Role Description Provides support for provider denial coding dispute activities. Investigates and resolves disputes related to provider appeals, and ensures that claims adhere to correct billing standards and regulations. - Reviews coding-related provider claims denials by systematically examining medical records, denial reasons, submitted claims, and claim history, in accordance with applicable state, federal, and Molina guidelines, rules, and protocols, to determine whether the documentation substantiates the services rendered. - Conducts independent audits of non-medical records to verify billing accuracy; makes decisions within designated authority to either overturn or uphold denials in a timely manner. - Generates and communicates determination to the provider using appropriate letter language and provides necessary guideline links. - Identifies, documents, and communicates any identified coding errors or inconsistencies; collaborates with appropriate internal departments to capture and track issues, and ensure precise code editing and compliance. - Completes data points within internal applications to comply with departmental auditing requirements. - Actively participates in the enhancement of departmental processes to maintain alignment with current coding regulations and guidelines, while also refining internal procedures. Qualifications - At least 2 years of experience in medical coding or billing, or equivalent combination of relevant education and experience. - Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). - Strong attention to detail and ability to independently read and comprehend the details of medical records. - Comfortable working in a production-centric environment with high quality standards. - Ability to work cross-collaboratively in a highly matrixed organization. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software program(s) proficiency. Benefits - Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

As a global leader in cybersecurity, CrowdStrike protects the people, processes and technologies that drive modern organizations. Since 2011, our mission hasn’t changed — we’re here to stop breaches, and we’ve redefined modern security with the world’s most advanced AI-native platform. We work on large scale distributed systems, processing almost 3 trillion events per day and this traffic is growing daily. Our customers span all industries, and they count on CrowdStrike to keep their businesses running, their communities safe and their lives moving forward. We're proud to work for a mission-driven company leveraging AI to transform the way we work. CrowdStrikers drive their careers through flexibility and autonomy while also being expected to contribute to a culture of responsible AI adoption, experimentation, and innovation. We use an AI-first mindset as a force multiplier to proactively and continuously accelerate execution, build expertise, uncover insights, and solve complex problems. We’re always looking to add talented CrowdStrikers to the team who have limitless passion, a relentless focus on innovation and a fanatical commitment to our customers, our community and each other. Ready to join a mission that matters? The future of cybersecurity starts with you. About the Role: CrowdStrike is looking for highly motivated, self-driven, technical analysts dedicated to making a difference in global security by protecting organizations against the most advanced attackers in the world. Our CrowdStrike virtual security operations center offers opportunities to expand your skill set through a wide variety of experiences, detecting and responding to incidents as they occur in real-time for our customers. Am I an Analyst, Endpoint Protection Team Candidate? - Do you find yourself interested in putting your hands-on technical skills to the test in detecting, containing, and remediating incidents? - Are you self-motivated and looking for an opportunity to rapidly accelerate your skills? - Do you crave new and innovative work that actually matters to your customer? - Do you have an Incident Response or Information Security background that you’re not fully utilizing? - Are you capable of leading teams and interacting well with customers? - Do you love working around like-minded, smart people who you can learn from and mentor on a daily basis? What You'll Do: - Exercise incident handling processes across Windows, Mac, and Linux platforms. - Perform basic malware analysis. - Develop and improve processes for incident detection and the execution of countermeasures - Produce high-quality written and verbal communications, recommendations, and findings to customer management. - Demonstrate industry thought leadership through blog posts, CrowdCasts, and other public speaking events. What You'll Need: Successful candidates will have experience in one or more of the following areas: - Incident Handling: experience conducting or managing incident response for organizations, investigating targeted threats such as the Advanced Persistent Threat, Organized Crime, and Hactivists. - Computer Forensic Analysis: a background using a variety of forensic analysis tools in incident response investigations to determine the extent and scope of compromise. - Systems Administration: an understanding of system internals is required to understand how to implement and execute countermeasures and remediation. - Network Forensic Analysis: knowledge of network protocols, network analysis tools, and ability to perform analysis of associated network logs. - Malware Analysis: ability to perform static and dynamic malware analysis to understand the nature of malware - Incident Remediation: strong understanding of targeted attacks and able to create customized tactical and strategic remediation plans for compromised organizations. - Network Operations and Architecture/Engineering: strong understanding of secure network architecture and strong background in performing network operations. - Programming/Scripting: experience coding in C, C#, VB, Python, Perl, Ruby on Rails, and .NET. - Proven experience utilizing AI technologies to enhance decision-making, streamline workflows and processes, improve efficiency and drive business outcomes. Additionally, all candidates must possess the following qualifications: - Capable of completing technical tasks without supervision. - Desire to grow and expand both technical and soft skills. - Strong project management skills. - Contributing thought leader within the incident response industry. - Ability to foster a positive work environment and attitude. Requirements: - Must be willing to work 4x10 schedule, including a day on the weekend. - Must be willing to work on site (hybrid schedule). - This role is only open to US citizens and Green Card holders. Education: - BA or BS / MA or MS degree in Computer Science, Computer Engineering, Math, Information Security, Information Assurance, Information Security Management, Intelligence Studies, Cybersecurity, Cybersecurity Policy, or a related field. Applicants without a degree but with relevant work experience and/or training will be considered. #LI-RC2 #LI-Remote Benefits of Working at CrowdStrike: - Market leader in compensation and equity awards - Comprehensive physical and mental wellness programs - Competitive vacation and holidays for recharge - Paid parental and adoption leaves - Professional development opportunities for all employees regardless of level or role - Employee Networks, geographic neighborhood groups, and volunteer opportunities to build connections - Vibrant office culture with world class amenities - Great Place to Work Certified™ across the globe CrowdStrike is proud to be an equal opportunity employer. We are committed to fostering a culture of belonging where everyone is valued for who they are and empowered to succeed. We support veterans and individuals with disabilities through our affirmative action program. CrowdStrike is committed to providing equal employment opportunity for all employees and applicants for employment. The Company does not discriminate in employment opportunities or practices on the basis of race, color, creed, ethnicity, religion, sex (including pregnancy or pregnancy-related medical conditions), sexual orientation, gender identity, marital or family status, veteran status, age, national origin, ancestry, physical disability (including HIV and AIDS), mental disability, medical condition, genetic information, membership or activity in a local human rights commission, status with regard to public assistance, or any other characteristic protected by law. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements. If you need assistance accessing or reviewing the information on this website or need help submitting an application for employment or requesting an accommodation, please contact us at recruiting@crowdstrike.com for further assistance. CrowdStrike Canada ULC is committed to equal pay for equal work in its compensation practices. The base salary range for this position in Canada is $125,000 - $200,000 CAD per year + variable/incentive compensation + equity + benefits. A candidate’s salary is determined by various factors including, but not limited to, relevant work experience, skills, certifications and location. This is Canadian-based employment, and it is expected that all employees maintain legal entitlement to work in Canada. Applicants selected to move forward in the hiring process are subject to background checks, including but not limited to criminal record, credit, and/or reference checks.

