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Part-Time -Customer Service Representative Sr (OneCare) (Bilingual Required) in 505 City Parkway West
The Customer Service team provides information regarding eligibility, enrollment, benefits and assists members and providers with questions related to the OneCare Plan services.
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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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Manager Cultural & Linguistic 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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Manager Program Implementation, Grant Management 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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Data Engineer, Platform Modernization (Data Warehouse Programmer/Analyst) in 505 City Parkway West
CalOptima Health is seeking an experienced and passionate Platform Modernization Data Engineer to join our team. You will partner with the data engineering, analytics, and governance teams to retire legacy data assets and migrate their business logic to modern data platforms that serve members across every line of business with excellence and dignity. This role offers the opportunity to remediate Microsoft Access databases and SQL Server stored procedures and replace them with modern cloud-native equivalents while strengthening data governance practices, directly contributing to solutions that improve patient care, ensure compliance, and drive operational excellence.
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Provider Data Management Services Coordinator Sr, Covered California in 505 City Parkway West
The Provider Data Management Services department is responsible for managing operations of the provider network to ensure timely access to care for our members.
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Intern (Talent Acquisition) in 505 City Parkway West
Intern (Talent Acquisition)
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QI Nurse Specialist (RN) (PQI) in 505 City Parkway West
The QI Nurse Specialist for Potential Quality Issue (PQI) will be responsible for participating in handling the organization’s quality of care grievance review process and investigations for potential quality of care issues.
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Auditor, Provider Data in 505 City Parkway West
The Auditor (Provider Data) will be responsible for conducting ongoing data quality auditing of CalOptima Health’s provider network data, which includes working with internal departments and health networks to remediate data errors.
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Program Manager, Provider Data Operations in 505 City Parkway West
The Program Manager (Provider Data Operations) will be responsible for collaborating and coordinating with leadership the planning, design and implementation of programs and initiatives that impact the teams within the Provider Data Operations department.
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Member Liaison Specialist (Behavioral Health) 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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PACE Scheduling Lead (Program Coordinator) in PACE - Garden Grove
PACE is a health services plan designed for people of age 55 and older, who have ongoing health care needs. The services provided are all inclusive and authorized by the interdisciplinary team.
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Social Worker (MSSP) in 505 City Parkway West
The MSSP department Social Worker's assess prospective members for the various programs available.
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Supervisor Member Outreach and Education - Covered California in 505 City Parkway West
The Sales and Marketing Department is responsible for outreach, education, and marketing tasks associated with obtaining new members into the Covered California program.
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Contracts Manager Sr in 505 City Parkway West
The Contracting Department works with many departments and all levels of CalOptima Health’s leadership and staff to support policy, process and contracting related needs.
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Supervisor Case Management 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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Social Worker (PACE) in PACE - Garden Grove
PACE is a health services plan designed for people of age 55 and older, who have ongoing health care needs. The services provided are all inclusive and authorized by the interdisciplinary team.
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Covered California Community Partner (Sales) in 505 City Parkway West
The Sales and Marketing Department is responsible for outreach, education, and marketing tasks associated with obtaining new members into the Covered California program.
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Social Worker (PACE) in PACE - Garden Grove
PACE is a health services plan designed for people of age 55 and older, who have ongoing health care needs. The services provided are all inclusive and authorized by the interdisciplinary team.
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Sr. HRIS Representative (Human Resources Representative Sr) in 505 City Parkway West
Human Resources The Human Resources department believes happy employees are key to our success. We're seeking a passionate HR professional to champion talent acquisition, drive positive culture, and help us grow and thrive. Come be a part of our story and make a real impact!
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