Caloptima jobs in Orange, CA

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Pharmacy Services Specialist (Prior Authorizations)

CalOptima 5 reviews - Orange, CA
As a pharmacy technician for this role, the main responsibilities will include data entry for prior authorization (PA) requests and obtaining and...
30+ days ago - save job - block - email - more...

Analyst, Sr. (Business Intelligence)

CalOptima 5 reviews - Orange, CA
The Sr. Analyst for Business Intelligence plays an active role in the implementation and maintenance of business intelligence solutions related to initiatives...
30 days ago - save job - block - email - more...

Personal Care Attendant

CalOptima 5 reviews - Orange, CA
Under the direction and supervision of the Center Manager, the Personal Care Attendant provides personal care services to CalOptima PACE participants in the...
30+ days ago - save job - block - email - more...

Customer Service Representative

CalOptima 5 reviews - Orange, CA
We are currently seeking a service-oriented individual with excellent customer service skills to provide assistance to our members and providers via telephone...
30+ days ago - save job - block - email - more...

OneCare Clinical Case Manager, RN

CalOptima 5 reviews - Orange, CA
Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima members. The Case...
8 days ago - save job - block - email - more...

Medical Case Manager (Pre Authorization Nurse Reviewer)

CalOptima 5 reviews - Orange, CA
This position, under the direction of the Manager of Prior Authorizations, is responsible for reviewing and processing requests for authorization and...
30+ days ago - save job - block - email - more...

Systems Manager (Integration)

CalOptima 5 reviews - Orange, CA
Responsible for identifying and assessing the systems and data implications for new business initiatives related to the Business Integration department....
30+ days ago - save job - block - email - more...

Project Manager (Compliance)

CalOptima 5 reviews - Orange, CA
To assess the impact and requirements of audits and requests received by CMS, AHRQ, DHCS and other agencies. Will develop strategy for the organization's...
30+ days ago - save job - block - email - more...

Enrollment Coordinator (PACE- bilingual Spanish)

CalOptima 5 reviews - Orange, CA
The PACE Enrollment Coordinator is responsible for the initial screening and coordination of new participants to the CalOptima PACE (Program of All-Inclusive...
30+ days ago - save job - block - email - more...

CalOptima MediCal Project Manager

St. Joseph Heritage Healthcare 20 reviews - Orange, CA
Job Description JOB SUMMARY Working under the direction of the Chief Operating Officer, the Project Manager (PM) coordinates St. Joseph Heritage Healthcare...
30+ days ago - save job - block - email - more...
QI NURSE SPECIALIST (FSR AUDITOR) (14284-081914)
CalOptima 5 reviews - Orange, CA
network and CalOptima Direct provider offices based on prescribed State, Federal and CalOptima standards... interact as needed with CalOptima Information Systems...
Sponsored by CareerBuilder - 7 days ago
Auditor, Sr. (Customer Service) (14337-081214)
CalOptima 5 reviews - Orange, CA
functions within CalOptima, as well as externally... and inform various departments within CalOptima and delegates of CalOptima of any changes to regulatory...
Sponsored by CareerBuilder - 13 days ago
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