San Bernardino, CA · On-site
$214K - $417K/yr
... CMSA) or other Health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
San Bernardino, CA · On-site
$214K - $417K/yr
... CMSA) or other Health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
$138K - $208K/yr
Knowledge of ACMA, CMSA, and NASW Standards of Practice. * Knowledge of available health care and community resources * A broad knowledge base of health care delivery and case management within a ...
$138K - $208K/yr
Knowledge of ACMA, CMSA, and NASW Standards of Practice. * Knowledge of available health care and community resources * A broad knowledge base of health care delivery and case management within a ...
... CMSA); The Joint Commission (TJC); Unit Effectiveness Inspection (UEI); and other applicable DoD, DHA, and service-specific guidance and policies. Must also comply with Equal Employment Opportunity ...
... CMSA); The Joint Commission (TJC); Unit Effectiveness Inspection (UEI); and other applicable DoD, DHA, and service-specific guidance and policies. Must also comply with Equal Employment Opportunity ...
Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification ...
Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification ...
Long Beach, CA · On-site +1
$214K - $417K/yr
... CMSA) or other Health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Long Beach, CA · On-site +1
$214K - $417K/yr
... CMSA) or other Health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Long Beach, CA · On-site
$214K - $417K/yr
Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA ...
Long Beach, CA · On-site
$214K - $417K/yr
Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA ...
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification ...
Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification ...
Modesto, CA · On-site
$138K - $208K/yr
Knowledge of ACMA, CMSA, and NASW Standards of Practice. * Knowledge of available health care and community resources * A broad knowledge base of health care delivery and case management within a ...
Modesto, CA · On-site
$138K - $208K/yr
Knowledge of ACMA, CMSA, and NASW Standards of Practice. * Knowledge of available health care and community resources * A broad knowledge base of health care delivery and case management within a ...
Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification ...
Individuals serving as case managers for the health system shall obtain CMSA certification within three years from their date of employment in the role or be in the process of obtaining certification ...
Long Beach, CA · On-site
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Long Beach, CA · On-site
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... of America (CMSA) certification, or other health care or management certification. • Prior experience with process improvement activities, policy and procedure development, and operational ...
... of America (CMSA) certification, or other health care or management certification. • Prior experience with process improvement activities, policy and procedure development, and operational ...
Long Beach, CA · On-site +1
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Long Beach, CA · On-site +1
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Orlando, FL · On-site
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Orlando, FL · On-site
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Long Beach, CA · On-site +1
$214K - $417K/yr
... CMSA) or other Health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
Long Beach, CA · On-site +1
$214K - $417K/yr
... CMSA) or other Health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
$186K - $363K/yr
... CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina ...
$17.31 - $21.68
3% of jobs
$21.68 - $26.05
7% of jobs
$29.33 is the 25th percentile. Wages below this are outliers.
$26.05 - $30.42
20% of jobs
The median wage is $34.13 / hr.
$30.42 - $34.79
24% of jobs
$34.79 - $39.16
14% of jobs
$41.84 is the 75th percentile. Wages above this are outliers.
$39.16 - $43.53
11% of jobs
$43.53 - $47.90
7% of jobs
$47.90 - $52.27
5% of jobs
$52.27 - $56.64
3% of jobs
$56.64 - $61.01
3% of jobs
$61.01 - $65.38
2% of jobs
$17
$38
$65
| Aspect | Cmsa | Medical Assistant |
|---|---|---|
| Certifications | Certified Medical Services Assistant (CMSA) credential | Typically no certification required, but CMA or RMA may be preferred |
| Work Environment | Clinics, outpatient facilities, administrative roles in healthcare | Doctor's offices, clinics, hospitals, administrative and clinical tasks |
| Responsibilities | Administrative tasks, patient communication, healthcare documentation | Clinical duties like taking vital signs, assisting with exams, administrative support |
The CMSA and Medical Assistant roles share some administrative and clinical responsibilities, but CMSA often emphasizes administrative and healthcare coordination skills with certification, while Medical Assistants focus more on clinical tasks with less formal certification. Both roles are vital in healthcare settings, but their focus and credentials differ.
$214K - $417K/yr
Full-time
Re-posted 8 days ago
8.1
Based on 193 frontline employees who took The Breakroom Quiz
134th of 281 rated insurance
JOB DESCRIPTION Job SummaryLeads and manages a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care.
Position is based in California.
Essential Job Duties
Leads a team of medical directors responsible for assessing appropriateness and medical necessity of health care services provided to plan members.
Provides leadership and expertise in performance of prior authorization, inpatient concurrent review, discharge planning, care management and interdisciplinary care team (ICT) activities.
Recruits, hires, trains, mentors and develops medical director staff as needed.
Ensures that authorization decisions are rendered by qualified medical personnel and without hindrance due to fiscal or administrative incentives.
Analyzes data and identifies medical cost-savings and quality improvement opportunities.
Accounts for regulatory and accreditation performance of assigned team and responds to inquiries, issues and complaints from government and accreditation regulators.
Develops medical policies and procedures as needed.
Conducts peer review processes.
Required Qualifications
At least 8 years of relevant experience, including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management initiatives, or equivalent combination of relevant education and experience.
At least 3 years management/leadership experience.
Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice.
Board Certification.
Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.
Demonstrated ability to make strategic decisions.
Knowledge of health care regulatory and legislative processes, including ability to read and interpret legislation.
Experience gaining consensus, and collaborating in a highly matrixed organization.
Experience demonstrating strong leadership, communication, consensus building, collaboration and financial acumen abilities.
Evidence-based clinical criteria competency.
Peer review, medical policy/procedure development, and provider contracting experience.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other Health care or management certification.
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
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
