• Medical Review Nurse (RN)- Remote

    Molina Healthcare (Lexington, KY)
    …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities -...Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
    Molina Healthcare (01/09/26)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Lexington, KY)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (01/15/26)
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  • Senior Auditor, Delegation Oversight

    Molina Healthcare (Lexington, KY)
    …Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified ... Professional in Healthcare Management (CPHM) and/or other health care certification/licensure. If licensed, license must be active and unrestricted in state of practice. To all current Molina employees: If you are interested in applying for this position,… more
    Molina Healthcare (12/17/25)
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