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Current opportunities

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Pharmacy Resident 505 City Parkway West
Pharmacy Management provides strategic leadership and operational oversight for all aspects of pharmacy services within a managed care organization.
LVN - PACE, Home Care 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.
X - As-Needed / TEMP - Program Assistant, Enrollment - Covered California 505 City Parkway West
The Enrollment & Reconciliation team supports Medi-Cal and Medicare programs by processing member enrollment, eligibility and maintenance transactions. The team ensures compliance with regulatory requirements and works closely with internal and external partners to provide accurate and timely member enrollment services.
Customer Service Representative 505 City Parkway West
The Customer Service team provides information regarding eligibility, enrollment, benefits and assists members and provider with questions related to the Medi-Cal programs.
X - As-Needed/TEMP - Medical Case Manager 505 City Parkway West
The Behavioral Health Integration Department directly manages Behavioral Health Services for CalOptima Health Medi-Cal and OneCare Members.
Therapy Aide (Recreational) 505 City Parkway West
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.
Marketing and Outreach Specialist Sr 505 City Parkway West
The Communications department is here to create, support, implement and direct CalOptima’s internal and external communications in a manner that promotes and preserves CalOptima, its mission, and strategic goals and objectives.
Manager, Program Implementation, Real Estate and Construction Management 505 City Parkway West
The Facilities Department is responsible for maintaining the functionality, safety, and efficiency of our buildings to support the company’s operations, employee well-being and services to our members.
MuleSoft Integration Architect (ITS Architect III) 505 City Parkway West
IT provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve.
Claims Examiner Sr 505 City Parkway West
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.
X - As Needed - Program Manager, PHM and Clinical Operations 505 City Parkway West
The Clinical Operations Program Support department assists various clinical units, including but not limited to Case Management, Long-Term Support and Services, Utilization Management, and Disease Management. The department works with both internal and external partners to design and implement regulatory-driven and strategic initiatives that help our members and providers.
AI Solutions Analyst (ITS Analyst Sr) 505 City Parkway West
Help shape how CalOptima Health puts AI to work for its members. As an AI Solutions Analyst, you will help identify and shape high-value AI opportunities, turn business needs into responsible and measurable solutions, and work alongside clinical, quality, and operations leaders to bring the right ideas forward. If you are energized by making AI useful, trustworthy, and meaningful, we want to hear from you.
AI Solutions Engineer (ITS Architect III) 505 City Parkway West
Help turn promising AI opportunities into reliable solutions at CalOptima Health. As an AI Solutions Engineer, you will take approved use cases from concept to production, bringing together the right mix of technology, engineering, and vendor capabilities to deliver solutions that scale. If you want to build practical AI that creates meaningful value in a mission-driven healthcare organization, we want to hear from you.
Clinical Data & Reporting Analyst (Data Warehouse Reporting Analyst Sr) 505 City Parkway West
IT provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve.
Sr. Clinical Solutions Engineer (ITS Architect III) 505 City Parkway West
IT provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve.
Supervisor Customer Service, Member Enrollment 505 City Parkway West
The Enrollment & Reconciliation team supports Medi-Cal and Medicare programs by processing member enrollment, eligibility and maintenance transactions. The team ensures compliance with regulatory requirements and works closely with internal and external partners to provide accurate and timely member enrollment services.
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.
Grievance Resolution Specialist 505 City Parkway West
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.
Financial Analyst I, Budgeting 505 City Parkway West
The Budget Department is responsible for planning, developing and managing the financial resources of the organization. The main responsibilities include developing and managing annual operating budgets and providing insights and recommendations to support strategic decision-making.
Actuarial Analyst 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.

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