Jobs at Molina Healthcare in Long Beach, CA

138 job openings within 25 miles

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Mgr, HEDIS Performance Measurement (Training Team)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina'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 measurement activities...

Program Manager

Molina Healthcare - Long Beach, CA

Job Description Job Summary Manages 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 through delivery. May engage and ...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina's Quality Improvement Sr. Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Knowledge/...

Regional Director, Risk Adjustment

Molina Healthcare - Long Beach, CA

Job Description Job Summary This position is responsible for driving initiatives and outcomes related to Risk Adjustment to ensure that health plan performance is on track with company goals. Priorities include being the accountable leader for the respective region, as well as providing high-level operational direction. Working with Long Beach Corporate Office Risk ...

Director, Health Plan Quality Improvement (HEDIS / NQCA) - Remote

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Director, Health Plan Quality Improvement, serves as a leader of health plan Quality strategy and activities, including but not limited to leadership and primary Molina interface with state agencies, leadership of local Quality committees and oversight of intervention activities intended to improve quality measures and outcomes, The Q...

AVP, Quality Improvement

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina'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 measurement activities...

Director, Health Plan Quality Improvement

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Director serves as the Quality Improvement leader for the State Health Plan and leads programs involving HEDIS, NCQA accreditation, STAR ratings, risk scores for Medicare and Medicaid, CAHPS, HOS, Rx adherence, and state requested reports and projects. This is a regional position that covers the following states: Cal...

Supv, Inside Sales

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for day to day operations in regard to all functions that are performed by the Medicare Inside Sales Team. Other responsibilities for this position include but are not limited to: training new employees, monitoring and coaching the staff, coordinating work schedules, assigning workloads, and interacting with other Molina depar...

Telesales Associate

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for calling and qualifying prospective Molina members. Will transfer qualified prospective members for Molina Medicare products in all Molina Medicare markets to Licesned Medicare Telesales Agent or will schedule home based appointments with a Licensed Medicare Field Sales Agents and take enrollments. Knowledge/Skill...

Manager, Data Analytics

Molina Healthcare - Long Beach, CA

Position will be responsible for management of Enrollment robotics, COB data processing and reporting, as well as member data validation team. The team will be responsible for providing status reports to senior leadership as well as collaborating with external vendors. • Ensure timely creation of Executive and Health plan management reports • Ensure data integrity • ...

Assoc Analyst, Business

Molina Healthcare - Long Beach, CA

Job Description Job Summary Analyzes 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 datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifica...

Analyst, Business - Ops Process Improvement

Molina Healthcare - Long Beach, CA

LEAN or Six Sigma Analyzes 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 datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and anal...

Analyst, Data

Molina Healthcare - Long Beach, CA

Job Description Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured dat...

Analyst, Business

Molina Healthcare - Long Beach, CA

Job Description Job Summary Analyzes 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 datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifica...

Program Director

Molina Healthcare - Long Beach, CA

Job Description Job Summary Manages 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 through delivery. May engage and ...