• Specialist , Appeals

    Molina Healthcare (Syracuse, NY)
    …**Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, providers, ... that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
    Molina Healthcare (11/23/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (Syracuse, NY)
    …to provide quality and cost-effective member care. This position will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with ... Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state...Further details to be discussed during our interview process. Remote position with location preference in MI, IL or… more
    Molina Healthcare (12/03/25)
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