Expression of interest

Loading...

Current opportunities

Position Location Closes
Care Manager (OneCare) 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.
Customer Service Rep Sr (Behavioral Health) 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.
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.
Social Worker (MSSP) 505 City Parkway West
This Social Worker (MSSP) will assess prospective members for the various programs available and will be responsible for developing, implementing, monitoring, modifying and documenting care plans.
Provider Data Management Services Coordinator Sr 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.
Facilities Coordinator 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.
Manager 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.
Program Manager, Medicare Insights and Operations 505 City Parkway West
The Program Manager for Medicare Insights and Operations will play a vital role in the program design, development, implementation and support of department initiatives and programs for the Medicare line of business.
Claims Resolution Specialist (Customer Service) 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 Customer Service, Enrollment & Premium Billing (Covered California) 505 City Parkway West
The Customer Service team provides information regarding eligibility, enrollment, benefits and assists members and providers with questions related to Covered California.
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 Med-Cal programs.
Data Analyst Sr, Finance - Encounter Data (Covered California) 505 City Parkway West
The Finance department is responsible for procuring business insurance, reviewing the financial viability of the delegated entities, and processing delegated entities’ inbound encounter data to submit along with in-house claims data to CMS and DHCS as outbound encounter data for all lines of business.
Risk Management/Insurance Analyst (Financial Analyst III) 505 City Parkway West
The Finance department is responsible for procuring business insurance, reviewing the financial viability of the delegated entities, and processing delegated entities’ inbound encounter data to submit along with in-house claims data to CMS and DHCS as outbound encounter data for all lines of business.
Program Manager Sr, Covered California 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.
Sr Manager, Communications - Editorial (Sr Manager I) 505 City Parkway West
The Sr Manager for Communications (Editorial) will oversee the day-to-day operations of the editorial team within the Communications department and collaborate with the Director on communications strategy and execution.
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.
Therapy Aide, Recreational PACE - Garden Grove
We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person.
Member Liaison Specialist (Customer Service) 505 City Parkway West
The Member Liaison Specialist (Customer Service) will provide member service to seniors, persons with disabilities or chronic conditions, persons without housing and persons under the age of twenty-one (21) who participate in the Whole-Child Model program.
Intern (Enterprise Architecture) - Fall 2026 505 City Parkway West
IT provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve.
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.

More Jobs 5