Long Beach, California, United States · Remote OK
$66k–$143k/yr
***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Leads and manages team responsible for enterprise network management and operations activities including network development, network adequacy, …
Skills: Network Management, Provider Relations, Strategic Planning, Project Management, Contracting Strategy
Long Beach, California, United States · On-site
$170k–$250k/yr
Space is a warfighting domain. True Anomaly seeks those with the talent and ambition to build the technology that secures it. OUR MISSION True Anomaly delivers decisive capabilities for space superiority. We build autono…
Skills: Employment Law, Labor Relations, Workplace Investigations, Contract Negotiation, Compliance
Long Beach, California, United States · On-site
$26/hr–$51/hr
JOB DESCRIPTION Opportunity for TX RN to join Molina as a Care Manager working with our Medicaid members in Benbrook, TX, southwest of Fort Worth. Responsibilities include completing in-home, face-to-face assessments wit…
Skills: Care Management, Case Management, Patient Assessment, Care Planning, Medication Reconciliation
Long Beach, California, United States · On-site
$66k–$143k/yr
Job Description Job Summary Provides lead level analyst support as a technical leader responsible for designing, developing, and delivering advanced data and reporting solutions to support strategic decision-making. Anal…
Skills: SQL, Power BI, SSRS, Data Analysis, Technical Leadership
Long Beach, California, United States · On-site
$281k–$331k/yr
Make a difference where it matters most by providing life-changing, community-based care to our most vulnerable seniors. As part of our mission-driven interdisciplinary team, our Primary Care Physicians can build deeper,…
Skills: Comprehensive Assessments, Interdisciplinary Team Leadership, Care Planning, Discharge Coordination, Patient Relationship Management
Long Beach, California, United States · On-site
$26/hr–$51/hr
JOB DESCRIPTION Family Care with My Choice Wisconsin This opening is for a Bilingual Spanish speaking RN. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific…
Skills: Care Management, Care Coordination, LTSS, Bilingual Spanish, Member Assessment
Long Beach, California, United States · On-site
$26/hr–$51/hr
JOB DESCRIPTION Opportunity for TX RN to join Molina as a Care Manager working with our Medicaid members in Fort Worth in neighborhoods surrounding the zoo. Responsibilities include completing in-home, face-to-face asses…
Skills: Care Management, Case Management, Patient Assessment, Care Planning, LTSS
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Leads and manages team responsible for provider data management (PDM) activities including analyzing business processes related to PDM, identifying areas for improvement, and developing and im…
Skills: Provider Data Management, Business Analytics, Data Analysis, Leadership, Stakeholder Management
Long Beach, California, United States · On-site
$186k–$363k/yr
JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and pr…
Skills: Medical Necessity Review, Utilization Management, Appeals Process Management, Clinical Quality Improvement, Regulatory Compliance
Long Beach, California, United States · On-site
$23/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 · On-site
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, Candidate Screening, Interview Coordination, Microsoft PowerPoint, Microsoft Excel
Long Beach, California, United States · On-site
$110k–$120k/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: Group Sales, Revenue Management, Market Intelligence, Contract Negotiation, Team Leadership
Long Beach, California, United States · On-site
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: Operations Coordination, Guest Experience Management, Administrative Support, Payroll Administration, Project Management
Long Beach, California, United States · On-site
$141k–$275k/yr
JOB DESCRIPTION Job Summary Provides strategy and leadership to team responsible for enterprise-wide member quality interventions. Responsible for building, delivering, and implementing Molina member facing programs. Ove…
Skills: Quality Improvement, Risk Adjustment, HEDIS Compliance, NCQA Standards, CAHPS Improvement
Long Beach, California, United States · Remote OK
$122k–$239k/yr
JOB DESCRIPTION Job Summary Provides strategy and leadership to team responsible for enterprise quality improvement (QI) activities. Responsible for overseeing, planning, and implementing new and existing health care qua…
Skills: Quality Improvement, HEDIS Compliance, NCQA Accreditation, Star Ratings, CAHPS Improvement
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governa…
Skills: Program Management, Project Management, Operational Process Improvement, Managed Care, Microsoft Project
Long Beach, California, United States · Remote OK
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insura…
Skills: Clinical Review, Medical Necessity Verification, Utilization Management, Prior Authorization, Clinical Guidelines Analysis
Long Beach, California, United States · Hybrid
JOB DESCRIPTION This RN will act as a Care Manager supporting our AZ Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient to d…
Skills: Care Management, Case Management, Patient Assessment, Care Coordination, Motivational Interviewing
Long Beach, California, United States · Remote OK
$26/hr–$51/hr
JOB DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and…
Skills: Clinical Auditing, Utilization Management, Care Management, Regulatory Compliance, Analytical Skills
Long Beach, California, United States · On-site
$150k–$190k/yr
Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work he…
Skills: Environmental Site Assessment, Remediation, Project Delivery, KPI Management, Risk Management
Long Beach, California, United States • Remote OK
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Leads the national provider services team focusing on enterprise network management, adequacy, and provider education. Serves as the primary liaison between the business and contracted providers to ensure compliance and satisfaction.
Requires at least 7 years of provider services experience with Medicaid/Medicare products and at least 1 year of leadership experience. Must possess strong knowledge of healthcare delivery systems and managed care compensation methodologies.
Remote and must live in the United States
JOB DESCRIPTION
Job Summary
Leads and manages team responsible for enterprise network management and operations activities including network development, network adequacy, and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.
Preferred Qualifications
• Contract negotiation 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 711 open management & leadership positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Molina Healthcare, Vast, Relativity Space, Rocket Lab, Ford Motor Company, among others. Browse the listings above to see every active employer.
Yes — 219 of the 711 open management & leadership positions offer remote or hybrid work (83 remote, 136 hybrid).
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