- Molina Healthcare (Bellevue, NE)
- …in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr. Business or System Analyst experience + Process ... from inception through delivery + Subject matter expert of enrollment to Program Managers and Analyst and...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment … more
- Molina Healthcare (Bellevue, NE)
- …for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of responsibilities) within ... Medicare and Medicaid. Role is predicated on building relationships...needs and satisfaction, financial budgets, and current and future program initiatives. Ability to drive operational excellence and process-oriented… more
- Molina Healthcare (Bellevue, NE)
- … Duals, Appeals & Grievances, Provider Disputes (Par and Non-Par) and overall Medicare program knowledge. * Experience reviewing all types of medical claims ... claims review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare… more