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• • • Job Summary • Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other...
US - NY - South Richmond Hill
November 14, 2024
• • • Job Summary • Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other...
US - OH - Steubenville
November 15, 2024
• JOB DESCRIPTION • • Job Summary • Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating,...
US - KY - Florence
November 4, 2024
JOB DESCRIPTION • Candidate must be able to work during EST hours* • Job Summary • Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare...