30 Molina Healthcare jobs in Long Beach

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

The Senior Managed Care Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for managed care. This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure.

• Minimum of three years hospital managed care/commercial collector experience
• 2 years of recent hospital managed care billing experience in an automated environment
• Associates degree or equivalent work experience required
• Knowledge of contract interpretation
• Familiar with hospital billing requirements
• Knowledge of out of state Medicaid billing guidelines
• Knowledge of basic managed care, Medicaid/Medicare billing rules, regulations, and deadline
• Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $38.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Full Time

Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.

Privacy Notice for California Applicants:

Grow your career at Cedars-Sinai!

Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report?s "Best Hospitals 2024-2025" rankings . When you join our team, you?ll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career.

We take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.

What will you be doing:

The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and implementation of reporting systems for business operations and management. Responsibilities include, but are not limited to, accessing data through a variety of databases and the creation of accurate, meaningful and relevant reports for diverse audiences; assisting with the administration and implementation financial initiatives; assisting in the interpretation of policies/procedures/practices.

Managed Care Reporting:

• Prepare reports and presentations to communicate financial findings and recommendations to senior management.
• Conduct financial modeling and forecasting to assess the impact of proposed contract changes and new initiatives.
• Monitor and evaluate contract performance and financial metrics, identifying trends, variances, and areas for improvement.
• Analyze managed care contracts for compliance and financial performance, identifying areas for optimization.
• Generate regular and ad-hoc financial reports, summarizing key data, trends, and recommendations for decision-makers.
• Lead complex or special assignments related to managed care financial analysis.
• Provide analytic support across various departments and service lines, ensuring data-driven decisions.
• Research and resolve inquiries related to assigned functional areas, offering strategic recommendations.
• Collaborate with finance teams and management to review financial information and forecasts.
• Apply federal and state regulatory requirements, as well as organizational policies and procedures, to all projects.

Experience Requirements:

Five (5) plus years of experience in reviewing and interpreting patient medical records using CPT and ICD10 coding systems.

Technical understanding of Healthcare Data systems is needed. Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner); Familiarity with ICD-10, CPT, and HCPCS codes, as well as other coding standards in managed care.

Education Requirements:

Bachelor?s degree in Finance, Accounting, Healthcare Management, or related field of study

Job Description Grow your career at Cedars-Sinai! Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report?s "Best Hospitals 2024-2025" rankings . When you join our team, you?ll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career. We take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for. What will you be doing: The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and implementation of reporting systems for business operations and management. Responsibilities include, but are not limited to, accessing data through a variety of databases and the creation of accurate, meaningful and relevant reports for diverse audiences; assisting with the administration and implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: Prepare reports and presentations to communicate financial findings and recommendations to senior management. Conduct financial modeling and forecasting to assess the impact of proposed contract changes and new initiatives. Monitor and evaluate contract performance and financial metrics, identifying trends, variances, and areas for improvement. Analyze managed care contracts for compliance and financial performance, identifying areas for optimization. Generate regular and ad-hoc financial reports, summarizing key data, trends, and recommendations for decision-makers. Lead complex or special assignments related to managed care financial analysis. Provide analytic support across various departments and service lines, ensuring data-driven decisions. Research and resolve inquiries related to assigned functional areas, offering strategic recommendations. Collaborate with finance teams and management to review financial information and forecasts. Apply federal and state regulatory requirements, as well as organizational policies and procedures, to all projects. Qualifications Experience Requirements: Five (5) plus years of experience in reviewing and interpreting patient medical records using CPT and ICD10 coding systems. Technical understanding of Healthcare Data systems is needed. Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner); Familiarity with ICD-10, CPT, and HCPCS codes, as well as other coding standards in managed care. Education Requirements: Bachelor?s degree in Finance, Accounting, Healthcare Management, or related field of study Req ID : 6681 Working Title : Senior Financial Analyst (Managed Care) - Hybrid Department : MNS Accounting Business Entity : Cedars-Sinai Medical Center Job Category : Patient Financial Services Job Specialty : Revenue Integrity Overtime Status : EXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $81,868.80 - $126,900.80 #J-18808-Ljbffr

Grow your career at Cedars-Sinai!

Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report?s "Best Hospitals 2024-2025" rankings . When you join our team, you?ll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career.

We take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.

What will you be doing:

The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and implementation of reporting systems for business operations and management. Responsibilities include, but are not limited to, accessing data through a variety of databases and the creation of accurate, meaningful and relevant reports for diverse audiences; assisting with the administration and implementation financial initiatives; assisting in the interpretation of policies/procedures/practices.

