Jobs at Molina Healthcare in Long Beach, CA - Page 2

92 job openings within 25 miles

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Displaying results 16 - 30 of 92

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...

CMS Program Director, Regulatory Compliance

Molina Healthcare - Long Beach, CA

Office Location: Long Beach, CA Relocation Assistance Available Responsible for acting as a liaison between CMS / State agencies and Molina business units. Works with members, providers, federal and state agencies, and multidisciplinary teams to assess, plan and coordinate an integrated delivery of health care across the continuum of care. As Molina expands its ope...

Clinical Services Trainer (LVN) Utilization Management

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryCompletion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program and/or Associate's or Bachelor's Degree in Health related field.Knowledge/Skills/AbilitiesProvides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state...

Lead, Healthcare Claims

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 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 ...

Data Analyst

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryThe Data Analyst will be responsible for designing and implementing 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. You will gain insight into key business problems and deliverables by applying statistical a...

Analyst, Medicare Compliance

Molina Healthcare - Long Beach, CA

Molina Healthcare Inc. Medicare unit, referred to as Molina Medicare, operates MA-PDs plans and special needs plans that serve Medicaid dual eligible individuals in many states. Molina intends to expand its Medicare operations into new states and additional markets in existing states as opportunities arise. Each of Molina's Medicare Advantage plans arrange for the provision of compr...

Senior Medical Director Clinical Decisions

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services. Maintains a working knowledge of applicable national, state and local laws and regulatory require...

Director, Process Management Optimization

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for evaluating existing processes and configuring clinical systems to reduce cost and develop best practices within clinical programs.Knowledge/Skills/Abilities• Participates as a member of a team designed to improve utilization management and case management functions within a managed care organ...

Senior IT Security Engineer – Identity & Access Management

Molina Healthcare - Long Beach, CA

Job Description We are looking for an Security Access Management Sr. Engineer to join the AM Platform Engineering team and help build the next generation solutions that can scale with our business growth. Responsibilities Specify, design, and build Access Management (AM) solutions including Directory Services, PKI, SSO, Federation,...

Instructional Designer

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes and determines training needs and problems. Develops, administers and implements all training programs in accordance with the Business' initiatives and strategies. Conducts special courses designed for training selected groups of employees.Knowledge/Skills/Abilities• Supports job-task analysis and/o...

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...

Lead, HCS Central Programs (Non-Clinical)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Healthcare Services (HCS) Central Programs Department 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 Central Programs...

Member Health Assessor, 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...