Skip to main content
Search Jobs

Let us search jobs for you based on the skills and experience listed in your LinkedIn profile.

Start Matching Jobs

Lead, Core Ops

Long Beach, California Job ID 1904095
Apply Now

Job Description


Job Summary
Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.

Knowledge/Skills/Abilities
• Coordinates work flow and staffing of day-to-day activities as well as assigns and monitors work of staff in order to adhere to productivity and quality standards.
• Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.
• Perform daily troubleshooting procedures to support enrollment, disenrollment, claims, and claims support functions as needed.
• Participates in or leads quality improvement efforts to improve claims processes and/or policies.
• Serve as subject matter expert and provide feedback to team personnel and provide training as needed.


Qualifications

Job Qualifications



Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
5-7 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
7-9 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

ABOUT OUR LOCATION

View Map

Join Our Talent Community

Sign up to receive automatic notices when jobs that match your interests are posted.

Interested InSelect a job category and/or location, then click “Add” for each saved search. Finally, click “Sign Up” to create your job alert.

  • Core Operations, Long Beach, California, United StatesRemove

By uploading your resume you are not submitting an application for employment