14 Administration jobs in Woods Creek
Manager, Medicare Administration
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate 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.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager, Medicare Administration
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate 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.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager, Provider Network Administration (Remote)
Posted 2 days ago
Job Viewed
Job Description
Job Description
Job Summary
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
-
Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
-
Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
-
Produces reports related to provider network information.
-
Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
-
Identifies issues, resolves problems and implements best practices.
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
-
5-7 years managed care experience, including min. 2 years of supervisory experience
-
Min. 2 years health plan Provider Network experience
Required License, Certification, Association
N/A
Preferred Education
Bachelor's Degree
Preferred Experience
-
7+ years managed care experience
-
QNXT; SQL experience
-
Crystal Reports for data extraction
-
Access and Excel - intermediate plus skill level
Preferred License, Certification, Association
N/A
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.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager, Provider Network Administration (Remote)

Posted 3 days ago
Job Viewed
Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
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.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Manager, Provider Network Administration (Remote)

Posted 3 days ago
Job Viewed
Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
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.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Software Development Engineer II, FGBS Administration

Posted 4 days ago
Job Viewed
Job Description
Come build the future as a Software Development Engineer at Amazon, where you will be inspired working along best-in-class inventors and innovators! You will have the opportunity to create meaningful experiences that deliver on the ever-evolving needs of our customers, and your work will impact millions of people around the world.
As an Amazon Software Development Engineer, you will solve unique and complex problems at a rapid pace, utilizing the latest technologies to create solutions that are highly scalable. You will find that there is an unlimited number of opportunities within Amazon, where developing your career across a wide range of teams is highly supported. We are committed to making your work experience as enjoyable as the experiences you'll be creating for our customers.
Role Overview
Depending on your experience, interests and business needs, you will own the back-end or full stack design and development of product features, building scale, efficiency, and differentiated customer experiences. We're looking for software engineers passionate about building software solutions end-to-end, have strong software development experience delivering at scale solutions, and systems design skills.
You should have a demonstrated ability delivering within a DevOps delivery model from scoping requirements, requirement analysis, design, development, test, CI/CD, security implementation, and operational excellence with the ability to work cross-functionally with Product Managers, business stakeholders and other tech teams through the actual launch of the project. You should also have experience in communicating with users, other technical teams, and management to collect requirements, describe software product features, and technical designs.
Benefits
- Competitive salary and equity compensation
- Comprehensive health, dental, and vision coverage
- 401(k) plan with company match
- Paid time off and parental leave
- Employee discount program
Key job responsibilities
- Design, develop, and maintain scalable software solutions that meet business requirements and customer needs
- Lead technical solutions from conception through deployment, including architecture decisions and implementation strategies
- Participate in full software development lifecycle, including requirement analysis, design, development, testing, deployment, and operations
- Collaborate with cross-functional teams including Product Managers, Technical Program Managers, and other engineering teams
- Mentor junior engineers and contribute to improving team's technical practices
- Write high-quality, well-tested code following best practices and coding standards
- Participate in code reviews and contribute to technical documentation
- Drive operational excellence through monitoring, troubleshooting, and continuous improvement
A day in the life
Work/Life Balance
Our team puts a high value on work-life balance. It isn't about how many hours you spend at home or at work; it's about the flow you establish that brings energy to both parts of your life. We believe striking the right balance between your personal and professional life is critical to life-long happiness and fulfillment. We offer flexibility in working hours and encourage you to find your own balance between your work and personal lives.
Work Environment
We value work-life balance and foster an inclusive team culture where diverse perspectives are welcomed and celebrated. Our team embraces Amazon's Leadership Principles while providing opportunities for career growth and mentorship. We operate in an agile environment where innovation, experimentation, and continuous learning are encouraged.
Mentorship & Career Growth
Our team is dedicated to supporting new members. We have a broad mix of experience levels and tenures, and we're building an environment that celebrates knowledge sharing and mentorship. We care about your career growth and strive to assign opportunities based on what will help each team member develop into a better-rounded contributor.
Inclusive Team Culture
Here at Amazon, we embrace our differences. We are committed to furthering our culture of inclusion. We have ten employee-led affinity groups, reaching 40,000 employees in over 190 chapters globally. We have innovative benefit offerings, and host annual and ongoing learning experiences, including our Conversations on Race and Ethnicity (CORE) and AmazeCon (gender diversity) conferences. Amazon's culture of inclusion is reinforced within our 14 Leadership Principles, which remind team members to seek diverse perspectives, learn and be curious, and earn trust.
About the team
The Finance Technology Team builds tech solutions and services that enable business growth through automation and self-service, while ensuring controllership, compliance with laws and regulations, security, reliability, and scalability.
We're in the unique position to look across Amazon Finance & Global Business Services (FGBS), Amazon Web Services (AWS), and Amazon Subsidiaries (Audible, Whole Foods, etc.) and provide solutions that satisfy the needs of multiple teams.
Through our products, we provide competitive advantage for Amazon and insights for our customers. We believe that in the long-term, Amazon's needs will outpace capabilities provided by third-party solutions, and business ambition must not be constrained by technology.
Basic Qualifications
- 3+ years of non-internship professional software development experience
- 2+ years of non-internship design or architecture (design patterns, reliability and scaling) of new and existing systems experience
- Experience programming with at least one software programming language
Preferred Qualifications
- 3+ years of full software development life cycle, including coding standards, code reviews, source control management, build processes, testing, and operations experience
- Bachelor's degree in computer science or equivalent
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $129,300/year in our lowest geographic market up to $223,600/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit . This position will remain posted until filled. Applicants should apply via our internal or external career site.
Specialist, Provider Network Administration (EST business hours)

