Jobs at Molina Healthcare in Long Beach, CA - Page 3

85 job openings within 25 miles

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Displaying results 31 - 45 of 85

Data Analyst - Finance & Accounting

Molina Healthcare - Long Beach, CA

Job Description Job SummaryAccountable for enrollment to premium related analysis for the organization. Responsible to ensure accurate and timely reconciliation and reporting of premium for month-end to management and corporate accounting for journal entries. Additionally responsible for creating queries to support reporting for accounting and enrollment & prem...

AP Expense Processor

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 payments thro...

AVP, Data Management

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryOversee data management activities with the aim of maximizing the business value of the company's data. Establish data policies, standards, organization and enforcement. Oversee and report on data metrics. Collaborate with leadership team and CIO to align and prioritize business and technology initiatives related to data management.

Clinical Services Trainer (LSW) Remote

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Provides 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 ...

Executive Recruiter

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryAttract and obtain top talent for Molina Healthcare's Director and above level positions.Knowledge/Skills/Abilities • Find & attract executive level passive candidates using multiple & complex sourcing methodologies.• Confer with senior leadership to identify personnel needs, workforce planning strategies, and search...

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...

Medical Records Collector

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary Under the direction of the national and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection and upload of provider medical records into the internal database. Molina's HEDIS/Quality Improvement Medical Records Collect...

VP, Encounters

Molina Healthcare - Long Beach, CA

Knowledge/Skills/AbilitiesThe Encounters Vice President oversees and monitors claims & encounters processes, including partnering with cross-functional teams (Plan or MHI) to prevent encounter rejections via root cause analysis and resolution. • Monitors and/or assigns encounter workflow queues; ensures volume and aging are current. • Oversees researching of claim...

RN SIU Investigator

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing revi...

LSW - Clinical Services Trainer - Remote

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Provides 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 ...

Provider Services Representative (Field - Los Angeles County)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provi...

Assoc Rep, Provider InquiryR&R

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Health Plan Operations jobs are responsible for the development and administration of our State health plan's operational departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.Provide...

Manager, Provider Inquiry R&R (Claims Disputes)

Molina Healthcare - Long Beach, CA

Job Description Job SummaryProvider Inquiry/Services staff are responsible for the submission, research, and resolution of provider inquiries and/or disputes. They respond with the answer to all incoming inquiries and coordinate with other Molina departments as needed to resolve the issue, as well as to correct the underlying cause, ensuring that res...

IT Manager - Security Incident Management (Remote)

Molina Healthcare - Long Beach, CA

Job Description Job SummaryApplies current computer science technologies to the design, development, evaluation, and integration of computer systems and networks to maintain system security. Works with commercial computer product vendors in the design and evaluation of state-of the- art secure operating systems, networks, and database products. Provid...

Information Security Compliance Analyst

Molina Healthcare - Long Beach, CA

Job Summary Responsible for ensuring Molina compliance with both regulatory and company Information Security policies. Conduct various types of Information Security compliance and risk assessments. Monitor compliance by internal business units with security standards and policies. Maintain an awareness of state, federal, and company-established Information Security regulation...