Long Beach, California, United States · On-site
$12/hr–$26/hr
JOB DESCRIPTION Job Summary Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member…
Skills: Prior Authorization, Pharmacy Plan Criteria, Medication Health Care Outcomes, HIPAA Compliance, Microsoft Office
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support and subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for optim…
Skills: Medication Therapy Management, Clinical Pharmacology, Disease Management, Drug Utilization Review, Prior Authorization
Long Beach, California, United States · On-site
$30/hr–$59/hr
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insura…
Skills: Clinical Review, Utilization Management, Prior Authorization, Medical Necessity Assessment, Case Management
Long Beach, California, United States · On-site
$73k–$143k/yr
JOB DESCRIPTION Highlighted Details: Applicants must reside in Texas. Five years of experience in healthcare that includes clinical operations and three or more years in utilization management, care management, care tran…
Skills: Program Management, Clinical Operations, Utilization Management, Care Management, Care Transitions
Long Beach, California, United States · On-site
$26/hr–$51/hr
JOB DESCRIPTION Family Care 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, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Remote OK
$25/hr–$51/hr
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to …
Skills: Behavioral Health Assessment, Care Coordination, Case Management, Motivational Interviewing, Care Planning
Long Beach, California, United States · Remote OK
$18/hr–$31/hr
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance wit…
Skills: Claims Processing, Appeals and Grievances, Medicare Guidelines, Medicaid Guidelines, Managed Care
Long Beach, California, United States · Remote OK
$25/hr–$51/hr
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to …
Skills: Care Management, Care Coordination, Comprehensive Assessments, Motivational Interviewing, Medication Reconciliation
Long Beach, California, United States · Hybrid
This is a remote field-based role requiring travel in the Story County area. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates wit…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member…
Skills: Prior Authorization, Pharmacy Plan Criteria, Prescription Claims Resolution, HIPAA Compliance, Microsoft Excel
Long Beach, California, United States · On-site
$11/hr–$24/hr
JOB DESCRIPTION Job Summary Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication relat…
Skills: Customer Service, Pharmacy Operations, Prior Authorization Processing, Claims Adjudication, Call Center Operations
Long Beach, California, United States · On-site
$12/hr–$26/hr
JOB DESCRIPTION Job Summary Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member…
Skills: Prior Authorization, Pharmacy Plan Criteria, Medication Health Care Outcomes, HIPAA Compliance, Microsoft Office
Long Beach, California, United States · Hybrid
$26/hr–$59/hr
JOB DESCRIPTION Hybrid day-shift RN Care Manager position supporting Medicaid members across hospitals in King, Pierce, Snohomish, Kitsap, and Clark Counties. This field-based role requires approximately 75% travel and f…
Skills: Case Management, Discharge Planning, Care Coordination, Patient Education, Motivational Interviewing
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
This is a remote field-based role requiring travel in Hamilton, Butler, and Warren counties. Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coor…
Skills: Care Management, Care Coordination, Case Management, Motivational Interviewing, Clinical Assessment
Long Beach, California, United States · Remote OK
$41k–$89k/yr
JOB DESCRIPTION Job Summary Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach, emphasiz…
Skills: Provider Engagement, Data Analysis, HEDIS Quality Scores, Risk Adjustment, Value-Based Care
Long Beach, California, United States · On-site
$88k–$172k/yr
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, Diagnostic Testing
Long Beach, California, United States · Remote OK
$96k–$209k/yr
Job Summary As a member of the Customer Experience team, the Director, Data Analytics ensures timely creation of key Executive and Health plan management reports, as well as providing critical analytical insights. This r…
Skills: Data Analytics, Financial Analysis, Power BI, Salesforce, Salesforce Analytics
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Leads and supervises a multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care t…
Skills: Care Management, Utilization Management, Behavioral Health, Care Transitions, Long-Term Services and Supports
Long Beach, California, United States · Hybrid
This is a remote role involving some local travel. Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member car…
Skills: Behavioral Health Assessment, Care Coordination, Case Management, Motivational Interviewing, Care Planning
Long Beach, California, United States · On-site
$88k–$172k/yr
Locations: Miami FL and Tampa FL 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, incl…
Skills: Primary Care, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis
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Provides support for pharmacy technician activities and optimizes medication-related health care outcomes. Responsibilities include reviewing prior authorization requests and resolving member prescription claims issues.
Requires at least 2 years of pharmacy technician experience and a CPhT certification or state license. Candidates must be proficient in Microsoft Office and able to maintain strict HIPAA confidentiality.
JOB DESCRIPTION
Job Summary
Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Shift Available: 9-5:30 PM EST
Essential Job Duties
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
