Program Assistant (Claims Administration) CalOptima Join Us in this Amazing Opportunity The Team You'll.... Interacts with other departments, external stakeholders and CalOptima Health's general office system, and coordinates work...
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...
Claims Resolution Specialist (Customer Service) CalOptima Join Us in this Amazing Opportunity The Team You'll... of contact for CalOptima Health providers. You will assist providers with questions related to the payment of claims...
experience preferred General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi...
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...
Enterprise Release & Environment Architect (ITS Architect IV) CalOptima Join Us in this Amazing Opportunity The... CalOptima Health organization. The primary responsibility of this role is to plan, schedule, and coordinate software releases...
as needed. Qualifications At least two years medical back office experience. Knowledge of insurance groups e.g. Medi-Cal, CalOptima, Medicare...
: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish, or English/Vietnamese) preferred...
, Ryan White, and CalOptima. Obtain consults. Assist the Nurse Practitioner with follow-ups and recalls of mammograms...
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...