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Manager Customer Service, Covered CA Call Center in 505 City Parkway West
Seeking qualified applicants for the Manager Customer Service (Covered CA - Call Center) role. The Manager Customer Service (Covered CA – Call Center) will manage and oversee the daily operations of all call center activities and staff.
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Manager Quality Improvement, PQI in 505 City Parkway West
CalOptima Health's Quality Improvement (QI) department is responsible for the execution and coordination of quality assurance and improvement activities.
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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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Behavioral Health Utilization Management Medical Case Manager 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 Resolution Specialist Sr (Provider Resolution) 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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