of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish, or English/Vietnamese...
of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima preferred Bi-lingual (English/Spanish, or English...
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...
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...
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...
as needed. Qualifications At least two years medical back office experience. Knowledge of insurance groups e.g. Medi-Cal, CalOptima, Medicare...
, Ryan White, and CalOptima. Obtain consults. Assist the Nurse Practitioner with follow-ups and recalls of mammograms...
of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish, or English/Vietnamese...