Intern (Talent Acquisition) CalOptima Position Information: Department: HR - Talent Salary Grade: 301... 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... Nurse Specialist will participate in managing CalOptima Health's medical appeals and state hearing reviews for all lines...
Auditor, Provider Data CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission...) will be responsible for conducting ongoing data quality auditing of CalOptima Health's provider network data, which includes working...
QI Nurse Specialist (RN) (PQI) CalOptima Join Us in this Amazing Opportunity The Team You'll... to this Role: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership...
Program Manager, Provider Data Operations CalOptima Join Us in this Amazing Opportunity The Team You'll... and market trends that may impact CalOptima Health's provider programs and/or mission. 10% - Other Completes...
PACE Scheduling Lead (Program Coordinator) CalOptima Join Us in this Amazing Opportunity The Team You'll... Assistant Certification. Clinical background. Bilingual in English and in one of CalOptima Health PACE's defined...
Supervisor Case Management CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission... and procedures in collaboration with the manager. You will serve as a resource for CalOptima Health's providers, health networks...
, authorization and/or referrals, eFax and records, abstracting charts and CalOptima billing. Pay Range Minimum $23.08 Midpoint...
EAP, Carelon/Anthem, IEHP, CalOptima, and any additional contracted payers. Submission must be completed before the client... EAP, Carelon/Anthem, and Medi-Cal managed care plans (including CalOptima and IEHP). Strong working knowledge of the...
, CalOPTIMA, MediCal, etc. Qualifications: Bilingual in Spanish Previous Medical Front Office experience Knowledge...