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Case Mgr III
Molina Healthcare
- Oak Brook, ILCASE MANAGER III / RN This is a Registered Nurse position Location: Oakbrook, IL; Non-remote JOB SUMMARY Responsible for health care management and coordination of Molina...
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Manager HR Partner
- newMolina Healthcare
- Oak Brook, ILJob Summary Provides strategic and operational HR consultation to assigned client groups, which may be located in multiple states. Responsible for the assessment of HR initiatives...
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Quality Improvement Specialist II - Interventions
Molina Healthcare
- Oak Brook, ILJob Summary Responsible for implementing and monitoring local QI and HEDIS interventions. Essential Functions * Assists Interventions Manager in implementing provider or member...
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Registered Nurse / Social Worker
- newMolina Healthcare
- Oak Brook, ILJob Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes.
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Quality Improvement Analyst
Molina Healthcare
- Oak Brook, ILJob Summary Responsible for developing, organizing, collecting, coordinating, preparing and presenting results of quality improvement studies and projects activities to monitor,...
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Provider Inquiry Research & Resolution Representative I
Molina Healthcare
- Oak Brook, ILJob Summary Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments. Researches claims processing guidelines,...
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Case Mgr I
Molina Healthcare
- Oak Brook, ILJOB SUMMARY Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes.
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Care Review Processor I
Molina Healthcare
- Oak Brook, ILJOB SUMMARY Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for Molina Members that require hospitalization and/or utilization...
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Provider Inquiry R & R Rep I
- newMolina Healthcare
- Oak Brook, ILJob Summary Resolves Provider Reconsideration Requests (PRR) from providers relating to claims payment and requests for claim adjustments. Researches claims processing guidelines,...
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Data Analyst
- newMolina Healthcare
- Oak Brook, ILJob Summary Support Molina Healthcare of Illinois in their annual HEDIS and on-going intervention efforts. Responsible for data extraction, analysis, report generation, and...
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