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Sr Manager, Contracting (Sr. Manager I)
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505 City Parkway West
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| Under the leadership and guidance of the Director of Contracting, the Sr Manager of Contracting will be responsible for the daily management and oversight of contract negotiations, contract implementation, and contract effectiveness and staff performance. |
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Director, Quality Analytics - Risk Adjustment (Director II)
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505 City Parkway West
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| CalOptima Health is seeking an independent and experienced leader to oversee end-to-end risk adjustment programs for Medicare Advantage, Exchange, and Medicaid products. The Director Quality Analytics/Risk Adjustment will develop, implement, and evaluate enterprise-wide risk adjustment and interface with key stakeholders. |
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Part-Time - Customer Service Representative Sr (OneCare) (Bilingual Required)
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505 City Parkway West
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| The Customer Service team provides information regarding eligibility, enrollment, benefits and assists members and providers with questions related to the OneCare Plan services. |
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Manager Quality Improvement (PQI)
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505 City Parkway West
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| CalOptima Health's Quality Improvement (QI) department is responsible for the execution and coordination of quality assurance and improvement activities. |
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Customer Service Rep, Covered California
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505 City Parkway West
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| The Customer Service Rep (Covered CA) will be the first line of contact for CalOptima Health’s members and providers. |