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

103 job openings within 25 miles

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Displaying results 31 - 45 of 103

Sr Analyst, Business Systems - Market Place

Molina Healthcare - Long Beach, CA

Market PlaceHealth Insurance Exchange ACA - American Care ActInterfaces with the customer in developing requirements for major projects of considerable complexity; prepares system design specifications; conducts research to resolve customer initiated issues related to Market Place / ACA claims processing; and coordinates and manages project teams in the developmen...

Provider Contracts Specialist - Healhcare

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryProvides contracting expertise in the realm of providers.Knowledge/Skills/Abilities• Responsible for the negotiation of contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable providers.• Initiates, negotiates, generates,...

Provider Services Rep

Molina Healthcare - Long Beach, CA

Molina 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. Provider Services staff are the primary point of contact between Molin...

Sr. Data Analyst – Encounters

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryDesigns and implements 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. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data fr...

Sr. Analyst, Data

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryThe Sr. Analyst, Data design and implement 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. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and ...

Program Manager

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryManages 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...

Senior Data Analyst

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryDesigns and implements 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. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data fr...

Sr Specialist, Quality Improvement (RN)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina'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...

Sr Specialist, Quality Improvement (RN)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina'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...

Senior Business Analyst

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. Creates specifica...

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 assurance and qual...

Senior ETL Engineer - REMOTE

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for designing and/or developing processes that translate complex Medicaid data from various sources to destinations.Knowledge/Skills/Abilities• Leads complex ETL-related technical tasks involving more than one ETL developer, identifies potential issues, resolve issues, and drives tasks to successful completi...

Sr Analyst, MITA Systems

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary:Business subject matter expert for specific MITA areas and is responsible for preparing meeting materials, configuration artifacts, reviewing test cases and test data, and providing ad-hoc training to support new MMIS DDI efforts or ongoing site operations.Knowledge/Skills/Abilities:• Delivers project customer scope fo...

Sr. Business Process Modeler & Trainer

Molina Healthcare - Long Beach, CA

Job DescriptionJob Summary Serves as a business process modeler/trainer. Works with the MITA (Medicaid Information Technology Architecture) BP (Business Process) modeling and training team and MITA Business Architects in updating models in preparation for new clients and making modifications to models as identified during requirements gathering and validation. The BP M...

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 procedure coverage w...