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Claims Examiner, Sr.
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505 City Parkway West
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| The Claims Administration Department is responsible for managing and processing of all medical claims in accordance with industry standards and regulations, ensuring accuracy and timely reimbursement to healthcare providers. |
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Manager, Communications (Digital)
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505 City Parkway West
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| The Manager, Communications (Digital) will lead the strategy, development and execution of content and messaging of CalOptima Health’s digital communications, including oversight of member-facing messaging across platforms such as texting, email, IVR and organization website. |
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Grievance & Appeals Nurse Specialist
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505 City Parkway West
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| The Grievance and Appeals Resolution Services (GARS) Department is responsible for coordinating thorough reviews to provide appropriate resolutions to verbal and written complaints, appeals and disputes for both members and providers. |
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Director, Pharmacy Management (Director IV)
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505 City Parkway West
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| Pharmacy Management provides strategic leadership and operational oversight for all aspects of pharmacy services within a managed care organization. |
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Programmer Sr
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505 City Parkway West
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| IT provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve. |