Long Beach, California, United States · On-site
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 Processing, Customer Service, Provider Service, Time Management, Verbal Communication
Long Beach, California, United States · On-site
$60k–$130k/yr
JOB DESCRIPTION Job Summary Provides senior level analyst support for advanced provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and devel…
Skills: Business Analysis, SQL, Data Analysis, BRD Creation, FRD Creation
Long Beach, California, United States · Hybrid
$125k–$181k/yr
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…
Skills: Product Strategy, Product Roadmap Development, Product Discovery, User Research, Workflow Mapping
Long Beach, California, United States · On-site
$25/hr–$37/hr
Overview We are looking for a Dental Office Manager to join our team! As a Dental Office Manager, you will lead the office in day-to-day operations in support of the doctors and office staff to help develop the practice …
Skills: Office Management, Patient Experience, Profit And Loss Management, Strategic Planning, Local Marketing
Long Beach, California, United States · On-site
$18/hr–$25/hr
Description Now is the time to join Downtown Long Beach Dentistry. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gai…
Skills: Financial Counseling, Case Acceptance, Patient Education, Insurance Pre-authorization, Objection Handling
Long Beach, California, United States · On-site
$18/hr–$25/hr
Description Now is the time to join Bixby Knolls Modern Dentistry. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gai…
Skills: Financial Counseling, Case Acceptance, Patient Education, Insurance Pre-authorization, Objection Handling
Long Beach, California, United States · On-site
$24/hr–$46/hr
JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicare members in the service delivery area in the Northwest part of Houston. You will complete assessments n…
Skills: Care Management, Member Assessments, Care Planning, Case Coordination, Motivational Interviewing
Long Beach, California, United States · On-site
A Client Care Specialist 2 (CCS2) contributes to AHF by by presenting a friendly, helpful face to members seeking HIV testing and prevention services, STI screenings, and treatment in our Wellness Clinics/Programs. A CCS…
Skills: Phlebotomy, Venipuncture, Sample collection, Patient registration, Appointment management
Long Beach, California, United States · On-site
$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 · Remote OK
$14/hr–$29/hr
JOB DESCRIPTION Job Summary Provides support for member waiver coordination activities. Contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum, and overarch…
Skills: Administrative Support, Waiver Coordination, Case Documentation, HIPAA Compliance, Problem Solving
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of …
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Remote OK
$14/hr–$29/hr
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the co…
Skills: Administrative Support, Case Assignment, Member Screening, Data Entry, Scheduling
ACES (Comprehensive Educational Services)Long Beach, California, United States · On-site
$90k–$102k/yr
Job DetailsJob Location: Long Beach, CA 90807Salary Range: $90,000.00 - $102,000.00 Salary Salary: $90,000-$102,000 annually (plus up to $30,000 in annual incentives based on performance) ACES is a leading provider of Ap…
Skills: Applied Behavior Analysis, ABA therapy, Clinical supervision, Program development, Data collection
Long Beach, California, United States · On-site
Overview PROVIDE ONE ON ONE SKILLED CARE TO CHILDREN OF ALL AGES WHO HAVE DEVELOPMENTAL DISABILITIES QUESTIONS? GIVE US A CALL AT (866) 650-4300 What Cambrian can do for you! SCHEDULE FLEXIBILITY: We understand everyone'…
Skills: Skilled nursing, G-tube care, Vital signs monitoring, Medication administration, Trach care
Long Beach, California, United States · On-site
At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions …
Skills: Patient Care, Clinical Support, Electronic Health Records, Medical History Taking, Vital Signs
Long Beach, California, United States · On-site
$26/hr–$29/hr
Job DetailsJob Location: APLA Health Center Long Beach - Long Beach, CA 90813Position Type: Full TimeEducation Level: High SchoolSalary Range: $26.37 - $29.68 HourlyTravel Percentage: Up to 25%Job Shift: DayJob Category:…
Skills: Venipuncture, Capillary Techniques, Specimen Collection, CLIA-waived Testing, Data Entry
Long Beach, California, United States · On-site
$214k–$418k/yr
JOB DESCRIPTION Job Summary Uses leadership and/or equivalent specialty expertise (transplant, genetics, etc.) to provide advanced clinical managed care / clinical performance. May lead and manage a team of medical direc…
Skills: Clinical Managed Care, Utilization Management, Medical Necessity Review, Prior Authorization, Care Management
Long Beach, California, United States · On-site
$24/hr–$46/hr
JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicare members in the service delivery area around Pasadena, TX. You will complete assessments needed for det…
Skills: Care Management, Member Assessments, Care Planning, Case Coordination, Motivational Interviewing
Long Beach, California, United States · Hybrid
$26/hr–$61/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 · Remote OK
$88k–$190k/yr
***Remote and must live in the United States*** Job Description Job Summary Provides subject matter expertise for identifying, developing, and operationalizing scalable cost of care and network performance initiatives ac…
Skills: Managed Care, Provider Network Contracting, Network Management, Critical Thinking, Problem Solving
Long Beach, California, United States • On-site
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Provides entry-level support for claims activities by reviewing and resolving member and provider complaints. Ensures all appeals and grievances are handled according to CMS, state, and federal guidelines.
Requires at least one year of experience in healthcare claims or customer/provider service. Proficiency in Microsoft Office and strong organizational skills are essential.
Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).
Essential Job Duties
• Enters denials and requests for appeals into information system and prepares documentation for further review.
• Researches claims issues utilizing systems and other available resources.
• Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines.
• Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.
• Determines appropriate language for letters and prepares responses to member appeals and grievances.
• Elevates appropriate appeals to the next level for review.
• Generates and mails denial letters.
• Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and timely manner.
• Creates and/or maintains appeals and grievances related statistics and reporting.
• Collaborates with provider and member services to resolve balance bill issues and other member/provider complaints.
Required Qualifications
Preferred Qualifications
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
There are currently 725 open healthcare positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Molina Healthcare, SCAN, Ascendiun, Lorian Health, St. Mary Medical Center, among others. Browse the listings above to see every active employer.
Yes — 185 of the 725 open healthcare positions offer remote or hybrid work (72 remote, 113 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
