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Medical Case Manager, BHI 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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Program Manager, Provider Network - Covered California in 505 City Parkway West
The Program Manager (Provider Network) will play a vital role in the program design, development and implementation of programs/benefits and serve as the liaison among internal departments, health networks and delegates. The incumbent will be responsible for coordinating efforts and resources to ensure health network and delegated entity are compliant with all CalOptima Health and regulatory requirements, which involves interacting and collaborating with all levels of CalOptima Health staff and stakeholders, including the public, and representatives of other agencies to identify issues/information needs and recommending solutions to optimize business decisions and operations.
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Sr Manager Strategic Development - Covered California (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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Manager, Strategic Development, Individual and Family Plans - Covered California 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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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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