Managed Care Reporting:

• Prepare reports and presentations to communicate financial findings and recommendations to senior management.
• Conduct financial modeling and forecasting to assess the impact of proposed contract changes and new initiatives.
• Monitor and evaluate contract performance and financial metrics, identifying trends, variances, and areas for improvement.
• Analyze managed care contracts for compliance and financial performance, identifying areas for optimization.
• Generate regular and ad-hoc financial reports, summarizing key data, trends, and recommendations for decision-makers.
• Lead complex or special assignments related to managed care financial analysis.
• Provide analytic support across various departments and service lines, ensuring data-driven decisions.
• Research and resolve inquiries related to assigned functional areas, offering strategic recommendations.
• Collaborate with finance teams and management to review financial information and forecasts.
• Apply federal and state regulatory requirements, as well as organizational policies and procedures, to all projects.

Experience Requirements:

Five (5) plus years of experience in reviewing and interpreting patient medical records using CPT and ICD10 coding systems.

Technical understanding of Healthcare Data systems is needed. Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner); Familiarity with ICD-10, CPT, and HCPCS codes, as well as other coding standards in managed care.

Education Requirements:

Bachelor?s degree in Finance, Accounting, Healthcare Management, or related field of study

Senior Financial Analyst (Managed Care) - Hybrid Grow your career at Cedars-Sinai! Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report’s “Best Hospitals 2024-2025” rankings. When you join our team, you’ll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career. Job Description Grow your career at Cedars-Sinai! Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report’s “Best Hospitals 2024-2025” rankings. When you join our team, you’ll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career. We take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for. What will you be doing: The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and implementation of reporting systems for business operations and management. Responsibilities include, but are not limited to, accessing data through a variety of databases and the creation of accurate, meaningful and relevant reports for diverse audiences; assisting with the administration and implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: Prepare reports and presentations to communicate financial findings and recommendations to senior management. Conduct financial modeling and forecasting to assess the impact of proposed contract changes and new initiatives. Monitor and evaluate contract performance and financial metrics, identifying trends, variances, and areas for improvement. Analyze managed care contracts for compliance and financial performance, identifying areas for optimization. Generate regular and ad-hoc financial reports, summarizing key data, trends, and recommendations for decision-makers. Lead complex or special assignments related to managed care financial analysis. Provide analytic support across various departments and service lines, ensuring data-driven decisions. Research and resolve inquiries related to assigned functional areas, offering strategic recommendations. Collaborate with finance teams and management to review financial information and forecasts. Apply federal and state regulatory requirements, as well as organizational policies and procedures, to all projects. Qualifications Experience Requirements: Five (5) plus years of experience in reviewing and interpreting patient medical records using CPT and ICD10 coding systems. Technical understanding of Healthcare Data systems is needed. Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner); Familiarity with ICD-10, CPT, and HCPCS codes, as well as other coding standards in managed care. Education Requirements: Bachelor’s degree in Finance, Accounting, Healthcare Management, or related field of study Req ID : 6681 Working Title : Senior Financial Analyst (Managed Care) - Hybrid Department : MNS Accounting Business Entity : Cedars-Sinai Medical Center Job Category : Patient Financial Services Job Specialty : Revenue Integrity Overtime Status : EXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $81,868.80 - $26,900.80 Seniority level Seniority level Not Applicable Employment type Employment type Full-time Job function Job function Finance and Sales Industries Hospitals and Health Care, IT Services and IT Consulting, and Research Services Referrals increase your chances of interviewing at Cedars-Sinai by 2x Public Finance Investment Banking Analyst Senior Analyst – Corporate Restructuring Los Angeles, CA $9 ,000 - 110,000 2 weeks ago Public Finance Investment Banking - Analyst / Associate / Vice President Los Angeles Metropolitan Area 100,000 - 200,000 4 weeks ago Hawthorne, CA 85,900 - 179,500 2 days ago Los Angeles, CA 160,000 - 210,000 3 weeks ago Culver City, CA 85,900 - 179,500 6 days ago Finance Manager, Finance and Business Integration Culver City, CA 85,900 - 179,500 1 hour ago Los Angeles, CA 75,599 - 120,000 2 weeks ago Santa Monica, CA 135,000 - 150,000 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr

• JD from a top-tier law school with an excellent academic record .
• Active Bar Admission in California , in good standing.
• 3-5 years of substantive experience in complex commercial litigation and arbitration .
• Proven ability to manage multiple litigation matters and serve as the primary point of contact for clients and internal teams.
• Experience coordinating with other attorneys, paralegals, and staff on case strategy and execution.
• Managed care or broader healthcare industry litigation experience is strongly preferred .
• Proactive, collaborative, and able to thrive in a fast-paced, team-oriented environment.
• Soft Skills: Strong writing, research, analytical, and oral advocacy skills, with a meticulous attention to detail and strategic thinking.

