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Supervisor Claims (Operational Support-Analytics) 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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Russian Translation Specialist (Translation Specialist) in 505 City Parkway West
CalOptima Health’s Cultural and Linguistics (C&L) Department ensures all members have access to translation and interpretation services related to receiving health care in any language and translated member materials in CalOptima’s threshold languages.
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Director, Chronic Condition Self-Management (Director III) in 505 City Parkway West
The Equity and Community Health Management department engages members, providers, and community partners to reduce disparities and improve health outcomes for all CalOptima Health members.
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Care Manager in 505 City Parkway West
The Case Management Department oversees CalOptima Health Case Management needs for Medi-Cal and OneCare Members and Case Management regulatory requirements.
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Sr Manager, Strategic Planning & Performance (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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Collibra Administrator - Data Governance (Programmer Sr) in 505 City Parkway West
Information Technology provides best-in-class technology solutions that enhance the health outcomes of our members and the community we serve.
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Sr Manager, Quality Improvement (NCQA) (Sr. Manager II) in 505 City Parkway West
CalOptima Health is seeking a Sr. Manager in the Quality Improvement Department with NCQA accreditation experience to over see oversee the day-to-day operations of the National Committee for Quality Assurance (NCQA) Accreditation team and ensure CalOptima Health compliance with NCQA standards and submission processes. The position will also support the Quality Improvement Director in overseeing the Quality Improvement Health Equity Transformation Program (QIHETP) and the program structure.
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Designer (Video Production and Website Content) in 505 City Parkway West
The Designer (Video Production and Website Content) will use creative and digital media skills to plan and develop videos, animations, images and other content for various mediums including, but not limited to, social media, websites, email, television, and advertising.
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Clinical Auditor Sr 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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Medical Case Manager (LVN) (Long-Term Care) in 505 City Parkway West
The Medical Case Manager (LVN) for Long Term Care (LTC) is responsible for reviewing and processing requests for authorization and notification of LTC Skilled Nursing Facilities.
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