Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business profess…
Skills: HIPAA Compliance, Confidentiality, Interpersonal Skills, Professionalism, Relationship Management
Long Beach, California, United States · On-site
$14/hr–$24/hr
JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating M…
Skills: Customer Service, Call Center Operations, Data Processing, Time Management, HIPAA Compliance
Long Beach, California, United States · On-site
JOB DESCRIPTION Qualified candidates must reside in Washington State, have a unrestricted nursling license and be able to travel up to 20% as needed. The ideal candidate will have prior telephonic case management experie…
Skills: Case Management, Care Coordination, Telephonic Case Management, Utilization Management, Motivational Interviewing
Long Beach, California, United States · On-site
$13/hr–$29/hr
JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in ac…
Skills: Claims Review, Appeals And Grievances Processing, Customer Service, Medical Records Research, Time Management
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Sync…
Skills: Provider Configuration, Data Validation, Claims Processing, Critical Thinking, Attention To Detail
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Leads and manages team responsible for operations activities including claims processing, benefit interpretation, provider services, provider enrollment, etc., ensuring functional operations, …
Skills: Claims Processing, Benefit Interpretation, Provider Services, Provider Enrollment, Budget Development
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insur…
Skills: Clinical Review, Medical Necessity Verification, Utilization Management, Prior Authorization, Case Management
Long Beach, California, United States · Remote OK
$26/hr–$56/hr
JOB DESCRIPTION Job Summary Provides support for inpatient and outpatient clinical claim review activities. Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurate…
Skills: DRG Validation, ICD-10 Coding, Clinical Claim Review, Medical Record Analysis, Itemized Bill Review
Long Beach, California, United States · Remote OK
$72k–$157k/yr
JOB DESCRIPTION Job Summary Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, …
Skills: Project Management, Process Improvement, Organizational Change Management, Risk Management, Scheduling
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nurs…
Skills: Primary Care, Care Coordination, Physical Examinations, Chronic Disease Management, Acute Care
Long Beach, California, United States · Hybrid
JOB DESCRIPTION Job Summary Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG …
Skills: Care Coordination, Case Management, Budget Management, Community Resource Research, HIPAA Compliance
Long Beach, California, United States · Hybrid
$26/hr–$51/hr
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summary Are you seeking a unique nursing position that gives you a great work/lif…
Skills: Personal Care Assessment, Case Management, Patient Education, Care Planning, Clinical Documentation
Long Beach, California, United States · Remote OK
$49k–$107k/yr
Job Description: The Senior Specialist, Coding Research supports Payment Integrity Prepay operations by researching correct coding edit inquiries, analyzing edit outcomes, validating coding rationale, and monitoring savi…
Skills: Medical Coding, Payment Integrity, Claims Analysis, Coding Audit, Savings Analysis
Long Beach, California, United States · On-site
$26/hr–$51/hr
Job Summary Provides support for member services review assessment activities for a specific area of specialty. Responsible for ensuring that services are medically necessary, align with established clinical guidelines, …
Skills: Clinical Service Request Analysis, Prior Authorization, Utilization Management, Case Management, Critical Thinking
Long Beach, California, United States · Remote OK
Job Description Job Summary Provides support through the investigation and resolution of disputes related to provider appeals, ensuring that claims adhere to correct billing standards and regulations. Job Duties Reviews …
Skills: Medical Coding, Medical Billing, Claims Denial Review, Medical Record Analysis, Auditing
Long Beach, California, United States · Hybrid
JOB DESCRIPTION This RN will act as a Care Manager supporting our AZ Medicaid members who have recently been admitted to this hospital. The Medicaid Care Manager will support them to ensure a successful transition from i…
Skills: Care Management, Case Management, Behavioral Health, Patient Assessment, Care Coordination
Long Beach, California, United States · On-site
JOB DESCRIPTION Partnership with My Choice Wisconsin Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team…
Skills: Care Management, Case Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · On-site
$60k–$130k/yr
JOB DESCRIPTION Job Summary Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governa…
Skills: Program Management, Project Management, Operational Process Improvement, Managed Care, Microsoft Project
Long Beach, California, United States · Remote OK
$49k–$107k/yr
JOB DESCRIPTION Job Summary Provides analyst support for configuration information management activities. Responsible for accurate and timely implementation and maintenance of critical information on claims databases, sy…
Skills: Configuration Information Management, SQL, QNXT, Claims Processing, Data Analysis
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides strategy and leadership to team responsible for health plan risk and quality activities. Oversees health plan execution for risk and quality, including alignment with enterprise quali…
Skills: Quality Improvement, Risk Adjustment, HEDIS, NCQA, Medicare Stars
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The intern will engage in experiential learning and formal training to develop professional skills in the healthcare business. They will interact with healthcare business professionals and managers to prepare for future leadership roles.
Candidates must be current students or alumni pursuing or holding a degree from a community college, bachelor's program, or first-year master's program. Applicants must be able to comply with HIPAA regulations and maintain professional work relationships.
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business profession. We aim to develop talent by providing students and alumni with experiential learning, formal training, and opportunities to interact with healthcare business professionals who will act as intern managers along the way.
To all current Molina employees: If you are interested 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.
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