• Represent clients in high-exposure litigation and arbitration matters in the managed care and healthcare industries .
• Lead or support all phases of litigation , including pleadings, discovery, depositions, motion practice, and trial preparation.
• Coordinate with multidisciplinary teams and serve as the day-to-day client liaison on litigation matters.
• Develop legal strategies, draft compelling legal documents, and advise clients on risk mitigation and case resolution .
• Stay informed on relevant legal developments in healthcare litigation and contribute to thought leadership and practice growth initiatives.

Consulting Senior Analyst - Provider Revenue Excellence - Growth & Managed Care Job ID: 98729 Do you want to work on complex and pressing challenges-the kind that bring together curious, ambitious, and determined leaders who strive to become better every day? If this sounds like you, you've come to the right place. Your Impact You will work directly with client leaders and front-line operators to drive change that is critical to the successful realization of client company goals. In this role, you will be supporting healthcare providers with growing volume, optimizing price and capturing value. Our engagements are typically focused on growth solutions that leverage cutting edge assets and expertise, revenue cycle management capabilities across the value chain to ensure maximum value capture, or pricing capabilities that enable providers to excel along the full managed care contracting life cycle. Your clients will also include healthcare services companies and private equity organizations that partner with our provider clients. You will be working on topics such as growth operations, access and service line strategy and managed care. You will ensure that success is a priority with our clients. You will engage at a deep level across our clients' businesses, working with small teams to build the capabilities, systems, and processes needed to deliver bottom-line results and then ensure those results are sustainable. Your work will be about problem solving, coaching, and delivering lasting outcomes to our healthcare clients. Please note that there is flexibility to hire at the Senior Analyst or Specialist level, depending on the candidate's experience. Your Growth Driving lasting impact and building long-term capabilities with our clients is not easy work. You are the kind of person who thrives in a high performance/high reward culture - doing hard things, picking yourself up when you stumble, and having the resilience to try another way forward. In return for your drive, determination, and curiosity, we'll provide the resources, mentorship, and opportunities you need to become a stronger leader faster than you ever thought possible. Your colleagues-at all levels-will invest deeply in your development, just as much as they invest in delivering exceptional results for clients. Every day, you'll receive apprenticeship, coaching, and exposure that will accelerate your growth in ways you won't find anywhere else. When you join us, you will have: Continuous learning: Our learning and apprenticeship culture, backed by structured programs, is all about helping you grow while creating an environment where feedback is clear, actionable, and focused on your development. The real magic happens when you take the input from others to heart and embrace the fast-paced learning experience, owning your journey. A voice that matters: From day one, we value your ideas and contributions. You'll make a tangible impact by offering innovative ideas and practical solutions. We not only encourage diverse perspectives, but they are critical in driving us toward the best possible outcomes. Global community: With colleagues across 65+ countries and over 100 different nationalities, our firm's diversity fuels creativity and helps us come up with the best solutions for our clients. Plus, you'll have the opportunity to learn from exceptional colleagues with diverse backgrounds and experiences. World-class benefits: On top of a competitive salary (based on your location, experience, and skills), we provide a comprehensive benefits package, which includes medical, dental, mental health, and vision coverage for you, your spouse/partner, and children. Your qualifications and skills Undergraduate degree; advanced degree is a plus ideally in a quantitative discipline (statistics, mathematics, economics, operations research, engineering, computer science) or a healthcare discipline 4+ years of professional experience in a healthcare environment with revenue growth or managed care experience Ability to improve physician practice productivity, access operations, care continuity, and patient experience Experience expanding capacity, reducing wait times, and improving digital and front-end access (e.g., scheduling, call centers, online booking) Experience leading or supporting strategic growth of priority service lines (e.g., primary care, cardiology, oncology, surgery) through network expansion, site-of-care shifts, or population targeting Skilled in payer negotiations analytics, contract design, reimbursement modeling, and aligning incentives with system and service line priorities Strong analytical skills in claims, productivity, access, and volume data to identify trends and opportunities Experience partnering across clinical, operational, and administrative functions to execute enterprise-level initiatives Ability to synthesize complex issues, engage senior leaders, and drive consensus Successful track record of delivering measurable impact through implementation of growth, access, and experience initiatives. Please review the additional requirements regarding essential job functions of McKinsey colleagues. Apply Now Apply Later FOR U.S. APPLICANTS: McKinsey & Company is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by applicable law. Certain US jurisdictions require McKinsey & Company to include a reasonable estimate of the salary for this role. For new joiners for this role in the United States, including all office locations where the job may be performed, a reasonable estimated range is $125,000 - $130,000 USD -to help you understand what you can expect. This reflects our best estimate of the lowest to highest (salary/hourly wages) for this role at the time of this posting, ensuring you have a clear picture right from the start, though it's important to remember that actual salaries may vary. Factors like your office location, your unique blend of experience and skills, start date and our current organizational needs all play a part in determining the final figure. Certain roles are also eligible for bonuses, subject to McKinsey's discretion and based on factors such as individual and/or organizational performance. Additionally, we provide a comprehensive benefits package that reflects our commitment to the wellness of our colleagues and their families. This includes medical, mental health, dental and vision coverage, telemedicine services, life, accident and disability insurance, parental leave and family planning benefits, caregiving resources, a generous retirement contributions program, financial guidance, and paid time off. FOR NON-U.S. APPLICANTS: McKinsey & Company is an Equal Opportunity employer. For additional details regarding our global EEO policy and diversity initiatives, please visit our McKinsey Careers and Diversity & Inclusion sites. Job Skill Group - CSS Pre-Associate Job Skill Code - JPS - Junior Specialist Function - Transformation Industry - Healthcare Systems & Services Post to LinkedIn - Yes Posted to LinkedIn Date - Wed Jun 18 00:00:00 GMT 2025 LinkedIn Posting City - New York LinkedIn Posting State/Province - New York LinkedIn Posting Country - United States LinkedIn Job Title - Senior Analyst - Provider Revenue Excellence - Growth & Managed Care LinkedIn Function - Consulting;Health Care Provider;Strategy / Planning LinkedIn Industry - Hospital & Health Care LinkedIn Seniority Level - Associate #J-18808-Ljbffr

