Molina Healthcare jobs in Troy, MI

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RN QI Specialist III - Interventions
Molina Healthcare Inc. - Troy, MI
office. To all current Molina employees if you are... online. Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an...
Sponsored by CareerBuilder - 28 days ago

Community Connector

Molina Healthcare 96 reviews - Troy, MI
Knowledge of HIPAA and confidentiality rules a plus. o Travel to community resource center locations such as homeless shelters, soup kitchens, etc....
12 hours ago - save job - block - email - more...

Quality Improvement Specialist II, Interventions - Kent Coun...

Molina Healthcare 96 reviews - Troy, MI
Some clinical training (i.e. Works on removing barriers to care, either at the provider or member level. Responsible for implementing and monitoring local QI...
6 hours ago - save job - block - email - more...

Care Review Processor II

Molina Healthcare 96 reviews - Troy, MI
Certification in Coding, auditing or billing. o Determine provider contracting status and appropriateness,. o Verify member eligibility and benefits,....
5 days ago - save job - block - email - more...

Care Review Clinician II

Molina Healthcare 96 reviews - Troy, MI
Managed Care Experience. Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures....
12 hours ago - save job - block - email - more...

Appeals/Denials Specialist II

Molina Healthcare 96 reviews - Troy, MI
Active, unrestricted State Licensed Register Nurse, Vocational Nurse or Licensed Practical Nurse in good standing....
4 days ago - save job - block - email - more...

Healthcare Analyst II

Molina Healthcare 96 reviews - Troy, MI
4 years increasingly complex database and data management responsibilities. Bachelor’s Degree in Math, Finance, Business or IS. Knowledge/Skills/Abilities....
11 days ago - save job - block - email - more...

Director Provider Contracting

Molina Healthcare 96 reviews - Troy, MI
N/A. Develops and implements strategies to comply with state, federal, NCQA, HEDIS initiatives and regulations. Knowledge/Skills/Abilities....
1 day ago - save job - block - email - more...

Care Review Clinician II RN

Molina Healthcare 96 reviews - Troy, MI
Managed Care Experience. Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures....
4 days ago - save job - block - email - more...

HEDIS Specialist

Molina Healthcare 96 reviews - Troy, MI
N/A. Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight....
11 days ago - save job - block - email - more...

Case Manager II RN

Molina Healthcare 96 reviews - Troy, MI
Certified Case Manager. o Identifies, assesses and manages members per established criteria. Provides case management services to members with chronic or...
5 days ago - save job - block - email - more...
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