Long Beach, California, United States · Remote OK
$49k–$107k/yr
JOB DESCRIPTION Job Summary Provides audit support for Molina enterprise risk adjustment activities. Responsible for developing, recommending and implementing controls and cost-effective approaches to minimize the organi…
Skills: Risk Adjustment Data Validation, Medical Record Chart Review, Coding, Audit Management, Corrective Action Plans
Long Beach, California, United States · On-site
$110k–$145k/yr
ABOUT ROCKET LAB Rocket Lab is an end-to-end space company delivering responsive launch services, complete spacecraft design and manufacturing, payloads, satellite components, and more – all with the goal of opening acce…
Skills: Sourcing Strategy, Supplier Relationship Management, Contract Negotiation, Supply Chain Risk Mitigation, Cost Modeling
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
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, Case Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Work Location: California Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, be…
Skills: Utilization Management, Care Management, Behavioral Health, Clinical Leadership, Strategic Planning
Long Beach, California, United States · On-site
$19/hr–$21/hr
Join Our Team as a Retail Sales Manager – Lead the Future of Wireless Technology! Are you ready to lead the charge in the exciting world of wireless technology? Join us as a Retail Sales Manager and become the driv…
Skills: Team Leadership, Sales Management, Recruiting, Employee Coaching, Performance Evaluation
Long Beach, California, United States · On-site
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…
Skills: Executive Strategy, Health Plan Operations, Medicare, Medicaid, Marketplace Plans
Long Beach, California, United States · On-site
$24/hr–$46/hr
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 member care acro…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Remote OK
JOB DESCRIPTION Job Summary Leads and supervises team responsible for provision of support center customer service excellence to meet the needs of Molina members and providers. Ensures issues and needs are addressed fair…
Skills: Customer Service, Call Center Management, Leadership, Insurance Product Knowledge, Time Management
Long Beach, California, United States · On-site
$17/hr–$21/hr
Our Purpose is to change the way the world eats and to deliver on that purpose Our Goal is to be a great place to work where you can learn, grow, and develop both personally and professionally. Jr. Sous Urban Plates Rest…
Skills: Kitchen Management, Food Quality Control, Food Presentation, Inventory Receiving, Kitchen Opening and Closing
Long Beach, California, United States · On-site
$19/hr–$24/hr
From Aisle to Algorithm and for All Life’s Moments, at David’s Bridal, we empower our customers and our employees to stay true to their dreams and find the one, whether that means the event or the wedding dre…
Skills: Retail Management, Customer Service, Team Leadership, Sales Planning, Performance Coaching
Long Beach, California, United States · Hybrid
$92k–$159k/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 Management, Program Management, Health Plan Operations, Agile Delivery, Backlog Management
Long Beach, California, United States · On-site
$80k–$110k/yr
Torrance, California Territory Sales Manager Pay from $80,000 to $110,000 per year Uline, a name millions of businesses across North America know and trust, is looking for an experienced Territory Sales Manager to build …
Skills: Account Management, Prospecting, Relationship Building, Problem Solving, Presentation Skills
Long Beach, California, United States · On-site
$72k–$77k/yr
Company Description Fairmont Breakers is a beloved feature of the Long Beach skyline, a historic landmark with a character and soul of its own. Originally opened in the roaring twenties as a lavish hotel on the waterfron…
Skills: Kitchen Management, Menu Development, Cost Control, Staff Scheduling, Food Safety
Long Beach, California, United States · On-site
$71k–$99k/yr
Crafting the world’s finest coffee, one meaningful moment at a time We believe in creating a warm and welcoming space where every cup of coffee sparks connection. As a coffeehouse leader, you don’t just run a business—yo…
Skills: Retail Management, Customer Service Management, Organizational Skills, Interpersonal Skills, Problem Solving
Long Beach, California, United States · Hybrid
$130k–$215k/yr
Description Our Associate Directors are a key part of Platform’s management team. The role requires a strong sense of entrepreneurship and strategy, while managing the day-to-day activities of the firm. We rely heavily o…
Skills: Tax Preparation, Tax Review, Client Relationship Management, Staff Management, Strategic Planning
Long Beach, California, United States · On-site
Job Description Job Summary Provides senior level support for special investigation unit (SIU) activities. Responsible for supporting for the prevention, detection, investigation, reporting, and when appropriate, recover…
Skills: Fraud Investigation, Data Analysis, Healthcare Compliance, Medical Coding, Interviewing
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as pr…
Skills: Provider Relations, Network Management, Healthcare Delivery System, Medicaid, Medicare
Long Beach, California, United States · Remote OK
Job Description Job Summary Directs and leads reporting, analytics, and data‑driven insights that support strategic, operational, financial, clinical, and regulatory decision‑making across Molina. This role is accountabl…
Skills: Data Strategy, Healthcare Analytics, SQL, Relational Databases, Executive Reporting
Long Beach, California, United States · On-site
$105k–$150k/yr
At Vast, our mission is to contribute to a future where billions of people are living and thriving in space. Vast is developing next-generation space stations to ensure a continuous human presence in space for America an…
Skills: CNC Milling, CNC Turning, Multi-axis Machining, Commodity Management, Supplier Negotiation
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Provides audit support for risk adjustment activities by developing controls to minimize financial risks and losses. Manages data validation, monitors RAPS and EDPS transmissions, and ensures compliance with CMS regulations.
Requires at least 3 years of experience in coding, chart review, and risk adjustment data validation. Must hold a CCS, CCS-P, or CPC certification.
Provides audit support for Molina enterprise risk adjustment activities. Responsible for developing, recommending and implementing controls and cost-effective approaches to minimize the organization's risks effects. Identifies and analyzes potential sources of loss to minimize risk, and estimates the potential financial consequences of an occurring loss. Through the proper combination of casualty and liability insurance, ensures that the provider organization is adequately protected against financial loss.
Essential Job Duties
Required 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 717 open management & leadership positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
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