Long Beach, California, United States · Remote OK
***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Leads and directs team responsible for value-based programs (VBP) activities. Responsible for developing and implementing value-based strategies…
Skills: Value-Based Programs, Risk Adjustment, Managed Care, Contract Design, Medicaid
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, financial …
Skills: Provider Network Contracting, Contract Negotiation, Value-Based Payment, Financial Analysis, Relationship Management
Long Beach, California, United States · Remote OK
$60k–$130k/yr
JOB DESCRIPTION Job Summary Provides subject matter expertise for Molina’s risk and quality performance solutions (RQS) team. Collaborates with various departments and stakeholders across the enterprise to plan, coordina…
Skills: Program Management, Project Management, Risk Adjustment, HEDIS, Data Analysis
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 WEEKEND SHIFT What Cambrian can do for you! SCHEDULE FLEXIBILITY: We unders…
Skills: G-tube Care, Vital Signs Monitoring, Medication Administration, Trach Care, Blood Sugar Monitoring
Long Beach, California, United States · On-site
Overview Join Healthcare Services Group (HCSG) as a Housekeeper, where you will play a vital role in maintaining a clean and safe environment in a long-term care facility. At HCSG, we are passionate about positively impa…
Skills: Housekeeping, Sanitation, Infection Control, Customer Service, Cleaning Procedures
Long Beach, California, United States · Hybrid
$22/hr–$46/hr
This is a remote field-based role requring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team c…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing
Long Beach, California, United States · On-site
$73k–$143k/yr
JOB DESCRIPTION The ideal candidate is an experienced healthcare professional with at least 7 years of healthcare experience, including a strong background in Utilization Management. Candidates must hold an active Nursin…
Skills: Utilization Management, Care Management, Regulatory Compliance, Staff Management, Case Management Documentation
Long Beach, California, United States · Remote OK
$18/hr–$38/hr
***Remote and must live in South Carolina*** JOB DESCRIPTION Job Summary Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education.…
Skills: Provider Relations, Network Management, Customer Service, Healthcare Delivery System, Microsoft Office
Long Beach, California, United States · On-site
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, Care Planning, Motivational Interviewing
Long Beach, California, United States · On-site
$24/hr–$46/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 · On-site
$88k–$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, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis
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, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis
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, Patient Evaluation, Care Coordination, Chronic Disease Management, Diagnostic Testing
Long Beach, California, United States · On-site
$84k–$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, Medical Diagnosis
Long Beach, California, United States · On-site
$84k–$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, Patient Evaluation, Care Coordination, Chronic Disease Management, Medical Diagnosis
Long Beach, California, United States · On-site
$112k–$218k/yr
JOB DESCRIPTION Job Summary Leads and supervises team of nurse practitioners responsible for primary, urgent, and preventative care services in various non-clinical community settings including homes, nursing facilities,…
Skills: Clinical Supervision, Patient Care, Telehealth, Clinical Documentation, Case Management
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 Analytics, Data Analysis, Project Management, Stakeholder Management, Process Optimization
Long Beach, California, United States · On-site
$29/hr–$56/hr
Job Description Must be available to work day shift hours aligned with Eastern Standard Time (EST) and maintain flexibility to support weekend and holiday coverage as business needs require. Prior experience in Utilizati…
Skills: Utilization Management, Appeals Review, Medical Necessity Determination, ICD-10, CPT Coding
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for Medicare growth and community engagement activities. Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare-Medicai…
Skills: Community Engagement, Medicare Marketing, Sales, Relationship Building, Lead Generation
Long Beach, California, United States · On-site
Overview Join Healthcare Services Group (HCSG) as a Floor Tech, where you will play a vital role in maintaining the cleanliness and appearance of floors in a long-term care facility. At HCSG, we are passionate about posi…
Skills: Floor Cleaning, Buffing, Refinishing, Floor Care Equipment Operation, Infection Control
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Leads the development and implementation of value-based strategies and reimbursement models for government lines of business. Manages a high-performance team to improve risk adjustment revenue accuracy, compliance, and completeness.
Requires at least 8 years of managed care experience with a focus on value-based programs and 3 years of leadership experience. Must possess deep knowledge of risk adjustment models, quality metrics like HEDIS and STARS, and medical economics.
Remote and must live in the United States
Leads and directs team responsible for value-based programs (VBP) activities. Responsible for developing and implementing value-based strategies for lines of business impacted by the regulatory risk adjustment payment model. Supports achievement of financial and business objectives through value-based reimbursement.
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 787 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, St. Mary Medical Center, TruCare Community, Lorian Health, among others. Browse the listings above to see every active employer.
Yes — 235 of the 787 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.
