... , remediation plans and fixes, overall progress, and status of impacted claims Provides excellent customer services to our internal operations teams concerning claims projects Appropriately convey information ...

... customer service quality. Provide Feedback: Deliver constructive feedback to agents and team leaders ... authorities. Identify Process Improvements: Identify trends in customer interactions and recommend ...

... JOB DESCRIPTION Job Summary Provides customer support and stellar service to ... /SKILLS/ABILITIES** Manages member services operations. Ensures compliance with state and ...

... result in operational efficiencies and/or an increase in customer satisfaction. Assists in development of ... • Understanding of all areas of health plan operations: claims processing, customer service/call center, provider ...

... supporting Medicare-related services. As an AVP, you’ll lead a team responsible for delivering exceptional customer service to Medicare beneficiaries Responsibilities: **Strategic Leadership ...

... strategic plan and in compliance with all relevant federal, state and local regulations. Provider Services ... with Molina healthcare policies and procedures while achieving the highest level of customer service ...

... . As part of Molina's benefit package, the appointments are for preventive care services delivered in ... strives to meet or exceed call center metrics while providing high quality consistent customer service ...

... Molina Healthcare Services in achieving its clinical and operational goals and objectives. The PM ... . Participates in the development of clinical management products and services; leads the development of clinical ...

... abuse. Coordinates with various internal customers (e.g., Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations ...

... all member services activities are compliant with relevant regulations, standards, and best practices ...

... JOB DESCRIPTION Job Summary Interfaces with the customer in developing ... research to resolve customer initiated issues related to core systems processing; and coordinates and ...

... services, the Member Navigator will communicate with members and caregivers to uncover and act on possible ... Required Experience 2+ years of customer service and/or healthcare experience in a fast-paced ...

... codes, services provided and other information needed to complete the contract profile. Coordinates ...

... JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with ... executes internal Healthcare Services projects and programs involving department or cross-functional teams ...

... operational efficiencies and/or an increase in customer satisfaction. Job Duties • Builds ... , projects, performance measurements, customer satisfaction improvement plans and other items as determined ...