Moda Health Jobs in United States

Provides accurate quality assurance auditing of post-payment claims to determine correct adjudication and benefit application. · ...

The Healthcare Data Analyst is a critical resource in our efforts to manage health care costs, improve quality, and enhance the experience of both the member and the care team, · Under general supervision, performs complex research and analysis of healthcare claims, enrollment, a ...

Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, co ...

Sr Data Science Business Systems Analyst · About Moda Health · Moda Health is a company of real people committed to quality. We focus on building a better future for healthcare by offering outstanding coverage, compassionate support, and comprehensive benefits. · Position Summary ...

The CCA Configuration Analyst III is responsible for the analysis, design, and maintenance of the Clinical Care Advance system and other assigned systems, · while also maintaining working knowledge of related enterprise systems such as Facets.Gather and document requirements, per ...

Responsible for the on-going service and retention of medical and dental accounts assigned.This includes personal service calls to agents and accounts, responding to both written and verbal inquiries from agents and/or accounts, and includes attending requested meetings by the ag ...

· Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, ...

· Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, ...

The HR Specialist provides assistance and support to the Human Resources team across a range of functions, particularly payroll and project related functions. · ...

· Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, ...

The Data Engineering Supervisor leads a team of 5-7 engineers and architects while contributing directly to technical development. · ...

We are seeking a Health Coach to develop and implement behavior-based coaching programs and provide healthcare navigation support to our members. · ...

The Social Wellness Advocate (SWA) is a non-clinical position that supports members identified as having social needs by referring them to community resources. · The SWA will collaborate with internal teams to identify health inequities, develop targeted interventions to address ...

Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, co ...

This position is responsible for timely, accurate data entry and maintenance of Medical and dental member eligibility, member and billing reconciliation, customer service to assigned groups or accounts. · Ensure the accuracy and timeliness of entering enrollments within the depar ...

The RN Case Manager performs case management within the boundaries of accreditation organization standards to ensure appropriate care is delivered timely and within the appropriate setting for Moda members. · ...

Moda Health seeks a Provider Correspondence Coordinator to research and respond to medical provider correspondence and appeals. · Responds to provider appeals and related correspondence. · Interacts with physician/provider offices by letter or phone to gather additional informati ...

We are seeking a Sales Assistant I to provide internal administrative assistance to the Account Manager and support sales and service objectives.This is a full-time hybrid position based in Portland, Oregon. · ...

Let's do great things, together · About Moda · Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, co ...

At Moda Health, we strive to make a positive impact on the lives of our members and employees. Our commitment to diversity and inclusion drives us to create a workplace where everyone feels valued and respected. · The Medical Claims Entry Operator is an essential role in ensuring ...