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Molina Healthcare
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Georgetown, Kentucky
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Vendor management including oversight, corrective action plans, (Pharmacy Benefit Manager, Medication ...
Develop both Routine and Adhoc Member and Provider Communications
Support Pharmacy Manager/Director
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Molina Healthcare
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Georgetown, Kentucky
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Job Description
Job Summary
This role is not a IT-focused Security Operations ... into the enterprise crisis management program. The Cyber Response Manager will be primarily
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Molina Healthcare
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Georgetown, Kentucky
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Job Description
As the Manager Third-Party Resilience (TPR), you will be a member of ... operations in the event of incidents impacting or involving third parties critical to Molina Healthcare
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Molina Healthcare
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Georgetown, Kentucky
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materials with Health Plan Compliance and Operations VPs for multiple states.
Subject Matter Expert in ... are available for department and third-party vendor use.
Assist manager with preparation of
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Molina Healthcare
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Georgetown, Kentucky
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the direction of the Manager, Encounters, collaborates with cross-functional teams to identify and ... information for Monthly Governance and Operations Reviews
Performs root cause analysis of claims and
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Molina Healthcare
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Georgetown, Kentucky
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the direction of the Manager, Encounters, collaborates with cross-functional teams to identify and ... information for Monthly Governance and Operations Reviews
Performs root cause analysis of claims and
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Molina Healthcare
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Georgetown, Kentucky
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**_This Program Manager supports Medicaid and Medicare Healthcare Services Programs for our ... .
Preferred License, Certification, Association
Any of the following:
Certified Case Manager
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Molina Healthcare
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Georgetown, Kentucky
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Operations plays a critical role in managing and optimizing call center operations, with a focus on ... operations with Medicare compliance and quality standards.
Operational Excellence
Oversee
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Molina Healthcare
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Georgetown, Kentucky
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collaborator with people who are responsible for internal business operations involving department or cross ... project budgets.
Monitors the product from inception through operations
May engage and oversee
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Molina Healthcare
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Georgetown, Kentucky
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the Corporate Operations areas.
• Sets and manages overall costs to meet/exceed annual budgets set ... .
10 years of experience with leading operations for multiple markets and product lines as well as
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Molina Healthcare
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Georgetown, Kentucky
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recommendations on both strategy and operations at the business unit and corporate level related to the ... achieve enterprise wide growth and drive gains in efficiency and efficacy in health plan operations
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Molina Healthcare
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Georgetown, Kentucky
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Job Description
Job Summary
Supports ongoing Claims and Enrollment operations ... .
Knowledge/Skills/Abilities
Supports Core Operations with smaller scale less complex vendor
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Molina Healthcare
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Georgetown, Kentucky
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JOB DESCRIPTION
Job Summary
Responsible for internal business projects and pro
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Molina Healthcare
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Georgetown, Kentucky
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operations, shared services, human resources and finance).
Job Duties
Oversees, plans ... diligence, along with the potential impact each risk carries at a financial and business operations level
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Molina Healthcare
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Georgetown, Kentucky
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Job Description
Job Summary
Responsible for product development implementation and lif
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Molina Healthcare
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Georgetown, Kentucky
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working with IT and corporate enrollment operations team to implement data corrections and process ... be internal operations-focused or external client-focused.
**KNOWLEDGE/SKILLS/ABILITIES
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Molina Healthcare
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Georgetown, Kentucky
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operations as delegated.
Effectively communicates plan benefit information, including but not limited to
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Molina Healthcare
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Georgetown, Kentucky
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to the SVP, Corporate Operations. This executive role leads and oversees all encounters operations ...
Establishes and improves operational reports to monitor operations and take action for best results
Leads
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Molina Healthcare
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Georgetown, Kentucky
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ongoing after contract.
• In conjunction with Director/Manager, Provider Contracts, negotiates
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Molina Healthcare
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Georgetown, Kentucky
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AVP, Provider Network Management & Operations, oversees development and implementation of provider ... Network Mgmt & Operations with an emphasis on value based provider contracting.
**Required License
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Molina Healthcare
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Georgetown, Kentucky
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JOB DESCRIPTION
Job Summary
The Business Control Process Design and Implementa
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Molina Healthcare
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Georgetown, Kentucky
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JOB DESCRIPTION
Job Summary
Responsible for accurate and timely implementation
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Molina Healthcare
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Georgetown, Kentucky
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JOB DESCRIPTION
Job Summary
The Special Investigation Unit (SIU) Investigator
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