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Caloptima jobs in Orange, CA

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Manager, Grievance & Appeals
CalOptima - 15 reviews - Orange, CA
Knowledge and understanding of covered benefits specified in CalOptima contracts. Assures adequate and timely communication with GARS staff, other CalOptima...
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Data Analyst, Int.
CalOptima - 15 reviews - Orange, CA
Monitor and report on any changes that affect CalOptima and its BH vendor(s). Interface with outside entities and other departments within CalOptima to identify...
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Clinical Auditor, Sr. (RN-LVN)

CalOptima - 15 reviews - Orange, CA
This position will ensure regulatory (Medicare, Medi-Cal, Cal MediConnect) and accreditation (NCQA) compliance and oversight for all CalOptima lines of business...

Project Manager (Access and Availability)

CalOptima - 15 reviews - Orange, CA
Effectively facilitate large groups of people in both learning and problem-solving environments in order to inspire learning and excitement about growing a...

Supervisor, Claims (CQI)

CalOptima - 15 reviews - Orange, CA
Effectively utilize computer and appropriate software and interact as needed with CalOptima claims processing systems....

Clinical Auditor (RN/LVN)

CalOptima - 15 reviews - Orange, CA
Research regulations and inform various departments within CalOptima and delegates of CalOptima of any changes to regulatory requirements....

Manager, Human Resources (Data Management & Compensation)

CalOptima - 15 reviews - Orange, CA
Oversee Human Resources information systems (HRIS) and compensation administration functions. Work closely with HR leadership to develop and implement a

Care Coordinator

Camino Health Center - San Juan Capistrano, CA 92675
Comply with CalOptima screening guidelines for all age groups and assist in the coordination of Initial Health Assessments....
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Medical Director

CalOptima - 15 reviews - Orange, CA
Effectively utilize computer and appropriate software and interact as needed with CalOptima Information Systems....

HR Representative, Sr. (Employee Relations)

CalOptima - 15 reviews - Orange, CA
Ensure CalOptima adheres to these requirements from an employee relations standpoint. Effectively utilize computer and appropriate software and interact as...

Director, Quality Improvement

CalOptima - 15 reviews - Orange, CA
It is the incumbent’s responsibility to interface with Quality Analytics, Health Education & Disease Management and other CalOptima departments on QI issues....

Medical Assistant (PACE)

CalOptima - 15 reviews - Orange, CA
Meet a standardized set of competencies for the specific position description established by CalOptima PACE and approved by regulatory agencies before working...
Medical Case Manager
CalOptima - 15 reviews - Orange, CA
The Medical Case Manager (Notice of Action-RN) is an advanced specialty collaborative practice, responsible for providing NOA coordination for CalOptima’s
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Associate Clinical Director
Behavior Functions, Inc. - Orange, CA
Be familiar with CalOptima and RCOC. We are centrally located in Orange County!...
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Customer Service Representative (CSR), Sr.
CalOptima - 15 reviews - Orange, CA
Understanding of the CalOptima program. This position will provide information regarding eligibility, enrollment, and benefits to CalOptima members and member...
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