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

86 job openings within 25 miles

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Displaying results 16 - 30 of 86

Community Connector(Jacksonville)

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryMolina Healthcare Services (HCS) 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 staff work to ensure that patients progress ...

RN Clinical Services Trainer - Remote

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...

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 ...

RN - Clinical Services Trainer - Remote - Mississippi

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...

Auditor, Call Center Quality

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...

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...

Director, Provider Services

Molina Healthcare - Long Beach, CA

Job SummaryBring your strong provider relationship development and provider training & education to this leadership role within our California health plan. What you will do:• Provide and develop standards and resources to help the Molina health plan successfully develop and refine cost effective and high quality strategic provider networks, establishing b...

Director, Provider Contracts

Molina Healthcare - Long Beach, CA

Summary Bring your Medical & Medicare contracting management experience to our California health plan. Lead the contracting group handling LA, Orange County & Inland Empire areas. What you will do:Plan, organize, staff, and coordinate the Provider Contracts activities for the state health plan. Work with direct management, senior leadership/management, Cor...

National Director, Interventions

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryThe National Director, Quality Interventions is responsible for setting the strategic direction and overseeing the implementation of effective quality improvement intervention strategies for Molina. Key activities include developing, implementing and monitoring a comprehensive intervention strategy that encompasses multi-funct...

Adjuster, Claims Medicare and Healthcare

Molina Healthcare - Long Beach, CA

Claims Adjustments - knowledge of healthcare and managed care claims processes, review, correction. Medicare knowledge and experience a plus Job SummaryResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog ...

Sourcing Manager

Molina Healthcare - Long Beach, CA

Job DescriptionJob SummaryResponsible for all aspects of purchasing goods and services required by the business, and collaborates with suppliers to determine price and purchasing schedule.Knowledge/Skills/Abilities• Collaborate with relevant businesses as a procurement partner to solidify Molina's competitive advantage• Develop d...

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...

Analyst, IT Systems

Molina Healthcare - Long Beach, CA

Knowledge/Skills/Abilities• Prioritizes work assignments, ensures on-time completion of tasks and projects and provides timely updates to project group leader, managers and directors.• Fosters open communications and ensures effective and positive working relationships with coworkers, users and vendors. • Develops lifecycle system projects from design through codi...

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/...