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

139 job openings within 25 miles

Save This Search

Refine Your Search

Show more Show less
Displaying results 16 - 30 of 139

Supervisor, Member Services

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provides 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 relationships. R...

Sr Adjuster, Claims

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible 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. Knowledge/Skil...

Auditor, Appeals & Grievances

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina Healthcare's Appeals & Grievances jobs are responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. Knowledge/Skills/Abilities • Conducts aud...

Sr Adjuster, Healthcare Claims

Molina Healthcare - Long Beach, CA

Responsible 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. Knowledge/Skills/Abilities • Leads overall performance accountab...

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...

Outreach Representative (Long Beach, CA)

Molina Healthcare - Long Beach, CA

OUTREACH REPRESENTATIVE Molina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans serving fifteen states. During the time of expansion we have never lost sight of the mission that defines us; to serve the most financially vulnerable members of ...

VP, Core Operations

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities Under the general direction the SVP, Core Operations is responsible for the strategy, design, and implementation of companywide initiatives impacting one or more of the following areas: • Claims Production (i.e. Claims Production, Audit, Production Vendor Oversight) for all lines of business • Claims Shared Services for all lines of business (i.e. ...

Analyst, Healthcare

Molina Healthcare - Long Beach, CA

Job Description Job Summary Performs 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. Molina Healthcare Core Competencies: Gene...

Mgr, Provider Network Operations

Molina Healthcare - Long Beach, CA

Job Description Job Summary Provider Network Operations, is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensures adherence to business and system requirements of internal customers, as it pertains to provider network management areas, including provider contracts c...

Sr 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...

Senior Business Analyst

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 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 ...

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...

Digital Marketing Manager

Molina Healthcare - Long Beach, CA

Job Description Job Summary The Digital Marketing Manager role is responsible for contributing to efforts to enhance our digital marketing initiatives, to improve how we connect with our prospective consumers, and to ensure the best possible online experience for our consumers. Position reports to Vice President of Marketing Duties a...

Pharmacy Technician

Molina Healthcare - Long Beach, CA

Job Description Job Summary Molina 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 all federal a...