Sr Grants Program Specialist (Program Specialist Sr) CalOptima Join Us in this Amazing Opportunity The Team.... Communicates with applicants and grantee partners to facilitate their relationship with CalOptima Health and their appropriate...
Program Specialist (NCQA) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission... in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. Supports the manager in preparing...
Financial Analyst II (Budgeting) CalOptima Join Us in this Amazing Opportunity The Team You'll..., CA, at least two (2) days per week minimum. The Financial Analyst II (Budgeting) will support CalOptima Health's Budget department...
General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish...
General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish...
General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish...
, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish, or English/Vietnamese) preferred...
for disenrolling from PACE services. May be required to perform home visits to private homes of CalOptima Health's PACE participants... Qualifications: 1 year of case management experience with the elderly population. Bilingual in English and in one of CalOptima...
including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. Follow up unpaid claims and work toward resolution. Resolve billing...
database (HMIS, CES System, WellSky, and CalOptima) in a timely manner (as each database requires). Exit guests from case load... and internal/external database, close out guests’ physical files Accuracy of CalOptima (CalAIM) billing process submission...