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Data Analyst, Sr. (Quality Analytics)
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505 City Parkway West
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| Quality Analytics is responsible for working to improve performance on quality measures including clinical, access and member experience metrics. Quality Analytics works on priorities established with leadership, and collaborates with internal department business owners and external providers on strategy, reporting and interventions. |
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Customer Service Representative (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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Member Liaison Specialist (Behavioral Health)
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505 City Parkway West
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| The Behavioral Health Integration Department directly manages Behavioral Health Services for CalOptima Health Medi-Cal and OneCare Members. |
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Grievance & Appeals Nurse Specialist
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505 City Parkway West
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| 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. |
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Grievance Resolution Specialist
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505 City Parkway West
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| 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. |