- Molina Healthcare (Roswell, NM)
- …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * ... matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining… more
- Molina Healthcare (Roswell, NM)
- …member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will support our ... physician and/or other appropriate health care professionals and member support network to address member needs and goals. * Conducts telephonic, face-to-face… more
- Molina Healthcare (Roswell, NM)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... support short- and long-term business goals. + Partners with Network to communicate recovery projects so that provider... Network to communicate recovery projects so that provider relations can be informed and respond to questions… more
- Molina Healthcare (Roswell, NM)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more
- Molina Healthcare (Roswell, NM)
- …site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from ... planners, as well as with hospitalists, outpatient providers, facility staff, and family/support network , as needed or at the request of member. + Ensures member… more