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    • Closes Jul 27 2025

      Claims Examiner in 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.

    • Closes Jul 24 2025

      Interdisciplinary Team Lead (Program Specialist) 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.

    • Closes Jul 16 2025

      Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) in 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.

    • Closes Jul 13 2025

      Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) in 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, participate in annual budgeting functions.

    • Closes Jul 13 2025

      Financial Analyst IV (Decision Support) in 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, participate in annual budgeting functions.

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