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

150 job openings within 25 miles

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Displaying results 31 - 45 of 150

Sr Analyst, Config Info Mgmt

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adhe...

Manager Enrollment

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible 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. Address a v...

Lead Analyst, Config Info Mgmt SSIS, SSRS

Molina Healthcare - Long Beach, CA

Design and develop SSIS packages. Use SQL to build complex reports. Use SQL to update configuration data in a SQL Server database. Work with BA to understand requirements of SSIS packages, reports and configuration updates. Execute and maintain SSIS packages. Q/A results of reports, scripts, and SSIS packages. Write technical and user documentation for queries, reports, and SSIS packages...

Contact Center Director

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...

Bilingual Member Services Rep (Call Center)

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...

National Benefit Advisor (Life/Health Licensed)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Telesales role. Responsible for taking and making telephone calls with prospective members with the intent to educate them on benefits of Molina products and then conducts enrollment into product of choice over the phone or other sales enrollment channel desired. Knowledge/Skills/Abilities • Strong working knowledge of Me...

HEDIS Performance Management Program Manager

Molina Healthcare - Long Beach, CA

Job Description Job Summary The HEDIS Performance Management Program Manager will manage 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 within the Quality Department. You will plan and direct schedule as well as p...

Specialist, Appeals & Grievanc

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is 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

AVP, Medicare Product Development

Molina Healthcare - Long Beach, CA

Job Description Job Summary This position is responsible for developing and pricing of Medicare products, which include MA-PD, D-SNP and MMP. Knowledge/Skills/Abilities The AVP Medicare product development is a highly visible role within the small unit of employees who are responsible for Medicare strategy and growth. The position is the Company's g...

Sr Generalist, Medicare Administration

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible 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 development ...

Sales - Account Representative, Medicare (Imperial County, CA)

Molina Healthcare - Long Beach, CA

Job Description Job Summary Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures.

VP, Pharmacy Clinical Strategies (Remote)

Molina Healthcare - Long Beach, CA

POSITION SUMMARY: This position, reporting to the Senior Vice President of Pharmacy Services will have primary responsibility for: Provides executive leadership, direction and decision-making for Pharmacy Drug Cost /Trend Management and quality-improvement strategies in alignment with Pharmacy Strategic Plan and Business initiatives. Oversees direct reports' inte...

Analyst, Data

Molina Healthcare - Long Beach, CA

Job Description Job Summary Accountable 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...

Director Healthcare Analytics

Molina Healthcare - Long Beach, CA

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. Knowledge/Skills/Abilities Directs Health Plan strategic analysis and planning ...

Bilingual Member Services Rep (Multiple Openings)

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...