- Molina Healthcare (Roswell, NM)
- …with business objectives. + Collaborate with departments on issues related to provider , including but not limited to, Configuration , Business Systems, Encounters ... Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider ...critical provider information on all claims and provider databases. Maintains critical provider information on… more
- Molina Healthcare (Roswell, NM)
- …reports * Interprets and validates accuracy of complex MRDT and other configuration update scripts * Assists manager in establishing standards, guidelines, ... team * Interprets and validates accuracy of complex reports and automated configuration processes/solutions * Assist manager in establishing peer review… more
- Molina Healthcare (Roswell, NM)
- …management with direct impact on Claims Operations (adjudication, configuration , appeals/grievances, payment integrity, provider data). **Preferred ... project/program management with direct impact on Claims Operations (adjudication, configuration , appeals/grievances, payment integrity, provider data). + Proven… more
- Molina Healthcare (Roswell, NM)
- …Lead system and process solution initiatives from concept to delivery across Provider Configuration and Credentialing. + Deliver accurate, timely and high-impact ... as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements… more