Job Title Provides support and subject matter expertise for member clinical dental review activities. Job Description Determines appropriateness and medical necessity of member dental care services - targeting opportunities for quality improvement and satisfaction for members
Compliance Auditor Provides support for compliance auditing activities. Responsible for evaluating Molinas adherence to regulatory requirements, internal policies, and health care industry standards by identifying compliance gaps and recommending improvements to mitigate risk related to fraudulent
Job Title Certified Clinical Transplant Nurse specializing in Transplant/Gene Therapy for a pediatric population. Job Summary Provides senior level support for health education activities. Responsible for developing, implementing, and maintaining health plan health education programs. Assists