Auditor, Provider Data CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission... for conducting ongoing data quality auditing of CalOptima Health's provider network data, which includes working with internal...
Accountant II CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven... financial reporting of CalOptima Health's operations, participate in the general accounting functions and coordinate work...
As Needed HEDIS Case Manager CalOptima Join Us in this Amazing Opportunity The Team You'll... and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels...
Grievance & Appeals Nurse Specialist CalOptima Join Us in this Amazing Opportunity The Team You'll... in managing CalOptima Health's medical appeals and state hearing reviews for all lines of business, including handling expedited...
Grievance Resolution Specialist CalOptima Join Us in this Amazing Opportunity The Team You'll... on customer service, consistency, dignity and accountability. Maintains adequate information in CalOptima Health's systems...
Sr. Recruiter (Human Resources Representative Sr) CalOptima Join Us in this Amazing Opportunity The Team You'll... Human Resources department and with CalOptima Health employees and will ensure the best talent is hired. Together...
The Community Relations Specialist functions as a representative for CalOptima in the community and to community-based... resource about CalOptima's programs and services. The incumbent is expected and empowered to be a real-time problem solver...
Technical Analyst, Int. Job Description Why CalOptima? CalOptima is the single largest health plan in Orange... you to join CalOptima. Job Summary The Technical Analyst Int facilitates the coordination and integration of program related activities...
Program Manager (Provider Relations) Job Description Why CalOptima? CalOptima is the single largest health plan... you to join CalOptima. Job Summary The Program Manager leads the development and implementation of special projects, programs and new...
Provider Relations Rep Job Description Why CalOptima? CalOptima is the single largest health plan in Orange... you to join CalOptima. Job Summary The Provider Relations Representative is responsible for assisting with provider relations...
resident case notes into internal and external database (HMIS, CES System, Wellsky, CalOptima) in a timely manner... (as each database requires). Accuracy of CalOptima (CalAIM) billing process submission in a timely manner by designated deadline...