Auditor, Healthcare Services (RN)
Molina HealthcareHighlight
Summary
About the Role
About You
- At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care.
- Registered Nurse (RN) with an active and restricted license in the state of practice.
- Strong attention to detail and organizational skills.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Proficiency in Microsoft Office suite/applicable software programs.
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.
Benefits
- Competitive benefits and compensation package.
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.