... Friday 8:00AM to 5:00 PM Job Summary The Clinical Project Manager (PM) position plays a ... Job Description The Clinical Project Manager will support VA Healthplan. Ideal ...

... previously denied cases in which a formal appeals request has been made or upon request by another Molina department to reduce the likelihood of a formal appeal being submitted. Independently re-evaluates ...

... Administrative Service Organization for monitoring and auditing of Crisis Lines, Utilization Management, and ... . Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal ...

... MHI's business process improvement methodology and in the implementation of a business process ... for implementation and maintains program infrastructure • Develop a method for assessing program ...

... ** • Responsible for the administrative support to the respective department(s) to ensure efficient facilitation of ... , Association** Certified Professional Medical Services Management (CPMSM) certification or in process ...

... Contracts activities for contracts at a National Level. Works with direct management, senior leadership ... strategies. Monitors and reports network adequacy for Medicare and Medicaid services. In ...

... web channel services implementing the strategy to increase provider utilization and satisfaction with the Availity portal. Manages a team of Channel Managers responsible for driving service ...

... . Supports Integrated Test Facility (QA) as needed. Able to work in a project team setting while also ... education and experience REQUIRED EXPERIENCE: 5-7 years related experience in a ...