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Grievance Resolution Specialist in 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.
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Quality Improvement Specialist (Equity & Practice Transformation Program) in 505 City Parkway West
CalOptima Health is seeking a quality specialist to develop training materials and educate providers on quality principles and methods to improve health outcomes and member satisfaction.
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Sr Manager, Marketplace Program Development (Sr Manager II) in 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.
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LVN (PACE) in 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.
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Customer Service Coordinator (OneCare Call Center) (Bilingual Required) in 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.
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