Manager, Claims (Contact Center)
Molina Healthcare Nebraska; Augusta, Georgia; Florida; Orem, Utah; Santa Fe, New Mexico; Salt Lake City, Utah; Cincinnati, Ohio; Jacksonville, Florida; St. Petersburg, Florida; Omaha, Nebraska; Iowa; Spokane, Washington; Louisville, Kentucky; Des Moines, Iowa; Idaho; Rochester, New York; Kentucky; Cleveland, Ohio; Lincoln, Nebraska; Sioux City, Iowa; Utah; Idaho Falls, Idaho; Vancouver, Washington; Houston, Texas; Tampa, Florida; Kenosha, Wisconsin; Rio Rancho, New Mexico; Orlando, Florida; Layton, Utah; Lexington-Fayette, Kentucky; Sterling Heights, Michigan; Chandler, Arizona; Bellevue, Nebraska; Boise, Idaho; Racine, Wisconsin; Akron, Ohio; Provo, Utah; Milwaukee, Wisconsin; Scottsdale, Arizona; Columbus, Georgia; Georgia; Dallas, Texas; Savannah, Georgia; Nampa, Idaho; Tacoma, Washington; Green Bay, Wisconsin; Iowa City, Iowa; Dayton, Ohio; Austin, Texas; Bellevue, Washington; Fort Worth, Texas; Yonkers, New York; Columbus, Ohio; Tucson, Arizona; Cedar Rapids, Iowa; Miami, Florida; Washington; Syracuse, New York; Covington, Kentucky; Wisconsin; Albany, New York; Mesa, Arizona; Roswell, New Mexico; Kearney, Nebraska; Michigan; Atlanta, Georgia; Detroit, Michigan; New Mexico; Bowling Green, Kentucky; Phoenix, Arizona; Albuquerque, New Mexico; Las Cruces, New Mexico; Buffalo, New York; Meridian, Idaho; Owensboro, Kentucky; Ann Arbor, Michigan; Grand Island, Nebraska; Macon, Georgia; Everett, Washington; Texas; Ohio; San Antonio, Texas; Madison, Wisconsin; Grand Rapids, Michigan; Warren, Michigan; Caldwell, Idaho; West Valley City, Utah; Davenport, Iowa; New York Job ID 2032167JOB DESCRIPTION
Job Summary
Within a Contact Center setting, 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
- Manages and develops a team focused on meeting or exceeding established performance targets. Targets may be based upon plans, federal or state requirements as dictated.
- Proactively plans for daily priorities as well as responds to new priorities within the organization and opportunities assigned from upper management.
- Responsible for compiling and submitting daily, weekly, and monthly departmental reports to management.
- Acts as a technical expert in handling complaints and other escalated issues from internal and external customers.
- Supports claims performance improvement via participation in special claims initiatives.
- Participates in and support the development of strategies to meet business needs.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
5-7 years
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
7-9 years
Preferred License, Certification, Association
- Certification in Training and Development preferred for manager overseeing Training unit
- Internal Audit Certification a plus for manager overseeing Regulatory Quality Audit unit 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.
Pay Range: $77,969 - $141,371 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 06/09/2025ABOUT OUR LOCATION
View Map- Program Manager (Remote in Pacific Time Zone) Cedar Rapids Iowa, San Antonio Texas, Cleveland Ohio, St. Petersburg Florida, Iowa City Iowa, Austin Texas, Bellevue Washington, Dallas Texas, Warren Michigan, New York, Scottsdale Arizona, Spokane Washington, Everett Washington, Milwaukee Wisconsin, Lincoln Nebraska, Kearney Nebraska, Augusta Georgia, Bowling Green Kentucky, Atlanta Georgia, Orlando Florida, Yonkers New York, Grand Island Nebraska, Omaha Nebraska, Rio Rancho New Mexico, Caldwell Idaho, Boise Idaho, Nebraska, Macon Georgia, Rochester New York, Phoenix Arizona, Akron Ohio, Jacksonville Florida, Layton Utah, Savannah Georgia, Meridian Idaho, Chandler Arizona, Ohio, Washington, Miami Florida, Orem Utah, Syracuse New York, Green Bay Wisconsin, Davenport Iowa, Tampa Florida, Kenosha Wisconsin, Fort Worth Texas, Des Moines Iowa, Owensboro Kentucky, Columbus Georgia, Tucson Arizona, Buffalo New York, Iowa, New Mexico, Albany