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Sr Manager, Contracting (Sr. Manager I) 505 City Parkway West
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.
Director, Quality Analytics - Risk Adjustment (Director II) 505 City Parkway West
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.
Part-Time - Customer Service Representative Sr (OneCare) (Bilingual Required) 505 City Parkway West
The Customer Service team provides information regarding eligibility, enrollment, benefits and assists members and providers with questions related to the OneCare Plan services.
Activity Coordinator (PACE) (Bilingual in Spanish or Vietnamese) 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. HRIS Representative (Human Resources Representative Sr) 505 City Parkway West
Human Resources The Human Resources department believes happy employees are key to our success. We're seeking a passionate HR professional to champion talent acquisition, drive positive culture, and help us grow and thrive. Come be a part of our story and make a real impact!
Manager Quality Improvement (PQI) 505 City Parkway West
CalOptima Health's Quality Improvement (QI) department is responsible for the execution and coordination of quality assurance and improvement activities.
Business Analyst Sr, Clinical Operations 505 City Parkway West
The Clinical Operations department provides support and operational alignment between Case Management, Long-Term Support Services, Utilization Management and peers operating in a similar capacity outside of Clinical Operations.
(As-Needed) File Room Assistant (Human Resources Assistant) 505 City Parkway West
The Human Resources department believes happy employees are key to our success. We're seeking a passionate HR professional to champion talent acquisition, drive positive culture, and help us grow and thrive. Come be a part of our story and make a real impact!
Executive Assistant 505 City Parkway West
The Executive Assistant will provide multi-faceted administrative support and assistance to the Chief and/or Executive Director (Executive).
Program/Policy Analyst, Public Policy 505 City Parkway West
CalOptima Health's Government Affairs department is responsible for ensuring that federal, state and local policies benefit our members, providers and stakeholders by analyzing proposed and enacted legislation, advocating for CalOptima Health's legislative, regulatory and funding priorities, and managing relationships with public officials at all levels of government.
Accountant II 505 City Parkway West
The Accounting area monitors the plan’s financial condition through external audits of financial data and ensures compliance with federal and state regulations and tax filing requirements.
Medi-Cal & CalAIM Program Specialist 505 City Parkway West
California Advancing and Innovating Medi-Cal (CalAIM) is a statewide initiative to improve the quality of life and health outcomes of Medi-Cal members. CalAIM offers benefits that address the social drivers of health care, such as housing and food security.
Social Worker (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.
Manager Actuary 505 City Parkway West
The Financial Analysis Department is responsible for the development of various financial models used to forecast medical cost trends, provide support for provider contract negotiations, assess actuarial rate development studies, and participate in annual budgeting functions.
Contracts Manager 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.
Marketing and Outreach Specialist Sr 505 City Parkway West
The Marketing and Outreach Specialist Sr will be responsible for assisting in the implementation of marketing programs, advertising campaigns and strategic partnerships to support CalOptima Health’s programs.
Sr Manager, Grants (Sr Manager II) 505 City Parkway West
CalAIM is a transformative five-year initiative redefining Medi-Cal to enhance members’ health outcomes and quality of life. By addressing social drivers of health and delivering comprehensive whole-person care, CalAIM provides coordinated services for physical, behavioral and long-term care needs. With a focus on equity and prevention, it extends critical support into communities, better serving California’s most vulnerable populations, including those experiencing homelessness, seniors and children with complex medical needs.
Sr Program Specialist, Communications (Program Specialist Sr) 505 City Parkway West
The Program Specialist Sr will support the Communications department’s program and project operations, including monitoring timelines and schedules, organizing workflows, client engagement and change management.
Sr. Talent Sourcing (Human Resources Representative Sr) 505 City Parkway West
Join our dynamic team at CalOptima Health. We believe happy employees are key to our success. We're seeking a passionate HR professional to champion talent acquisition, drive positive culture, and help us grow and thrive. Come be a part of our story and make a real impact!
Clerk of the Board 505 City Parkway West
The Clerk of the Board will be responsible for managing staff and overseeing the operations of the Clerk of the Board’s office.

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