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

86 job openings within 25 miles

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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 procedur...

Director, Enrollment Services (Healthcare)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections....

Financial Reporting Analyst

Molina Healthcare - Long Beach, CA

Molina Healthcare was founded in 1980 as a single community clinic in Long Beach, California. The goal was to create a future where everyone receives quality healthcare, and it is because of the dedication of our employees that we have been able to further this mission. Today, Molina Healthcare is a Fortune 300 company and has grown to over 20 states and territories, servicing nearly five milli...

Sr Analyst, Network 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 fai...

Sr Analyst, Business (Seeking Candidates with Telephony and Cisco Experience)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes 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. Crea...

Program Director - MarketPlace (not IT)

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary Molina Healthcare, Inc. (MOH), 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 operations into new states and additional markets, it aims to take concrete steps to comply ...

Director, Data Analytics

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesLead enrollment and premium related analysis for the organization. Ensure timely creation of Executive and Health plan management reports. Assist in developing, implementing and monitoring the organization's enrollment and premium related reporting. Responsible for daily operations of Enrollment Accounting Data Analytics team. IT liaison for prem...

Clinical Services Trainer (RN) WESTERN REGION USA

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...

Clinical Services Trainer (RN) WISCONSIN

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...

Clinical Services Trainer (RN) FLORIDA

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...

Clinical Services Trainer (RN) MICHGAN

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...

Clinical Services Trainer (RN) South Carolina

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...

Sr. Abstractor, HEDIS/Quality Improvement

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina'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/...

Auditor, Quality

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryPerforms auditing activities in the Medicaid environment to ensure work is performed in accordance with internal and client expectations. Provides operational quality assurance and testing activities. Works with cross functional teams to identify and implement business process improvement opportunities. Monitors quality assur...

Call Center Quality Auditor

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAnalyzes and measures the effectiveness of existing contact center processes and develops sustainable, repeatable and quantifiable process improvements. Collects and analyzes contact center activity data and initiates, develops and recommends improvements to systems, processes and procedures to increase productivity and reduc...