Lead Operator Jobs Near Me

Space and Launch Division is seeking an Operation Lead (Level 3) to support our Systems Engineering team in Herndon, VA.

Solutions³ LLC is supporting our prime contractor and their U.S. Government customer on a large mission-critical development and sustainment program to design, build, deliver, and operate their network operations environment; including introducing new cyber capabilities to address emerging threats

To support this effort, Solutions³ LLC is seeking a Security Operations Center Lead . The SOC Lead will lead a team of security engineers with extensive technical experience in enterprise data networks, systems engineering and architecture, security monitoring, capacity planning, systems engineering, cloud infrastructure, and troubleshooting. The team’s primary mission is to manage SOC and incident response teams by delivering and operating critical network threat detection and forensics services. The services include IDS/IPS, SIEM, case management, and packet capture.

Responsibilities Include :

• Plans, directs, and coordinates the Security Operations Center for the program.
• Work closely with technical leadership (government / program / management)
• Develop and present performance reports and metrics
• Develop and meet performance management requirements
• Provide technical leadership for an engineering team of cloud security specialists.
• Consult with cloud team and leadership to set the direction for security monitoring and threat detection.
• Ensure the successful integration of cloud logging and security monitoring services with SIEM.
• Direct the development and implementation of rules/signatures in SIEM, and other monitoring platforms, to detect and alert on suspicious activity in the prime contractor’s public cloud environments.
• Direct the deployment and management of cloud logging and security monitoring services for AWS and Azure Cloud environments.
• Provide guidance and direction on operations for cloud-based Cyber Defense systems and services
• Support cloud-related service migrations to AWS or Azure.
• Provide guidance on system administration of Cloud-based automation tools.
• Direct the development of Infrastructure-as-Code playbooks (e.g. Terraform)
• Ensure testing and evaluation of new cloud services.
• Direct a team on Incident Response / security investigations in cloud environments.
• Ensures proper implementation of required government policy (i.e., NISPOM, DCID 6/3, ICD, NIST) and others leading team to ensure compliance across all activities

Required Skills :

• Must be a US Citizen
• Must have an active Secret clearance and be able to obtain a TS/SCI clearance
• Must be able to obtain DHS Suitability prior to starting employment
• Must have 4 + years of applicable, hands-on experience management in SOC environments in both personnel and technology to include all aspects of personnel management including hiring, performance management, training/compliance, annual salary planning and all other dimensions.
• 10+ years of directly relevant experience
• Minimum 3 yrs of professional experience working with AWS & Azure infrastructure and services in a security-focused role
• Advanced knowledge of AWS & Azure architectural concepts.
• Experience developing and implementing SIEM threat detection rules.
• Demonstrated experience administering Linux-based systems.
• Excellent written and oral communication skills

Desired Skills :

• Information Security and IT certifications: Cisco, Red Hat, AWS, etc.
• Experience administering cyber security tools such as Firewalls, SIEM, and PCAP
• Experience with security log analysis.
• Experience working on a Computer Incident Response Team (CIRT)
• Previous experience working in a Security Operations Center (SOC)
• Virtualization technologies, e.g. VMWare, HyperV, etc.
• Automation and IaC tooling, e.g. Ansible, Terraform, etc.
• Scripting in Python or Perl • “Big Data” Analysis systems, e.g. Splunk, ELK, etc.
• Understanding of Project Management and SDLC methodologies, especially Agile.
• Experience with CNAPP

Required Education : BS degree in Systems Engineering, Computer Science, Information Systems or related technical field. Desired Certifications : GIAC, CISSP, NIST Cybersecurity Professional (NCSP®) Practitioner

Equivalency:

• Two years of related work experience may be substituted for each year of degree-level education.
• A Master’s degree in a related discipline may substitute for two (2) years of experience.
• A PhD may substitute for four (4) years of experience.

Powered by JazzHR

Hi7KYcuZtE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

The Operations Lead position will be a part of a high-performing team in a very dynamic environment.

Space and Launch Division is seeking an Operation Lead (Level 3) to support our Systems Engineering team in Herndon, VA.

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE

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

• 
  
• Process outpatient, inpatient, and professional claims.
• 
  
• Assists with claims adjudication
• 
  
• Inventory management.
• 
  
• 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.
• 
  
• Coordinates workflow 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.
• 
  

JOB QUALIFICATIONS

Required Education

Associate 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

#PJCore

#LI-BEMORE