Caloptima jobs in Orange, CA

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Clinical Pharmacist

Orange, CA
The incumbent will research, develop, and update drug utilization management strategies and work to promote clinically appropriate prescribing practices...
Desired Experience: Registered Pharmacist, Bilingual, Clinical Pharmacy Experience, Microsoft Office, Licensed Pharmacist, Managed Care
Easily apply

Data Warehouse Programmer/Analyst

Orange, CA
Demonstrate advanced techniques for reviewing and trouble-shooting complex code designs written by multiple developers, reverse engineering, identifying...
Desired Experience: T-SQL, Business Intelligence, Microsoft SQL Server, Data Warehouse, SDLC, SQL, Microsoft Office, Tableau
Easily apply

Technical Analyst, Sr.

Orange, CA
Provides coordination and services relevant to key functions of software supported by the Information Systems (IS) Department, which supports a variety of...
Desired Experience: Microsoft Project, Microsoft Powerpoint, Software Troubleshooting, SQL, Microsoft Office, SharePoint, Troubleshooting, Application Support
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Business Analyst, Sr.

Orange, CA
The incumbent will be responsible for initiating and overseeing the development and maintenance of provider system agreements, fee schedules, and related...
Desired Experience: Microsoft Word, ICD-10, CPT Coding, Managed Care, ICD-9
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Supervisor, Behavioral Health (UM)

Orange, CA
The incumbent will monitor and oversee the department’s UM work activities to ensure that member’s behavioral health service needs are coordinated with...
Desired Experience: Microsoft Powerpoint, RN, Social Work License, Applied Behavior Analysis, Behavioral Health, Microsoft Office, Supervising Experience, Managed Care
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Clinical Auditor

Orange, CA
$38 an hour
Participate in workgroups that address both clinical and non-clinical internal activities for which CalOptima must demonstrate improvement to meet its...
Desired Experience: Driver's License, Quality Management
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Medical Authorization Assistant (Concurrent Review)

Orange, CA
The Medical Authorization Assistant (MA) provides office and referral management support services and assists the inpatient Case Managers in obtaining...
Desired Experience: Bilingual, ICD-10, CPT Coding
Easily apply

Projects Analyst (Process Improvement)

Orange, CA
Plan and facilitate continuous improvement activities and practices with a focus on the elimination of waste and rework, improving quality, reducing...
Desired Experience: Microsoft Powerpoint, Project Management
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Personal Care Coordinator

Orange, CA 92868
Initiate referrals to both internal and external care management departments and other department government or community agencies and facilitate warm...

Recreation Therapist-PACE

Orange, CA
Leads coordination of day center social programming and activity, including communicating current events and PACE organizational issues to participants in...
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Care Coordinator
Enters, updates and closes referrals daily while assuring that appropriate internal/external referral providers are utilized, members are eligible and have...
Desired Experience: Bilingual, Medical Terminology, CPT Coding, ICD-9
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