Job Description Are you ready to bring your clinical competencies to a world-class facility that has been recognized as #1 in California and eight years in a row on the "Best Hospitals" Honor Roll by U.S. News & World Report, 2023?24? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. As our new Associate Director, Imaging overseeing Patient Support Services, you will be responsible for the daily 24-hour planning, organizing, directing and controlling of the daily operations and clinical practice of assigned patient care areas, in order to provide quality, individualized patient care and support of Medical Center philosophies. The Associate Director assumes fiscal responsibility through preparation of unit budgets, serves as liaison with medical staff and other personnel, enhances the maximum growth and development of each employee, supports research, participates in short and long-term planning, and ensures patient advocacy. You can look forward to guiding staff in meeting customers' needs consistent with Medical Center philosophy, mission, vision, strategic plan, and the Plan for Provision of Care, CSMC Code of Conduct, the Performance Improvement Plan, the Patient Education Plan, and Professional Organizational Standards. Summary of Essential Duties: Manages the delivery of Imaging services for assigned departments Oversees continuous quality improvement of systems and processes Develops business and/or operations plans for assigned areas; evaluates and introduces new procedures and instruments for diagnostic processes Manages the development and preparation of short-term and long-range plans, including supporting business, budget and financial plans consistent with the strategic plan and growth objectives of the medical center Maintains division fiscal affairs, including expense reduction, utilization management and budget control Oversees the division compliance with applicable federal, state, CAP and Joint Commission regulations and standards Responsible for hiring, onboarding, managing schedules, personnel actions, performance reviews, and performance improvement plans Supervises the day-to-day work of employees, assigns work, ensures tasks are completed and deadlines are met Qualifications Education: Bachelor's Degree required, preferably in one of the following fields - Business Administration, Imaging Sciences, Medical Technology, or Public Health Administration Experience: A minimum of 5 years of management experience in a hospital setting required At least 5 years of Imaging experience preferred Keywords: Associate Director, Supervisor, Manager, Leader, Leadership, Imaging, Radiology, Scheduling, Scheduler, Transporter, Transport, Healthcare, Medical Center, Los Angeles, CA, California About Us Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents. About the Team Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most. Req ID : 10160 Working Title : Associate Director, Imaging - Patient Support Services Department : IMG Patient Support Svs Business Entity : Cedars-Sinai Medical Center Job Category : Imaging Job Specialty : Diagnostic Imaging Overtime Status : EXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $72.91 - $131.24 #J-18808-Ljbffr