New York, Nampa Idaho, Santa Fe New Mexico, Las Cruces New Mexico, Racine Wisconsin, Bellevue Nebraska, Salt Lake City Utah, Kentucky, Idaho, Vancouver Washington, Sioux City Iowa, Covington Kentucky, Detroit Michigan, Columbus Ohio, Grand Rapids Michigan, Lexington-Fayette Kentucky, Idaho Falls Idaho, Tacoma Washington, Roswell New Mexico, Albuquerque New Mexico, Madison Wisconsin, Ann Arbor Michigan, West Valley City Utah, Michigan, Wisconsin, Florida, Georgia, Houston Texas, Dayton Ohio, Cincinnati Ohio, Louisville Kentucky, Sterling Heights Michigan, Texas, Mesa Arizona, Utah, Provo Utah 06/09/2025
- Manager, Provider Network Administration Columbus Georgia, Roswell New Mexico, Syracuse New York, Dallas Texas, Bellevue Washington, Mesa Arizona, Owensboro Kentucky, West Valley City Utah, Idaho, Florida, Washington, Orlando Florida, Detroit Michigan, Grand Island Nebraska, Madison Wisconsin, Scottsdale Arizona, Austin Texas, Meridian Idaho, Warren Michigan, Texas, Nebraska, Tacoma Washington, Green Bay Wisconsin, Ann Arbor Michigan, Kearney Nebraska, Sterling Heights Michigan, Chandler Arizona, Louisville Kentucky, Fort Worth Texas, Boise Idaho, Michigan, Kentucky, Akron Ohio, Columbus Ohio, Cedar Rapids Iowa, Augusta Georgia, Las Cruces New Mexico, Salt Lake City Utah, Rio Rancho New Mexico, Savannah Georgia, Ohio, Covington Kentucky, Dayton Ohio, Tucson Arizona, Atlanta Georgia, Miami Florida, Provo Utah, Lexington-Fayette Kentucky, Kenosha Wisconsin, Iowa, Georgia, Nampa Idaho, Bowling Green Kentucky, Phoenix Arizona, Santa Fe New Mexico, Buffalo New York, Vancouver Washington, Houston Texas, Bellevue Nebraska, Wisconsin, Davenport Iowa, Jacksonville Florida, Yonkers New York, Macon Georgia, Idaho Falls Idaho, Cleveland Ohio, Milwaukee Wisconsin, Spokane Washington, Albany New York, Everett Washington, Caldwell Idaho, Des Moines Iowa, Lincoln Nebraska, St. Petersburg Florida, Omaha Nebraska, Racine Wisconsin, Iowa City Iowa, San Antonio Texas, Rochester New York, Orem Utah, Albuquerque New Mexico, Grand Rapids Michigan, Tampa Florida, Cincinnati Ohio, New York, Utah, New Mexico, Sioux City Iowa, Layton Utah 06/09/2025
- Senior Data Scientist Kenosha Wisconsin, Meridian Idaho, Dallas Texas, Mesa Arizona, Jacksonville Florida, Warren Michigan, Tampa Florida, Wisconsin, Akron Ohio, Ohio, Macon Georgia, Cincinnati Ohio, Iowa City Iowa, Florida, Owensboro Kentucky, Provo Utah, Rochester New York, Racine Wisconsin, Sioux City Iowa, Tucson Arizona, Iowa, Davenport Iowa, Texas, Columbus Ohio, New Mexico, Houston Texas, Bellevue Nebraska, Scottsdale Arizona, Columbus Georgia, Omaha Nebraska, Las Cruces New Mexico, Santa Fe New Mexico, Austin Texas, Albany New York, Yonkers New York, Kearney Nebraska, Augusta Georgia, Michigan, Utah, Georgia, Syracuse New York, Washington, Idaho Falls Idaho, Albuquerque New Mexico, Covington Kentucky, Grand Rapids Michigan, Orlando Florida, Cleveland Ohio, West Valley City Utah, Everett Washington, Boise Idaho, Salt Lake City Utah, Des Moines Iowa, Phoenix Arizona, Caldwell Idaho, Roswell New Mexico, New York, St. Petersburg Florida, Bellevue Washington, Madison Wisconsin, Orem Utah, Savannah Georgia, Milwaukee Wisconsin, Nampa Idaho, Tacoma Washington, Lexington-Fayette Kentucky, Rio Rancho New Mexico, Idaho, Spokane Washington, Lincoln Nebraska, Buffalo New York, Chandler Arizona, Vancouver Washington, Detroit Michigan, Grand Island Nebraska, Kentucky, Ann Arbor Michigan, Layton Utah, Sterling Heights Michigan, Louisville Kentucky, Green Bay Wisconsin, San Antonio Texas, Dayton Ohio, Bowling Green Kentucky, Fort Worth Texas, Miami Florida, Cedar Rapids Iowa, Atlanta Georgia, Nebraska 06/09/2025
- Community Connector (Western Nebraska) Scottsbluff Nebraska, Alliance Nebraska, Chadron Nebraska, Kimball Nebraska, Gering Nebraska, Sidney Nebraska, Bridgeport Nebraska, Hemingford Nebraska 06/09/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs