Manager, Provider Appeals - Long Beach, United States - Molina Healthcare

Manager, Provider Appeals

1 hour ago

**Remote and must live in the United States** · Job Summary · Responsible for leading, organizing and directing the activities of the Provider Appeals Unit that is responsible for reviewing and resolving provider complaints and communicating resolution in accordance with the stan ...

Lead Spec, Appeals

1 week ago

Job Summary · Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized representatives in accordance with ...

Appeals & Grievances Health Claims Processing

1 week ago

**_Appeals & Grievances Health Claims Processing Specialist (REMOTE)_**Position Summary**: · Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and providers (or authorized representatives) following the standards and re ...

Specialist, Appeals

2 weeks ago

Job Summary · Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid · KNOWL ...

Specialist, Member Rights

2 weeks ago

Job Description · Job Summary · The Specialist, Member Rights serves as a member advocate within the agency. This position ensures that members are informed of their rights and supports members through mediation and problem solving with interdisciplinary teams (IDTs). Maintains a ...

Vp, Marketplace Network Strategy and Services

1 week ago

Job Summary · Molina Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all re ...

Medical Director

1 week ago

Job Summary · Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of a ...

Medical Director

1 week ago

Job Summary · Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of a ...

Medical Director

1 week ago

Job Summary · Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of a ...

Barista

6 days ago

Tierra Mia Coffee Company is a specialty coffee retailer and roaster that operates sixteen locations in California. The company opened its first coffeehouse in March 2008 in the city of South Gate at the intersection of Firestone Boulevard and Atlantic Boulevard. · TMC is hiring ...

Product Specialist- Experiential Marketing

2 weeks ago

Join our dynamic experiential marketing team as a **Product Specialist** focused on live events. As a key player in our immersive brand experiences, you will play a crucial role in showcasing and promoting our products in a live and engaging environment. If you have a passion for ...

Fish Monger

2 weeks ago

At San Pedro Fish Market, the Fish Monger is responsible for ensuring that our fresh fish is properly cleaned, filleted and displayed while helping the company attain the highest levels of quality control and guest service. This position must follow directions from management and ...

Medical Director, Behavioral Health

6 days ago

Job Summary · Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. · Kno ...

Lead, Customer Experience

2 weeks ago

Job Summary · Provides customer support and stellar service to meet the needs of our Molina members and providers. · Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. · Provides product and service information, and ide ...

Director, Vendor Management

2 weeks ago

Job Summary · The position will oversee and manage the Vendor Management team responsible of managing and coordinating the vendor activities between contracted entities and Molina Healthcare to support enrollment, claims, contact center, appeals and grievances, risk adjustment, m ...

Government Administration Manager

2 weeks ago

**TITLE** · GOVERNMENT ADMINISTRATION MANAGER · *** · Reports to AMM Director of Administration. Individual is responsible for overseeing all aspects of AMM operations utilized to provide Fiscal Intermediary services to assigned Government contracts, Fiscal Intermediary clients, ...

Financial Aid Counselor/program Coordinator

1 week ago

**Job no**: 539752 · **Work type**: Staff · **Location**: Long Beach · **Categories**: Unit 4 - APC - Academic Professionals of California, Administrative, Temporary, Full Time · **Job Summary** · The Financial Aid Counselor/Program Coordinator performs a variety of processing an ...

Leasing Professional

2 weeks ago

This position is responsible for coordinating the community's marketing, leasing, and renewal strategies to achieve occupancy, revenue, and resident retention goals by performing all activities related to leasing to new residents, providing resident satisfaction throughout the te ...

Automotive Upholstery Technician

3 weeks ago

**Company Description** · TMC is a family owned and operated business where treating all employees like family is at the core of our values. We are a full restoration shop from full frame off rotisserie restorations to engine compartment detailing and interior overhauling. Employ ...

Community Connector

6 days ago

Job Summary · Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high ne ...