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...
Regulatory and Contract Compliance Specialist (Contracts Specialist Sr) CalOptima Join Us in this Amazing... to this Role: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership...
Program Manager, Broker Management CalOptima Join Us in this Amazing Opportunity The Team You'll... with department goals and CalOptima Health's strategic priorities. Makes moderate to significant improvements of processes...
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...
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...
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. 5% - Completes other projects...
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...
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...
skills General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English...