Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides executive strategy and leadership to team responsible for network operations and contracting activities. Supports network strategy and development with respect to adequacy, financial …
Skills: Network Management, Contract Negotiation, Healthcare Operations, Value-Based Payment, Reimbursement Strategy
Long Beach, California, United States · On-site
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, insurance policies, a…
Skills: Clinical Review, Medical Necessity Verification, Utilization Management, Prior Authorization, Clinical Guidelines Analysis
Long Beach, California, United States · On-site
$26/hr–$51/hr
JOB DESCRIPTION Opportunity for a Texas licensed RN to join Molina to work with our IDD members in the Houston service delivery area. Our Care Managers conduct face-to-face meetings with the members in their homes, compl…
Skills: Care Management, Member Assessment, Care Planning, Case Coordination, Motivational Interviewing
Long Beach, California, United States · On-site
$20/hr–$29/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Supervision, Customer Service, Merchandising, Analytical Skills, Deductive Reasoning
Long Beach, California, United States · On-site
$16/hr–$20/hr
Job DetailsJob Location: TV Long Beach - Long Beach , CA 90807Position Type: Part Time - HourlyEducation Level: High SchoolSalary Range: $16.50 - $20.00 HourlyTotal Vision LLC is a group of highly successful optometry pr…
Skills: Patient Check-in, Appointment Scheduling, Insurance Verification, Insurance Claims Auditing, EHR Data Entry
Long Beach, California, United States · On-site
Overview If you’re a true hunter driven by the chase, energized by the close, and relentless about winning new business, this role is built for you. As a Field Business Development Executive, you own the territory …
Skills: Outbound Prospecting, Face-to-Face Selling, B2B Sales, Pipeline Management, Negotiation
Bell Gardens, California, United States · On-site
$121k–$181k/yr
At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for all Hunger for none’ is no longer a dream, but a real possibility. We’re doing it with energy, curios…
Skills: Pharmaceutical Sales, Clinical Education, Strategic Business Planning, Relationship Management, Cardiovascular Disease Knowledge
Bell Gardens, California, United States · On-site
$121k–$181k/yr
At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for all Hunger for none’ is no longer a dream, but a real possibility. We’re doing it with energy, curios…
Skills: Pharmaceutical Sales, Clinical Education, Strategic Business Planning, Relationship Management, Cardiovascular Disease Knowledge
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides executive level strategy and leadership to the health plan in the development and execution of care management and utilization management programs. Develops clinical practice guidelin…
Skills: Executive Strategy, Care Management, Utilization Management, Clinical Practice Guidelines, Medical Necessity Oversight
Long Beach, California, United States · On-site
$102k–$198k/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 · On-site
$21/hr–$48/hr
Job Description Job Summary The Specialist, Patient Care Delivery is a multi-disciplinary healthcare professional who delivers high-quality, compassionate care to health plan members in their homes. This role combines cl…
Skills: Clinical Care, Phlebotomy, Patient Education, Vital Signs Collection, Electronic Health Records
Long Beach, California, United States · On-site
$23/hr–$28/hr
WHY WORK FOR US? We are mission and values driven and your contributions will make a difference. We make a positive difference in people's lives and help an average of 23 people per week to find a place to live. If you j…
Skills: Case Management, Intake Assessment, Crisis Intervention, Motivational Interviewing, Trauma-Informed Care
Long Beach, California, United States · Remote OK
Job Description Job Summary Reporting to the Chief Digital Officer, the AVP Enterprise Architecture is responsible for designing and communicating the shared architectural vision and standards for the Information Technol…
Skills: Enterprise Architecture, Azure Cloud, AI/ML, Software Engineering, Healthcare Domain Expertise
Long Beach, California, United States · On-site
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 gain valuable e…
Skills: Comprehensive Dental Care, Patient Care, CAD/CAM, CBCT, AI Saliva Screening
Long Beach, California, United States · On-site
Knowledge/Skills/Abilities Registed Nurse to perform research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes,…
Skills: Healthcare Claims Analysis, Pharmacy Data Analysis, Lab Data Analysis, Network Utilization, Cost Containment
Long Beach, California, United States · On-site
Come join us for our upcoming virtual hiring event! Event Date & Time: Tuesday, July 14th at 12:00pm EST Florida Care Managers & Care Review Clinicians Virtual Hiring Event Event Date & Time: Thursday, July 23rd at 12:00…
Skills: Care Management, Care Coordination, Case Management, Motivational Interviewing, Clinical Assessment
Long Beach, California, United States · On-site
$86k–$117k/yr
Medical Sales Territory Representative – Entry Level We are a leading Medical Device and Equipment company focused on 5 innovative segments of the U.S Healthcare market. We are a fully integrated company with internal re…
Skills: B2B Sales, Oral Presentation, Communication Skills, Territory Management, Relationship Building
Long Beach, California, United States · On-site
$138k–$190k/yr
Overview Chief Nursing Officer (CNO) Pacific Grove Hospital Riverside, CA | Relocation Assistance Available About Pacific Grove Hospital Located in Riverside, California, Pacific Grove Hospital is a freestanding inpatien…
Skills: Nursing Leadership, Behavioral Health Care, Clinical Excellence, Operational Performance, Regulatory Compliance
Long Beach, California, United States · Remote OK
$147k–$190k/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: Fraud Waste And Abuse (FWA) Investigation, SIU Strategy Development, Regulatory Compliance, Risk Assessment, Audit Management
Long Beach, California, United States · Hybrid
$106k–$154k/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: Managed Care Contracting, Medicare Advantage, Delegated Risk Agreements, Value-Based Reimbursement, Contract Negotiation
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Provides executive leadership for network operations and contracting, focusing on financial performance and network adequacy. Responsible for negotiating complex provider contracts, including alternative payment models and value-based arrangements.
Requires at least 12 years of healthcare experience, including 10 years in senior network operations and 7 years in management. Must possess expert knowledge of reimbursement methodologies across Medicaid, Medicare, and Marketplace lines of business.
Provides executive strategy and leadership to team responsible for network operations and contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Also responsible for negotiating complex contracts that are strategically critical to plan/product success, including but not limited to: alternative payment models (APMs), value-based payment (VBP) contracts and capitated payments for hospitals, independent physician associations (IPAs), and complex behavioral health arrangements. Establishes and maintains a distinct high-performing and adequate network of compassionate and culturally sensitive providers aligned with Molina's mission, vision and values.
Essential Job Duties
Required Qualifications
Preferred Qualifications
• Deep experience with Medicaid, Medicare, and Marketplace managed care plans.
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 803 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, TruCare Community, St. Mary Medical Center, CVS Health, among others. Browse the listings above to see every active employer.
Yes — 235 of the 803 open healthcare positions offer remote or hybrid work (130 remote, 105 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.
