Caloptima $60,000 jobs in Orange, CA

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Manager, Disease Management (Program Development)

CalOptima 7 reviews - Orange, CA
The Manager of Disease Management (Program Development) plays a vital role in the program design, development, and implementation of self-management programs

Manager, Encounters

CalOptima 7 reviews - Orange, CA
The Encounters Manager is responsible for following regulatory and internal guidelines in conjunction with CalOptima policies and procedures as they apply to

Supervisor, Case Management

CalOptima 7 reviews - Orange, CA
The Supervisor will be responsible for the daily operation of case management activities, the implementation of new programs, and regulations. S/he will

Compliance Analyst (13053-14293-042915)

CalOptima 7 reviews - Orange County, CA - +1 location
Assist in the coordination and assessment of the policy and programmatic implications of Compliance activities for CalOptima. May function as a liaison within

Clinical Care Manager, Case Manager, UR (C02-16)

Beacon Health Strategies, LLC 15 reviews - Orange, CA
Job Description: Reviews outpatient [OP] behavioral health service requests based on specific level of care and medical necessity criteria; provides member

Health Coach

CalOptima 7 reviews - Orange, CA
The Health Coach assesses member needs and develops a disease management plan that meets member’s self-management needs and is aligned with the member’s

Executive Director, Quality and Analytics

CalOptima 7 reviews - Orange, CA
The Executive Director (ED) of Quality and Analytics is responsible for oversight of key medical affairs functions including: Quality Management, Quality

Director, Audit and Oversight

CalOptima 7 reviews - Orange, CA
This position oversees and conducts independent performance audits of CalOptima operations, Pharmacy Benefits Manager (PBM) operations and Provider Management

Manager, Regulatory Affairs (Policies & Procedures)

CalOptima 7 reviews - Orange, CA
This position is responsible for managing CalOptima policies and procedures for state and federal programs. The overall objective of the position is to

Manager, Case Management

CalOptima 7 reviews - Orange, CA
The Manager of Case Management provides shared responsibility for the daily operations, activities and projects for the Case Management Department. This

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