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...
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...
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...
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...
Provider Relations Rep Job Description Why CalOptima? CalOptima is the single largest health plan in Orange... you to join CalOptima. Job Summary The Provider Relations Representative is responsible for assisting with provider relations...
Program Manager (Provider Relations) Job Description Why CalOptima? CalOptima is the single largest health plan... you to join CalOptima. Job Summary The Program Manager leads the development and implementation of special projects, programs and new...
of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi-lingual (English/Spanish, or English/Vietnamese...
Strong customer service skills General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima Bi...
, CalOPTIMA, MediCal, etc. Qualifications: Bilingual in Spanish Previous Medical Front Office experience Knowledge...