Long Beach, California, United States · Remote OK
JOB DESCRIPTION Job Summary Leads and supervises team responsible for payment integrity activities including recovery operations. Responsible for performance, quality levels and establishing procedures and techniques tha…
Skills: Payment Integrity, Recovery Operations, Claims Processing, Inventory Management, Quality Control
Long Beach, California, United States · Hybrid
$27/hr–$31/hr
We’re Pentland Brands: a global family business behind some of the world’s most iconic active and lifestyle brands. We bring integrity, energy and ambition to our work, setting high standards and striving to deliver grea…
Skills: Merchandising, Product Strategy, PLM Systems, Consumer Insights, Market Trend Analysis
Long Beach, California, United States · Remote OK
JOB DESCRIPTION Job Summary Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, …
Skills: Project Management, Scrum Master, Process Improvement, Organizational Change Management, Risk Management
Long Beach, California, United States · Remote OK
$83k–$164k/yr
***Remote and must live in Washington*** JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and develop…
Skills: Contract Negotiation, Value-Based Payment Methodology, Provider Relationship Management, Financial Analysis, Network Adequacy
Long Beach, California, United States · Remote OK
$66k–$143k/yr
JOB DESCRIPTION Job Summary The Lead Analyst serves as a data steward with deep subject matter expertise, responsible for designing and prototyping Medical Economics data assets that are clearly defined and fit for use. …
Skills: SQL, Data Stewardship, Healthcare Analytics, Medical Economics, Data Modeling
Long Beach, California, United States · On-site
RELATIONSHIP MANAGER SENIOR SPECIALTY DEPOSITS WHAT IS THE OPPORTUNITY? The Specialty Deposits Relationship Manager position develops and manages relationships within the Escrow, Title, Homeowner Association Property Man…
Skills: Relationship Management, Treasury Services, Business Development, Credit Analysis, Portfolio Management
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: Care Management, Care Coordination, Comprehensive Assessments, Motivational Interviewing, Medication Reconciliation
Long Beach, California, United States · On-site
Job Description You were born to be the boss. We know. You get up in the morning and you make sure that everyone in the house is doing what they need to do. Then you go to work and you make sure that everyone there is do…
Skills: Judgement, Math, Multitasking, Customer Loyalty, Food And Beverage Ordering
Long Beach, California, United States · On-site
$23/hr–$31/hr
Position Summary... What you'll do...Assists management with the supervision of associates in assigned area of responsibility by assigning duties to associates communicating goals andfeedback training associates on proce…
Skills: Supervision, Ecommerce Operations, Member Service, Inventory Management, Performance Tracking
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: Program Management, Project Planning, Stakeholder Communication, Risk Mitigation, Quantitative Analysis
Long Beach, California, United States · On-site
$26/hr–$32/hr
Job Title: Site Coordinator Pay Range: $26.00 - $33.060 Status: Full-time, Non-Exempt Schedule: 40 hours/week; shifts vary by location and may include evenings, weekends, and required trainings. Reports to: Program Manag…
Skills: Program Coordination, Staff Supervision, Budget Management, Child Development, Customer Service
Long Beach, California, United States · On-site
Division: Critical Facilities-Data Centers Project Location(s): Long Beach, CA 90801 USA Minimum Years Experience: Travel Involved: Job Type: Regular Job Classification: Experienced Education: Job Family: Construction Co…
Skills: Preconstruction Management, Risk Evaluation, Contract Negotiation, Budgeting, Client Relationship Management
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
$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, Inventory Management, Deductive Reasoning
Long Beach, California, United States · Hybrid
$26/hr–$33/hr
Job Title: Site Coordinator Pay Range: $26.00 - $33.060 Status: Full-time, Non-Exempt Schedule: 40 hours/week; shifts vary by location and may include evenings, weekends, and required trainings. Reports to: Program Manag…
Skills: Program Coordination, Staff Supervision, Budget Management, Student Attendance Tracking, Curriculum Planning
Long Beach, California, United States · On-site
$23/hr–$37/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: Leadership, Supervision, Inventory Management, Financial Management, Customer Service
Long Beach, California, United States · On-site
$18/hr–$24/hr
Job DetailsJob Location: Harbor View Place - Wilmington, CA 90744Position Type: Full TimeEducation Level: High School Diploma or G.E.D.Salary Range: $18.00 - $24.00 HourlyTravel Percentage: Up to 25%Job Shift: 1st Shift …
Skills: Property Management, Rent Collection, Tenant Relations, Customer Service, Clerical Duties
Long Beach, California, United States · Hybrid
$28/hr–$34/hr
Quality Assurance Specialist Reports to: Associate Director of Programs and Regional Program Manager Status: Full-time Hourly Range: $28.00 - $34.65 Schedule: 40 hours/week, Monday – Friday, 8:30 AM – 6:00 PM. May need t…
Skills: Observation, Analytical Skills, Verbal Communication, Written Communication, Multitasking
Long Beach, California, United States · On-site
Marksman Security is built on serving our clients and building careers – just like yours. We are trusted by some of the most well-known companies and properties in the country while remaining dedicated to building person…
Skills: Team Leadership, Emergency Response, Incident Command, Security Operations, Personnel Management
Long Beach, California, United States • Remote OK
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Leads and supervises the team responsible for payment integrity activities, including overpayment recovery and claims processing. Establishes operational standards and monitors production targets to ensure financial and regulatory compliance.
Requires at least 5 years of healthcare operations experience, with 3 years specifically in payment integrity or claims. Proficiency in Microsoft Office and strong communication and organizational skills are essential.
Leads and supervises team responsible for payment integrity activities including recovery operations. Responsible for performance, quality levels and establishing procedures and techniques that achieve optimal payment integrity operational standards and production targets.
Essential Job Duties
Required Qualifications
Preferred Qualifications
• Management/leadership experience.
• Managed care payor experience, preferably with Medicare/Medicaid.
• Understanding of ICD-9/10CM, MS-, AP- and APR-DRG reimbursement.
• Electronic medical record (EMR) and medical record repository experience.
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 724 open management & leadership positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
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