Long Beach, CA · Remote
$88K - $172K/yr
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $172,484 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience ...
Long Beach, CA · Remote
$88K - $172K/yr
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $172,484 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience ...
San Diego, CA · On-site +1
San Diego, USA- Remote Be a part of a global team that is inspired to make a difference in the ... M.S. degree preferred. Equivalent combination of education and applicable job experience may be ...
San Diego, CA · On-site +1
San Diego, USA- Remote Be a part of a global team that is inspired to make a difference in the ... M.S. degree preferred. Equivalent combination of education and applicable job experience may be ...
Los Angeles, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Los Angeles, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Irvine, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Irvine, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Sacramento, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Sacramento, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Irvine, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Irvine, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Chino Hills, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Chino Hills, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Concord, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
Concord, CA · On-site +1
$75K - $90K/yr
... M team in the West (California/Phoenix/Seattle) ! This role follows a fully remote work model ... practices and quality control objectives. * Edits and reviews technical sections. * Ensures ...
San Diego, CA · Remote
$114K - $149K/yr
This is a remote position with up to 50% travel required throughout the U.S. * The Infrastructure ... ICT Infrastructure Quality Control/Quality Assurance inspections * Review of review of product data ...
San Diego, CA · Remote
$114K - $149K/yr
This is a remote position with up to 50% travel required throughout the U.S. * The Infrastructure ... ICT Infrastructure Quality Control/Quality Assurance inspections * Review of review of product data ...
San Diego, CA · On-site +1
$110K - $144K/yr
This is a remote position with up to 50% travel required throughout the U.S. * The Infrastructure ... ICT Infrastructure Quality Control/Quality Assurance inspections * Review of review of product data ...
San Diego, CA · On-site +1
$110K - $144K/yr
This is a remote position with up to 50% travel required throughout the U.S. * The Infrastructure ... ICT Infrastructure Quality Control/Quality Assurance inspections * Review of review of product data ...
San Francisco, CA · On-site +1
$164K - $266K/yr
Employee divides their time between in-office and remote work. Access to an office location is ... S. / M.S. in Computer Science or similar field of study * 8+ years of professional experience in ...
San Francisco, CA · On-site +1
$164K - $266K/yr
Employee divides their time between in-office and remote work. Access to an office location is ... S. / M.S. in Computer Science or similar field of study * 8+ years of professional experience in ...
San Jose, CA · On-site +1
M.S. Degree in Computer Engineering, Computer Science, or Electrical Engineering * 15 + years of ... This is a remote position for employees residing within the United States. We offer a competitive ...
San Jose, CA · On-site +1
M.S. Degree in Computer Engineering, Computer Science, or Electrical Engineering * 15 + years of ... This is a remote position for employees residing within the United States. We offer a competitive ...
San Jose, CA · On-site +1
M.S. Degree in Computer Engineering, Computer Science, or Electrical Engineering * 8+ years of ... This is a remote position for employees residing within the United States. We offer a competitive ...
San Jose, CA · On-site +1
M.S. Degree in Computer Engineering, Computer Science, or Electrical Engineering * 8+ years of ... This is a remote position for employees residing within the United States. We offer a competitive ...
San Jose, CA · On-site +1
M.S. Degree in Computer Engineering, Computer Science, or Electrical Engineering * 8+ years of ... This is a remote position for employees residing within the United States. We offer a competitive ...
San Jose, CA · On-site +1
M.S. Degree in Computer Engineering, Computer Science, or Electrical Engineering * 8+ years of ... This is a remote position for employees residing within the United States. We offer a competitive ...
This Opportunity WSP is seeking a Power & Energy Lifecycle Project Manager (Remote) for our Power ... Provides project management leadership for the development, execution, management, control, and ...
This Opportunity WSP is seeking a Power & Energy Lifecycle Project Manager (Remote) for our Power ... Provides project management leadership for the development, execution, management, control, and ...
This position can be onsite in Aliso Viejo, CA or remote with frequent travel to various laboratory ... Perform quality control and assurance procedures and participate in departmental professional ...
This position can be onsite in Aliso Viejo, CA or remote with frequent travel to various laboratory ... Perform quality control and assurance procedures and participate in departmental professional ...
