Jobs at Molina Healthcare in Long Beach, CA

85 job openings within 25 miles

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Analyst, Financial/Pricing

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for supporting and validating Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Perform financial modeling to support well-informed negotiations, anticipating issues resulting in the ability to reach contract terms with good fa...

Sr Technical Writer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyses user information requirements including understanding the user experience in relation to company products. Defines strategy for effective communication. May provide feedback and suggestions to product development. Employs company brand standards and creates standards applicable to technical documentation. Writes and r...

Part-Time Claims Reps (Multiple Positions)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member rela...

Auditor, Claims Compliance

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.Kn...

Sr Analyst, Business Systems

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryInterfaces 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 Medicaid claims processing; and coordinates and manages project teams in the development of large multi-system, multi-pl...

Specialist, Government Cntrcts

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.Knowledge/Skills/Abilities• Performs gov...

Pharmacy Technician (State Licensed)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with ...

Analyst, Special Investigation Unit

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryEstablish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the...

HR Business Analyst

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryThe HR Business Analyst will be responsible for analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in data sets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans ...

Part- Time Contact Center Associate Rep

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members, and identifies opportunities to maintain and increase member rela...

Assoc Processor, Payables

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 p...

Lead Analyst, Healthcare Analytics

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.Knowledge/Skills/Abili...

Auditor, Medicare Compliance

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryEstablish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health ...

Associate, Risk Adjustment

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryRisk Adjustment is responsible for quality measurement and process improvement in the application of regulatory requirements.Knowledge/Skills/Abilities• Helps support day to day operations• Helps under supervision to support Risk Adjustment related projects, including goals, objectives, milestones and de...

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 ...