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Customer Service Representative (OneCare) (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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Member Liaison Specialist (Behavioral Health) in 505 City Parkway West
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 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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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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