Lead Adjudicator, Provider Claims

Molina Healthcare is seeking an experienced Lead Adjudicator to join our Provider Claims team. This role will be responsible for leading the adjudication team to ensure that claims are processed in accordance with all applicable laws, regulations, and Molina Healthcare policies and procedures. The ideal candidate will have a strong background in claims processing and adjudication and experience in a managed care environment. They must be organized, detail-oriented, and capable of managing multiple tasks simultaneously. Our ideal candidate will have a passion for customer service and the ability to work in a fast-paced environment. If you have an eye for detail, excellent communication skills, and the ability to remain calm under pressure, this position is for you!Qualifications:• 5+ years of experience in adjudication and claims processing• Advanced knowledge of managed care and claims processing regulations• Excellent customer service skills and the ability to work collaboratively with cross-functional teams• Strong organizational and problem-solving skills• Proficient in Microsoft Office applications• Bachelor’s degree in a related field preferred

According to JobzMall, the average salary range for a Lead Adjudicator, Provider Claims in Des Moines, IA, USA is between $50,666 and $77,081 per year. This salary range is based on data from multiple sources, including salary surveys conducted by employers in the Des Moines area. The salary range may vary depending on a variety of factors, such as the employer's size and budget, the individual's experience and qualifications, and the local job market.

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.