Role Description - Seeking strong work ethic and hard workers who are willing to learn. - Success in this position depends on your ability to think independently, evaluate information critically, and adapt processes when needed. - Remote: Work from almost anywhere in the US with a 100% remote setup. - Schedule: Monday to Friday, with typical day shift hours from 8:00 AM to 5:00 PM CST. - Holiday Coverage: Some flexibility could be needed for holiday coverage depending on business needs. Ensure accurate and timely payment of claims to providers. Utilize research and knowledge of coverage and benefits to ensure resolution to more difficult claim payment issues. - Submit accurate and timely payments to providers, keeping within contractual service level agreements for each market. - Develop and maintain controls over the proprietary processed data and systems set up through developing and implementing auditing procedures, and identifying potential claim audit exposures. - Interpret and understand coverage and benefit limitations by having a comprehensive understanding of benefits and state requirements for multiple markets. - Assure that claims are paid within the expected time frames by monitoring inventory control and working with team members and appropriate resources in other areas to resolve issues related to claims entry. - Identify trends and suggest and develop efficiencies in the review of edit reports and other documentation by reviewing procedures and making appropriate suggestions and adjustments to procedures. - Resolve complex claim payment inquiries by analyzing patient activity and related documentation (including enrollment, claims, and authorizations) and determine appropriate action to be taken. - Resolve complex client issues that may require research, analysis and working with management. - Complete requests for claims review and/or reprocess within internal guideline turnaround times. Qualifications - High school diploma or equivalent - 2 years of prior job related experience (Dental Assistant, Dental/Medical Office Manager, Dental/Medical front office, or health/dental insurance, including managed care operations, accounts receivable and or billing) - Knowledge of health or dental procedures coding and terminology. - Basic knowledge of Microsoft software (Outlook, Excel and Word). - Exceptional written and verbal communication skills. Requirements - Bachelor’s Degree in a related field Benefits The salary range is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

• Administer and manage sales commission processes using Spiff • Validate commission calculations and ensure accurate payouts according to compensation plans • Audit sales transactions, bookings, and revenue data between Salesforce and Spiff • Investigate and resolve commission discrepancies, exceptions, and inquiries from sales representatives and managers • Support New Booking calculations • Generate recurring and ad hoc commission reports for leadership and stakeholders • Facilitate monthly, quarterly, and annual commission processing cycles • Maintain documentation of compensation plans, commission rules, and process workflows • Support testing and implementation of commission plan changes and system enhancements • Monitor data quality; identify and address opportunities for process improvements and automation • Partner with Finance and Sales Operations to ensure alignment between commission payments and company objectives • Assist with quota management, territory changes, and compensation plan administration