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Molina Healthcare
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Lexington, Kentucky
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• Understanding of all areas of health plan operations: claims processing, customer service/call center, provider
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Molina Healthcare
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Lexington, Kentucky
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Job Summary
The Program Director, PMO (Business Integration) will support program ... leadership by partnering with health plan, corporate operations and technology leaders to define target
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Molina Healthcare
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Lexington, Kentucky
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Job Summary
As a member of the Customer Experience team, the Director, Data Analytics ensures timely creation of key Executive and Health plan management reports, as well as providing critical
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Molina Healthcare
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Lexington, Kentucky
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and Operations jobs are responsible for network development, network adequacy and provider ... collaboratively with health plan network management and operations teams and functional business unit stakeholders
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Molina Healthcare
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Lexington, Kentucky
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Job Summary
Molina Risk & Quality Solutions (RQS) works with health plan risk & quality leaders to support implementation of best practices for optimal performance. The Program Director, RQS HP
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Molina Healthcare
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Lexington, 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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Lexington, Kentucky
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Job Description
Job Summary
Responsible for estimating liabilities, establishing p
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Molina Healthcare
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Lexington, Kentucky
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Job Description
Job Summary
The Program Director, Marketplace Contracting is responsible for managing the Marketplace provider contracting process for the assigned regions. Leads the
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Molina Healthcare
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Lexington, Kentucky
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JOB DESCRIPTION
Job Summary
Responsible for administering claims payments, mai
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Molina Healthcare
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Lexington, Kentucky
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Job Description
Job Summary
Focuses on process improvement, organizational change
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Molina Healthcare
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Lexington, Kentucky
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KNOWLEDGE/SKILLS/ABILITIES
Plans, organizes, staffs, and coordinates the Provider Contrac
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Molina Healthcare
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Lexington, Kentucky
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for additional information as requested by the Medical Director.
**Job Qualifications
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Molina Healthcare
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Lexington, Kentucky
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information from authorization requests or for additional information as requested by the Medical Director
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Molina Healthcare
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Lexington, Kentucky
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for additional information as requested by the Medical Director.
**Job Qualifications
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Molina Healthcare
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Lexington, Kentucky
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operations teams. Responsible for ensuring the projects are completed accurately and timely.
**Job ... efficiency of claims processing
Fields claims questions from Molina Operations teams
Interprets
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Molina Healthcare
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Lexington, Kentucky
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identify opportunities for improvement.
Surfaces to Manager and Director any gaps in processes that
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Molina Healthcare
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Lexington, Kentucky
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Forecasts and monitors economic benefits of Molina investments in infrastructure and operations ... investments in infrastructure and operations by ranking based upon economic benefit.
Analyzes capital
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Molina Healthcare
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Lexington, Kentucky
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, you will be a member of Molina Healthcare’s Protection Services Operations Center, reporting to the ... /Abilities**
Supports the Protection Services Operations Center in responding to and abating
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Molina Healthcare
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Lexington, 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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Lexington, Kentucky
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**_For this position we are seeking a (RN) Registered Nurse with previous experience in Hospital Acu
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Molina Healthcare
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Lexington, Kentucky
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JOB DESCRIPTION
**Opportunity for a US licensed RN to do prior authorization reviews with
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Molina Healthcare
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Lexington, Kentucky
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**_For this position we are seeking a (RN) Registered Nurse with previous experience in Hospital Acu
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Molina Healthcare
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Lexington, Kentucky
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Job Description
Job Summary
The Sr Video Producer manages and elevates the bra
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Molina Healthcare
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Lexington, Kentucky
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Director any gaps in processes that may require remediation. In particular, the Senior Specialist may be
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Molina Healthcare
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Lexington, Kentucky
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Job Summary
Provides support to the clinic operations by adding assistance when applicable ... medical staff and medical clinic operations.
• Coordinates all functions of the Physician and Clinic on
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Molina Healthcare
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Lexington, Kentucky
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measures matrix, HEDIS work plans, and all product timelines.
Works with the Director to manage
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Molina Healthcare
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Lexington, Kentucky
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's activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. The ... EXPERIENCE:**
5+ years in clinical operations, preferably in Managed Care, specifically in Healthcare
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Molina Healthcare
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Lexington, 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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Lexington, Kentucky
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information for Monthly Governance and Operations Reviews
Performs root cause analysis of claims and
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Molina Healthcare
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Lexington, Kentucky
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information for Monthly Governance and Operations Reviews
Performs root cause analysis of claims and
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