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Sr Clinical Data Engineer (ITS Architect III) in 505 City Parkway West
IT provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve.
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Medical Case Manager, CalAIM (RN) in 505 City Parkway West
CalAIM is a transformative five-year initiative redefining Medi-Cal to enhance members’ health outcomes and quality of life. By addressing social drivers of health and delivering comprehensive whole-person care, CalAIM provides coordinated services for physical, behavioral and long-term care needs. With a focus on equity and prevention, it extends critical support into communities, better serving California’s most vulnerable populations, including those experiencing homelessness, seniors and children with complex medical needs.
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Quality Improvement Specialist , Risk Adjustment, Covered California in 505 City Parkway West
Quality Analytics is responsible for working to improve performance on quality measures including clinical, access and member experience metrics. Quality Analytics works on priorities established with leadership and collaborates with internal department business owners and external providers on strategy, reporting and interventions.
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Chief Operating Officer (COO) in 505 City Parkway West
The Executive Office oversees the agency's operations and provides strategic vision.
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Manager Regulatory Affairs and Compliance, Covered California in 505 City Parkway West
RAC ensures CalOptima Health maintains compliance with all regulatory and contractual obligations across its Medi-Cal and Covered California lines of business. RAC serves as the liaison to key regulators—including the California Department of Health Care Services (DHCS), Covered California, the Department of Managed Health Care (DMHC), and the Centers for Medicare & Medicaid Services (CMS)—by disseminating timely regulatory updates, interpreting statutory and sub regulatory requirements, managing audits, overseeing corrective actions, and ensuring accurate, timely regulatory reporting and filings.
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