Jobs in Long Beach, CA - Page 4

13,347 job openings within 25 miles

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Displaying results 46 - 60 of 13,347

Sr Analyst, MITA Systems

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary:Business subject matter expert for specific MITA areas and is responsible for preparing meeting materials, configuration artifacts, reviewing test cases and test data, and providing ad-hoc training to support new MMIS DDI efforts or ongoing site operations.Knowledge/Skills/Abilities:• Delivers project customer scope fo...

Certified Coder

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides support to the business by making sure proper procedures are recorded accurately. Thus brings minimal risk to denials.Knowledge/Skills/Abilities• Primary resource for medical coding updates and information.• Provides advice on coding issues and researches procedures.• Reviews coding procedure coverage w...

Sr. Business Process Modeler & Trainer

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary Serves as a business process modeler/trainer. Works with the MITA (Medicaid Information Technology Architecture) BP (Business Process) modeling and training team and MITA Business Architects in updating models in preparation for new clients and making modifications to models as identified during requirements gathering and validation. The BP M...

Mgr, Business Development

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary Responsible for managed-care related business development activities including leading national, state, and local conferences, seminars, and meetings and project management in support of business development efforts; gathering opportunity research & intelligence; providing analysis; and supporting any other business development activitie...

VP, Request for Proposal

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides content development, compilation, editing and submission of proposals for government sponsored managed care programs or health care related areas. Works across the organization to develop specific response-focused, technically accurate content. Supports RFP, RFA, and RFI response projects, while contributing to procurement opportunit...

Sr Analyst, Business Systems - Market Place

Molina Healthcare - Long Beach, CA

Market PlaceHealth Insurance Exchange ACA - American Care ActInterfaces with the customer in developing requirements for major projects of considerable complexity; prepares system design specifications; conducts research to resolve customer initiated issues related to Market Place / ACA claims processing; and coordinates and manages project teams in the developmen...

Staff Accountant

Robert Half Finance & Accounting - Long Beach, CA

Robert Half Finance is looking for a Staff Accountant for a full-time opportunity with a respected retail company. In this position, the Staff Accountant prepares journal entries, monthly and year-end closings, bank reconciliation, fixed asset maintenance and general ledger reconciliation. During the monthly close, you will also be responsible for many aspects of internal reporting. You will pu...

Manager, Healthcare Claims Disputes

Molina Healthcare - Long Beach, CA

Manages the entire cycle of provider appeals to resolution, oversees staff responsible for the submission, research, and resolution of provider inquiries and/or disputes for the Plan. Ensures resolutions are within compliant requirements. Assigns and ensures adhering to all turnaround times. Provides oversight of appeal policies and procedures specific to benefits, contracts and Sta...

Accounting Manager/Supervisor

Robert Half Finance & Accounting - Long Beach, CA

Accounting Manager candidates who are practical and have a knack for establishing and regulating an organization's accounting and finance procedures will find this position to be a good fit! Are you looking for a job where you will feel appreciated in your day-to-day work and be rewarded for your efforts? This is a good fit for you! This Accounting Manager position with a burgeoning, innovative...

Clinical Services Auditor (RN)

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM) and monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May also perform non-clinical system and proc...

Interpreter

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryTo assist staff with Spanish speaking members by providing over the phone interpretation throughout the triage process. To offer excellent customer service by listening and interpreting the callers issues in a clear and concise mannerKnowledge/Skills/Abilities• Provide Consecutive interpretation services over the phone

Care Review Clinician (LPN/LVN)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desir...

Care Review Processor

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desir...

RN Clinical Services Trainer, Remote (Texas)

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.• Responsible for evaluation of training eff...

RN Care Review Clinician, Inpatient Review (Remote)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desir...