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Current opportunities

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Program Manager Sr (Marketplace) 505 City Parkway West
Strategic Development is responsible for oversight and facilitation of effective strategy planning and execution by developing, implementing, managing, and coordinating strategic priorities and key processes through organizational alignment, cross-collaboration, and operational improvement to achieve CalOptima Health goals and objectives.
Program Specialist (Credentialing) 505 City Parkway West
CalOptima Health's Quality Improvement (QI) department is responsible for the execution and coordination of quality assurance and improvement activities.
Program Coordinator (Credentialing) 505 City Parkway West
CalOptima Health's Quality Improvement (QI) department is responsible for the execution and coordination of quality assurance and improvement activities.
Medical Assistant (PACE) PACE - Garden Grove
PACE is a health services plan designed for people of age 55 and older, who have ongoing health care needs. The services provided are all inclusive and authorized by the interdisciplinary team.
Sr Director, Information Technology 505 City Parkway West
IT provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve.
Personal Care Coordinator Sr 505 City Parkway West
The Case Management Department oversees CalOptima Health Case Management needs for Medi-Cal and OneCare Members and Case Management regulatory requirements.
Medical Case Manager (Community Based Adult Services) 505 City Parkway West
The Medical Case Manager for Community Based Adult Services (CBAS) will be responsible for reviewing and processing requests for authorization for CBAS services.
Personal Care Coordinator Sr 505 City Parkway West
The Case Management Department oversees CalOptima Health Case Management needs for Medi-Cal and OneCare Members and Case Management regulatory requirements.
Contracts Specialist 505 City Parkway West
The Contracting Department works with many departments and all levels of CalOptima Health’s leadership and staff to support policy, process and contracting related needs.
Activity Coordinator (PACE) PACE - Garden Grove
PACE is a health services plan designed for people of age 55 and older, who have ongoing health care needs. The services provided are all inclusive and authorized by the interdisciplinary team.
Director, Credentialing (Director I) 505 City Parkway West
The Credentialing department is responsible for verifying and maintaining health care provider credentials.
Physical Therapist (PT) 505 City Parkway West, PACE - Garden Grove
PACE is a health services plan designed for people of age 55 and older, who have ongoing health care needs. The services provided are all inclusive and authorized by the interdisciplinary team.
Provider Data Management Services Coordinator 505 City Parkway West
The Provider Data Management Services department is responsible for managing operations of the provider network to ensure timely access to care for our members.
Medical Case Manager RN (Emergency Department Program) 505 City Parkway West
The Medical Case Manager for Long Term Services Supports (LTSS) Emergency Department Program is part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (emergency department, Community Based Adult Services (CBAS), CalAIM, complex discharge and long-term care (LTC) members residing in nursing facilities under custodial care) including members in OneCare programs, Medi-Cal only members or members living in the intermediate care facilities under regional center guidelines.
Sr Manager, Quality Improvement (NCQA) (Sr. Manager II) 505 City Parkway West
CalOptima Health is seeking a Sr. Manager in the Quality Improvement Department with NCQA accreditation experience to over see oversee the day-to-day operations of the National Committee for Quality Assurance (NCQA) Accreditation team and ensure CalOptima Health compliance with NCQA standards and submission processes. The position will also support the Quality Improvement Director in overseeing the Quality Improvement Health Equity Transformation Program (QIHETP) and the program structure.
Medical Case Manager (LVN) (Long-Term Care) 505 City Parkway West
The Medical Case Manager (LVN) for Long Term Care (LTC) is responsible for reviewing and processing requests for authorization and notification of LTC Skilled Nursing Facilities.
Program Assistant (Quality Improvement) 505 City Parkway West
CalOptima Health's Quality Improvement (QI) department is responsible for the execution and coordination of quality assurance and improvement activities.