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…
Pharmaceutical Sales Rep (Entry Level or Specialty)
Long Beach, California, United States · On-site
Entry level
Pharmaceutical Sales Representative - Primary Care & Specialty (Entry level or Experienced) When you become one of our professional Pharmaceutical Sales Representatives you will act as a lead point of contact for account…
Assistant Clinical Supervisor II PT – Turn Your Master’s Studies Into Leadership Impact Location: Long Beach, CA. Company: 360 Behavioral Health Perks That Make a Difference Competitive hourly pay: $27.50-29.…
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Skills: Clinical Supervision, Mentorship, ABA Therapy, Treatment Plan Development, Parent Training
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Specialist, Health Plan Quality Practice Transformation
Long Beach, California, United States · On-site
Mid level$2.4B raised
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Care Manager, LTSS (RN) - Field travel in Waushara, Marquette, Adams and Columbia County, WI
Long Beach, California, United States · On-site
Mid level$2.4B raised
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Skills: Care Management, Case Coordination, Member Assessment, Care Planning, Waiver Enrollment
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JOB DESCRIPTION Job Summary Provides executive level strategy and leadership to team responsible for the development and administration of state health plan operational functions, programs and services - ensuring functio…
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At Lorian Health we believe people heal best were they fell most secure-home. Our Mission is to deliver compassionate, clinically excellent care that keeps patients out of the hospital and in the comfort of their homes. …
Skills: Nursing Process, Patient Assessment, Medication Administration, Care Plan Implementation, Patient Education
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we sti…
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Position Title: Maintenance Worker I Department: Maintenance Reports To: Maintenance Supervisor POSITION SUMMARY Responsible for the day-to-day functions related to facilities (Maintenance/Engineering, Environmental Serv…
Director, Data & Analytics - FL Health Plan (REMOTE)
Long Beach, California, United States · Remote OK
Senior+$2.4B raised
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Skills: Data Strategy, Healthcare Analytics, SQL, Relational Databases, Executive Reporting
At Geiss Med Hospice, we believe in cherishing every moment of life. We understand that facing a life-limiting illness or injury can be overwhelming, which is why we are here to provide a comforting hand and a listening …
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For over 20 years, Lorian Health has been a trusted leader in home health care, dedicated to enhancing patients’ quality of life and supporting their independence. We offer a collaborative, compassionate work environment…
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Case Manager for Homeless Housing Outreach Mental Health Services
Long Beach, California, United States · On-site
Mid level$150K raised
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Skills: Case Management, Outreach, Crisis Intervention, Motivational Interviewing, Harm Reduction
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Position: Community Alliance Intern (Part-time) Location: Long Beach, CA (Onsite) Position Overview: The Community Alliance Intern supports the team by building trusted relationships across local communities and advocati…
Skills: Community Outreach, Event Coordination, Public Advocacy, Public Speaking, Interpersonal Communication
Provides subject matter expertise for Medication Therapy Management (MTM) and clinical pharmacy services to optimize member health outcomes. Responsibilities include conducting comprehensive medication reviews, analyzing drug utilization trends, and coordinating care with interdisciplinary teams.
Requirements
Requires a Doctor of Pharmacy (PharmD) degree and an active, unrestricted license in the applicable state. Candidates must have at least 3 years of experience in MTM, PBM, or managed care settings.
Full job description
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 optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
• Facilitates Medication Therapy Management (MTM) support including examination of member medical records, comprehensive medication reviews, and communication with members and providers (includes outbound calls to members to discuss medications). • Reviews member medication profiles and applies evidence-based medicine and national guidelines when creating recommendations for health care providers for optimization of member medication regimens. • Analyzes and reviews medication lists for potential patient safety issues, including drug interactions, suboptimal medication regimens, etc. • Promotes clinically appropriate prescribing practices based on evidence-based medicine and national guidelines through various modalities (provider/plan profiling, member drug profile reviews, medication protocols/criteria, and case-by-case interventions). • Articulates pharmacy management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed. • Performs prior authorization reviews of high-cost medications and deferred authorization requests as needed. • Researches, develops, and implements drug utilization and disease state management strategies and intervention techniques to deliver high quality, cost effective health care. • Assists in coordination of care for pharmacy-related issues between members, providers and other members of the member's interdisciplinary care team (ICT), including referrals to state plan healthcare services. • Follows-up with members and providers to check on progress toward meeting drug treatment goals. • Serves as a drug information resource to pharmacy staff, medical affairs staff, and providers. • Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track general trends in drug utilization and identify potential targeted utilization management activities. • Works with healthcare services team (e.g., data managers, care managers, etc.) on member-centered interdisciplinary teams. • May prepare drug monographs and utilization reports for the Pharmacy and Therapeutics (P&T) committee. • Assists leadership in developing/updating policies and procedures, and implementing changes to comply with state and federal regulations.
Required Qualifications
• At least 3 years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager(PBM), and/or managed care setting, or equivalent combination of relevant education and experience. • Doctor of Pharmacy (PharmD). License must be active and unrestricted in applicable state(s) of practice. • Demonstrated knowledge and expertise in clinical pharmacology and disease management. • Clinical skills related to Medication Therapy Management (MTM). • Demonstrated knowledge of best practices in Medication Therapy Management Program (MTMP) related disease states. • Current knowledge and expertise in clinical pharmacology and disease management. • Ability to present ideas and information concisely to varied audiences. • Knowledge of processes and systems, and ability to develop and deliver necessary training to departmental staff and internal customers. • Ability to develops and maintain positive and effective work relationships with coworkers, members, providers, regulatory agencies and vendors. • Proficiency in compiling data, creating reports and presenting information. • Ability to meet established deadlines. • Functions independently and manages multiple projects. • Excellent verbal and written communication skills. • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
• Board Certified Ambulatory Care Pharmacist (BCACP). • American Pharmacist's Association Medication Therapy Management (MTM) certificate. • Medicaid and/or Medicare experience. • Clinical skills or pharmacotherapy expertise for Medication Therapy Management Programs (MTMP) related conditions and medications. • Experience with team-based care.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
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
Managed CarePrimary Care ClinicsMedicaidand MedicareHospitalHealth CareManagement Information SystemsMedical
How many Healthcare jobs are open in Long Beach, CA right now?
There are currently 725 open healthcare positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Long Beach, CA?
Companies currently hiring include Molina Healthcare, SCAN, Lorian Health, Ascendiun, St. Mary Medical Center, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Long Beach, CA?
Yes — 185 of the 725 open healthcare positions offer remote or hybrid work (72 remote, 113 hybrid).
How do I apply for Healthcare jobs in Long Beach, CA?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.