Jobs in Long Beach, CA - Page 6

13,508 job openings within 25 miles

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Displaying results 76 - 90 of 13,508

AP Expense Processor

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryGeneral accounting tasks for tracking, processing, and payment of invoices for services or goods purchased from vendors. Responsibilities include ensures all disbursements are made under good financial controls while maximizing cash flow opportunities.Knowledge/Skills/Abilities• Generates timely release of payments thro...

Director, Provider Contracts

Molina Healthcare - Long Beach, CA

Summary Bring your Medical & Medicare contracting management experience to our California health plan. Lead the contracting group handling LA, Orange County & Inland Empire areas. What you will do:Plan, organize, staff, and coordinate the Provider Contracts activities for the state health plan. Work with direct management, senior leadership/management, Cor...

RN Clinical Services Trainer - Remote

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 trai...

Senior Specialist, Claims Delegation Oversight (Field Position)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated claims activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program.

Lead Generalist, Medicare Administration

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible 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...

Senior Software Quality Analyst - Healthcare

Molina Healthcare - Long Beach, CA

Job Description Test Lead with strong SQL scripting skills and experience testing healthcare EDI systems, including claims adjudication and enrollment processing , using Agile methodologies.Job SummaryProvides thorough software and system testing to ensure upgrades, enhancements and new applications function accurately. This includes the development o...

Assoc Analyst, Provider Config

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to ...

Analyst, HEDIS/ Quality Reporting

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measuremen...

Master Trainer Nurse, Facility Site Review

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary The Master Trainer Nurse, Facility Site Review, shall have overall responsibility for training and certification of other Health plan trainers and site reviewers. Facility Site Review is responsible for timely performance of Facility reviews and appropriate follow up for network practitioners in compliance with DHS requirements; ...

Senior Identity Management Engineer

Molina Healthcare - Long Beach, CA

Job Description Design, develop and test IdM integrations Develop strategy and deployment plans for extending Identity Management services to additional applications Act as main escalation point of contact for IdM system technical support for resolution of product and deployment issues Lead technical project execution to identify and ...

Senior Identity Management Architect - Sailpoint

Molina Healthcare - Long Beach, CA

Job Description Job Responsibilities: Develop Identity & Access Management Strategy (that includes Role-based Access Control (RBAC), application integrations, provisioning/de-provisioning, governance, Segregation of Duties, and Reporting & Compliance) and coordinate execution and implementation efforts Provide thought leadership and...

LSW Clinical Services Trainer - Remote

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Provides 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 ...

Assoc Project Manager

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryThe Associate Project Manager will manage people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception...

Communications and Training Specialist

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryDrafts and or edits sales related communications to internal and external channel. Conducts on-line and in person training for the entire sales organization. This includes training support for our contracted agents, brokers, and third party call center vendor. Works with cross functional teams to identify and implement training improv...

Utilization Management Prior Authorization LVN/LPN

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 desire...