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Current opportunities

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Therapy Aide (Recreational) 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.
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.
Customer Service Coordinator (Medi-Cal Customer Service) 505 City Parkway West
The Customer Service Coordinator (Medi-Cal Customer Service) will be responsible for providing quality service to members, conducting member-focused research and assisting with other call center activities.
Sr Manager, Operation and Business Configuration (Sr Manager I) 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.
Sr. ServiceNow Analyst (ITS 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.
Community Partner (Inside Medicare Sales) 505 City Parkway West
The Sales and Marketing Department is responsible for outreach, education, and marketing tasks associated with enrolling eligible Medi-Medi members in the OneCare (HMO DSNP), a Medicare Medi-Cal program.
Sr Manager, Infrastructure Engineering (Sr Manager IV) 505 City Parkway West
IT provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve.
Business Analyst (Claims) 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.
Intern (Talent Acquisition) 505 City Parkway West
The Human Resources department fosters and engaged and inclusive workplace culture that helps supports and empowers our employees to serve our members and the community.
Intern (Community Relations) 505 City Parkway West
The Community Relations Department strives to strengthen partnerships by enhancing communications, understanding, and mutual support between CalOptima Health and community organizations.
Auditor Sr (Non-Clinical) 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.
Manager Grievance & Appeals (Provider Services) 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.
Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) 505 City Parkway West
The Sr Manager I for Fraud, Waste and Abuse (FWA) will be responsible for leading the team of CalOptima Health investigators to detect, investigate and mitigate FWA issues.
Program Manager Sr (Quality Analytics (CMS Stars)) 505 City Parkway West
CalOptima Health is seeking an experienced Program Manager Sr to develop and implement enterprise-wide initiatives to improve Star and quality outcomes for Medicare members.
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.
Program Specialist 505 City Parkway West
Under general supervision, the Program Specialist (Medi-Cal and & CalAIM) will be responsible for supporting various projects related to Medi-Cal and the Department of Health Care Services (DHCS) California Advancing and Innovating Medi-Cal (CalAIM) initiatives and assisting in daily operations of services.