Aliso Viejo, CA · On-site +1
$85K - $116K/yr
This position can be onsite in Aliso Viejo, CA or remote with frequent travel to various laboratory ... Perform quality control and assurance procedures and participate in departmental professional ...
Aliso Viejo, CA · On-site +1
$85K - $116K/yr
This position can be onsite in Aliso Viejo, CA or remote with frequent travel to various laboratory ... Perform quality control and assurance procedures and participate in departmental professional ...
Lake View Terrace, CA · Remote
$50K - $100K/yr
Kimbrell Agency Remote Employment Type: Contractor Compensation $50,000 to $100,000 per year (plus ... I'm passionate about people. We don't just build careers; we build people who, in turn, build ...
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Lake View Terrace, CA · Remote
$50K - $100K/yr
Kimbrell Agency Remote Employment Type: Contractor Compensation $50,000 to $100,000 per year (plus ... I'm passionate about people. We don't just build careers; we build people who, in turn, build ...
Corona, CA · Remote
$50K - $100K/yr
Kimbrell Agency Remote Employment Type: Contractor Compensation $50,000 to $100,000 per year (plus ... I'm passionate about people. We don't just build careers; we build people who, in turn, build ...
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Corona, CA · Remote
$50K - $100K/yr
Kimbrell Agency Remote Employment Type: Contractor Compensation $50,000 to $100,000 per year (plus ... I'm passionate about people. We don't just build careers; we build people who, in turn, build ...
Pittsburg, CA · Remote
$50K - $100K/yr
Kimbrell Agency Remote Employment Type: Contractor Compensation $50,000 to $100,000 per year (plus ... I'm passionate about people. We don't just build careers; we build people who, in turn, build ...
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Pittsburg, CA · Remote
$50K - $100K/yr
Kimbrell Agency Remote Employment Type: Contractor Compensation $50,000 to $100,000 per year (plus ... I'm passionate about people. We don't just build careers; we build people who, in turn, build ...
The most popular types of Control M jobs in California are:
For Remote Control M jobs in California, the most frequently searched job titles are:
The top searched job categories for Remote Control M jobs in California are:
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Long Beach, CA • Remote
$88K - $172K/yr
Full-time
Posted 16 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
172nd of 315 rated insurance
Provides deep subject matter expertise for enterprise Molina risk and quality solutions (RQS) activities. Collaborates with health plan risk and quality leaders to support implementation of best quality/risk practices for optimal performance. Ensures that all RQS action plans are complete, accurate and reflect objectives necessary to achieve established risk/quality performance goals.
Essential Job Duties
Provides risk and quality support to a selection of state health plans; leverages established risk and quality solutions (RQS) best practices to support health plan achievement of risk/quality goals, with oversight senior quality/risk adjustment leadership.
Serves as a risk/quality industry subject matter expert to functional areas/health plans, and leads risk/quality-related programs to meet critical needs.
Escalates gaps and barriers in risk/quality programs/initiatives implementation and compliance to leadership; partners with the execution team for resolution and barrier removal impeding health plan execution.
Represents in a consultative role, supporting development of business case methodologies for incremental risk/quality programs; develops and coordinates implementation of business strategies.
Collaborates and facilitates risk/quality-related activities with corporate/health plan teams.
Required Qualifications
At least 8 years of managed care experience, including risk adjustment/quality-related experience supporting Medicaid, Medicare, and/or Marketplace, or equivalent combination of relevant education and experience.
At least 3 years of management/leadership experience.
Proficiency with risk adjustment methodologies.
Quality/risk operational and process improvement experience.
Proficiency with data analysis, manipulation and interpretation.
Critical-thinking, problem-solving and analytical skills.
Attention to detail and organizational skills.
Ability to work cross-collaboratively in a highly matrixed organization.
Ability to collaborate and drive/influence change and initiatives with internal/external stakeholders.
Project management experience.
Excellent verbal/written communication skills, and presentation skills.
Microsoft Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs.
Preferred Qualifications
Strong quality/risk adjustment project-related experience.
Prior experience with Centers for Medicare and Medicaid Services (CMS) risk adjustment-related initiatives.
Advanced knowledge and understanding of HEDIS and NCQA.
Certified Professional in Healthcare Quality (CPHQ).
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: $88,453 - $172,484 / 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
