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Claims Resolution Specialist 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.
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Program Manager Sr, Vendor Management - Covered California in 505 City Parkway West
Procurement & Vendor Management is responsible for obtaining goods and services needed by CalOptima, ensuring compliance with all statutes and regulations regarding public procurement.
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Medical Authorization Assistant (Behavioral Health - Utilization Management) - Covered California in 505 City Parkway West
The Behavioral Health Integration Department directly manages Behavioral Health Services for CalOptima Health Medi-Cal, OneCare and Covered California Members.
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Engagement & Partnerships Representative (Community Relations Specialist) in 505 City Parkway West
The Community Relations Specialist (Engagement & Partnerships Representative) is responsible for executing local and provider-focused engagement strategies to strengthen member relationships, raise awareness of CalOptima Health’s Medicare Advantage/OneCare offerings, and support retention goals.
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Sr Fraud, Waste and Abuse Investigator (Investigator Sr) in 505 City Parkway West
Under general direction, the Investigator Sr for Fraud, Waste & Abuse (FWA) will support the detection, prevention, investigation, mitigation and reporting of FWA issues.
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