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...
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...
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...
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...
as needed. Qualifications At least two years medical back office experience. Knowledge of insurance groups e.g. Medi-Cal, CalOptima, Medicare...