Posted 10 days ago
Job Viewed
Job Description
**This role will have standard EST business hours.**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
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.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Specialist, Provider Network Administration (EST business hours)

Posted 10 days ago
Job Viewed
Job Description
**This role will have standard EST business hours.**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
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.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Temporary Data Entry Clerk
Posted 12 days ago
Job Viewed
Job Description
Location: Kirkland, WA
Duration: 3-Month Contract
Schedule: Full-time, Monday-Friday
Type: Temporary / Project-Based
We're looking for a detail-oriented and reliable Data Entry Clerk to support a short-term project in Kirkland, WA. This is a great opportunity for someone who enjoys working with data, processing claims, entering general information, has strong attention to detail, and can work independently in a fast-paced environment.
Key Responsibilities:
- Accurately input and update data into internal systems and databases
- Verify and correct data discrepancies
- Maintain confidentiality and data integrity
- Organize and manage digital files and records
- Assist with reporting and documentation tasks
- Collaborate with team members to meet project deadlines
- Previous experience in data entry or administrative support
- Strong typing skills and attention to detail
- Familiarity with Microsoft Excel and other data management tools
- Ability to work independently and manage time effectively
- Excellent organizational and communication skills
Search managed by: Gerald Morales
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
- The California Fair Chance Act
- Los Angeles City Fair Chance Ordinance
- Los Angeles County Fair Chance Ordinance for Employers
- San Francisco Fair Chance Ordinance
Virtual Data Entry Clerk
Posted 12 days ago
Job Viewed
Job Description
We appreciate you checking us out! Work At Home Data Entry Research Panelist Jobs - Part Time, Full Time
This work-from-home position is ideal for anyone with a diverse professional background, including administrative assistants, data entry clerks and typists, customer service rep
Thank you for checking us out! Work From Home Data Entry Research Panelist Jobs - Part Time, Full Time
This is a remote work from home position perfect for those with any type of work background such as administrative assistant, data entry clerk, typing, customer service representative, drivers etc.
We are seeking individuals who are looking for part time or full time work or side gigs to be connected with companies who are hiring employees directly to work from their homes.
You will find both full-time and part-time remote opportunities in a variety of career fields.
Legitimate Work From Home Data Entry Jobs are going to require that you have skills relevant to the position you are applying for. Training is provided based on the position.
JOB PAY
- up to $250hr. (single session research studies)
- up to $,000 (multi-session research studies)
JOB REQUIREMENTS
* Computer with internet access * Quiet work space away from distractions * Must be able and comfortable to working in an environment without immediate supervision * Ability to read, understand, and follow oral and written instructions. * Data entry or administrative assistant experience is not needed but can be a bonus * We are recruiting those who have a background in health care, warehouse worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learnYou must apply on our website as well so please look out for an email from us once you apply.
Here's what you need to get started
* LapTop. You may be asked to use your webcam. These types of studies typically pay more. You'll need a stable internet connection. You may be asked to conduct a study using your SmartPhone. * Data entry skills. All studies require that you be able to read, write and take direction as well as type a minimum of 25 words per minute. * Backgrounds in Customer Service, Administrative Assisting, Sales and Sales Support helpful but not mandatoryWe look forward to working with you! Connect with us via email by applying to this posting!
