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Business Analyst, Enrollment and Premium Billing in 505 City Parkway West
The Business Analyst-Enrollment and Premium Billing will be responsible for supporting the development, implementation and ongoing operationalization of Covered California enrollment and premium billing functions for CalOptima Health.
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Program Assistant, Grievance & Appeals 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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Program Assistant, Enrollment - Medi-Cal in 505 City Parkway West
This position supports Medi-Cal program operations by assisting with member enrollment processes, eligibility analysis, and provider assignments while ensuring accuracy and regulatory compliance. The role works closely with cross-functional teams to process member requests, respond to policy-related inquiries, prepare reports, and support audits and quality assurance activities. Ideal candidates are detail-oriented, collaborative, and committed to delivering high-quality service that positively impacts our members.
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Sr. Investigator, Fraud, Waste and Abuse 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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Sr Program Specialist, Medi-Cal & CalAIM 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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