-
Molina Healthcare
-
Long Beach, California
...
premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various ... rate adequacy studies. Coordinate with health plan management teams. Communicate findings to Molina
...
-
Molina Healthcare
-
Long Beach, California
...
utilization practices, guideline usage, pharmacy utilization and effective resource management.
Develops and implements a Utilization Management program and action plan, which includes strategies that ensure
...
-
Molina Healthcare
-
Long Beach, California
...
/ Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE IS REQUIRED FOR THIS ... Management Certification (CPHM).
To all current Molina employees: If you are interested in applying
...
-
Molina Healthcare
-
Long Beach, California
...
management/coordination of the identification, pursuit and collection of medical records and other data in ... data into the HEDIS application.
Assists the manager/lead and quality improvement staff with
...
-
Molina Healthcare
-
Long Beach, California
...
Authorizations, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines ... , hospital nursing or utilization management experience.
**Preferred License, Certification
...
-
Molina Healthcare
-
Long Beach, California
...
other internal and external customers on behalf of Molina and data management areas
• Provides ... manually; able to process data effectively using Microsoft Excel.
Supports management and other team
...
-
Molina Healthcare
-
Long Beach, California
...
Utilization Management / Utilization Review is required for this role. Experience with Case Management is a ... , unrestricted Utilization Management Certification (CPHM).
To all current Molina employees: If you are
...
-
Molina Healthcare
-
Long Beach, California
...
, the Director, Customer Experience is responsible for developing, implementing and monitoring a ... enterprise Growth performance management processes.
Identifies opportunities and helps develop
...