Flexibility to participate in discussions on-line or in-person. No commute needed if you choose to work from residence. No minimum hours.
You can do this part-time or full-time Enjoy cost-free samples from our sponsors and partners for your feedback on their products.
Click the 'Apply' button to make an application for this position now.
This position is open to anyone looking for short-term, work at home, part-time or full-time job.
The hrs are adaptable and no previous experience is required. Our paid market survey participants originate from all backgrounds and markets including data entry clerk, administrative assistant, receptionist, sales assistant, customer service agent, warehouse or factory workers, chauffeur, medical assistant, nurse, call facility representative, and so on.
If you are seeking a versatile part-time remote work from home job, this is a wonderful position for making a good side revenue.s or drivers.
Unleash your skillset within an accommodating role that can be managed from any location!
Are you searching for a new way to make money? Look no further – we are seeking individuals now who can work remotely from their own homes! Whether it's part-time or full-time, discover an opportunity that works best with your schedule.
You will find both full-time and part-time remote opportunities in a variety of career fields.
To secure a legitimate work from home data entry position, expertise in that field isn't an absolute must. Companies providing these jobs offer comprehensive training to the successful applicant so they can excel at their role!
JOB REQUIREMENTS
* Computer with internet access * Quiet work space away from distractions * Must be able and comfortable to working in an environment without immediate supervision * Ability to read, understand, and follow oral and written instructions. * Data entry or administrative assistant experience is not needed but can be a bonus * We are recruiting those who have a background in health care, warehouse worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learnJOB PAY
* up to $2 0hr. (single session research studies) * up to 3,000 (multi-session research studies)Applying on our website is necessary to ensure you receive important updates from us. Keep an eye out for emails with further instructions!
To get started, these are the essential elements you'll need!
* LapTop. You may be asked to use your webcam. These types of studies typically pay more. You'll need a stable internet connection. You may be asked to conduct a study using your SmartPhone. * Data entry skills. All studies require that you be able to read, write and take direction as well as type a minimum of 25 words per minute. * Backgrounds in Customer Service, Administrative Assisting, Sales and Sales Support helpful but not mandatoryWe're eager to collaborate with you! Take the next step and reach out via email--apply now for a position today!
Take control of your work schedule with our flexible position that allows for remote or in-person participation. With no minimum hours, you can choose to tackle this role part time or full time from the comfort of home. Plus, gain exclusive access to complimentary samples from sponsors and partners as a reward for offering valuable feedback on their products!
Act now by clicking 'Apply' and launch into an exciting new work at home job today!
This position is open to anyone looking for short-term, work at home, part-time or full-time job.
Do you want to add an extra stream of income? Let us help! By participating in our paid market survey, people from all walks of life can earn some money.
No prior experience is needed and the hours are flexible—perfect for those looking for a part-time job they can do remotely. Roles include data entry clerk, customer service agent, nurse or medical assistant - just choose what suits your skills best and start earning!