remote and will work 8am to 430pm Pacific Standa...
JOB DESCRIPTION Job Summary Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to other end users for...
JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for m...
Together we change lives. Kelly is a team of experts driven by our belief that the impact of the right person in the right job is limitless. No matter where you are in your career journey you can apply your knowledge and...
Molina Healthcare Kentucky, Kentucky 2d ago
Job Description Job Summary The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, risk adjustment experts, and developers in the developme...
Molina Healthcare Kentucky, Kentucky 4d ago
JOB DESCRIPTION Job Summary Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable pr...
Job Description Job Summary The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. Th...
Molina Healthcare Kentucky, Kentucky 4d ago
JOB DESCRIPTION Job Summary Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog...

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