• Care Review Processor-California

    Molina Healthcare (Long Beach, CA)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (01/25/25)
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  • Supervisor, Quality Interventions/QI Compliance…

    Molina Healthcare (Long Beach, CA)
    …surveys; and other federal and state required quality activities. + Implements Molina Healthcare goals and oversees local processes for quality interventions, ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (01/25/25)
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  • Senior Provider Relations Representative

    Molina Healthcare (Long Beach, CA)
    …development, network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and ... Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for network management… more
    Molina Healthcare (01/25/25)
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  • Analyst, Medical Economics - REMOTE

    Molina Healthcare (Long Beach, CA)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... summary visuals + Experience with PowerPivot for Excel and Power BI dashboards + Healthcare trend analytics To all current Molina employees: If you are… more
    Molina Healthcare (01/21/25)
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  • Lead Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Long Beach, CA)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... **Job Description** **Job Summary** Molina 's Quality Improvement Lead Overreader conducts oversight and...**E/KNOWLEDGE, SKILLS & ABILITIES:** * 5 years experience in healthcare Quality/HEDIS specific to overreading **PR** **E** **FE** **R**… more
    Molina Healthcare (01/21/25)
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  • Manager, Process Improvement…

    Molina Healthcare (Long Beach, CA)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... efficiency, productivity, effectiveness, and accuracy. * Works with the Director of Healthcare Analysis to develop and deploy an organizational strategy to optimize… more
    Molina Healthcare (01/21/25)
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  • Medical Economics Consultant - REMOTE

    Molina Healthcare (Long Beach, CA)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 5 - 7 years in healthcare /managed care industry with knowledge of provider contracting, provider reimbursement,… more
    Molina Healthcare (01/21/25)
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  • Specialist, Provider Network Admin

    Molina Healthcare (Long Beach, CA)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $20.74 - $40.44 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
    Molina Healthcare (01/19/25)
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  • Lead, HCS Behavioral Health Access : California,…

    Molina Healthcare (Long Beach, CA)
    …work Pacific hours.** California residents preferred.** **Job Description** **Job Summary** Molina Healthcare Services (HCS) Behavioral Health Department works ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (01/19/25)
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  • Sr Paralegal (Corporate) Remote, PST Hours

    Molina Healthcare (Long Beach, CA)
    ** Molina Healthcare ** is hiring for a **Sr. Corporate Paralegal** . This position is remote and can be worked from a variety of locations within the US. This ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (01/18/25)
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  • Manager, Delegation Oversight MediCal California…

    Molina Healthcare (Long Beach, CA)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... of delegated activities, ensuring compliance with State, Federal, NCQA, and Molina delegation standards and requirements. Collaborates closely with internal business… more
    Molina Healthcare (01/13/25)
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  • Provider Contracts Specialist

    Molina Healthcare (Long Beach, CA)
    …respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (01/05/25)
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  • Inpatient Review Case Manager (RN); California…

    Molina Healthcare (Long Beach, CA)
    …holidays. Pacific Time Zone business hours required.** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews… more
    Molina Healthcare (12/12/24)
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  • Manager, Provider Relations

    Molina Healthcare (Long Beach, CA)
    …development, network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and ... Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and… more
    Molina Healthcare (12/12/24)
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  • Supv, Care Management : California

    Molina Healthcare (Long Beach, CA)
    …office requirement Long Beach, CA / HYBRID.** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... connectors, health management, and/or transition of care activities to assist Molina Healthcare members with their healthcare needs. Care Management staff… more
    Molina Healthcare (12/06/24)
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  • RN Case Manager: Care Transition CALIFORNIA

    Molina Healthcare (Long Beach, CA)
    **Qualified candidate must live in Southern CALIFORNIA** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (11/16/24)
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  • Case Manager (bilingual Chinese)

    Molina Healthcare (Orange, CA)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina more
    Molina Healthcare (01/25/25)
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  • Project Coordinator

    Molina Healthcare (Los Angeles, CA)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $19.65 - $36.77 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
    Molina Healthcare (01/25/25)
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  • Data Analyst - SQL & Databricks

    Molina Healthcare (Los Angeles, CA)
    …in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina ... Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $68,640 - $111,967 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
    Molina Healthcare (01/25/25)
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  • Director, Vendor Management (Enterprise…

    Molina Healthcare (Los Angeles, CA)
    …of managing and coordinating the vendor activities between contracted entities and Molina Healthcare to support enrollment, claims, contact center, appeals and ... vendors and in accordance with the contract terms between them and Molina Healthcare . The Dir, Vendor Management will also oversee and monitor vendors'… more
    Molina Healthcare (01/18/25)
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