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1 - 25 of 25 jobs found
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  • Company:
    CalOptima (off)
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SR. DATABASE ADMINISTRATOR (14006-111413) - View similar jobs
Job type: Full-Time
Manage the day to day operations of all SQL Server database systems. Recommend, develop, support and enhance the database infrastructure to meet...
CalOptima
CA - Orange County
Yesterday
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SUPERVISOR, HEALTH SERVICES (CONCURRENT REVIEW) (14044-092613) - View similar jobs
Job type: Full-Time
The Supervisor of Concurrent Review/Transitions of Care will monitor and oversee the department work activities to ensure that service standards are...
CalOptima
CA - Orange County
Yesterday
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DIRECTOR, AUDIT AND OVERSIGHT (14327-041614) - View similar jobs
Job type: Full-Time
This position oversees and conducts independent performance audits of CalOptima operations, Pharmacy Benefits Manager (PBM) operations and Provider...
CalOptima
CA - Orange County
Yesterday
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Sr. Claims Examiner (14254-14255-021814-06697-120513) - View similar jobs
Job type: Full-Time
The Senior Claims Examiner analyzes and processes claims. This position is responsible for following regulatory and internal guidelines in conjunction...
CalOptima
CA - Orange County
2 Days Ago
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Project Manager, Sr. (Medical Data Mgmt) (96244-041514) - View similar jobs
Job type: Full-Time
Position provides leadership, coordination, and staff support to ensure effective communication and the development and implementation of special...
CalOptima
CA - Orange County
2 Days Ago
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Grievance & Appeals Nurse Specialist (State Hearings) (08026-041514) - View similar jobs
Job type: Full-Time
The Grievance and Appeals Nurse Specialist (State Hearings) participates in managing the organization’s State Hearing review for all lines of business...
CalOptima
CA - Orange County
2 Days Ago
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Provider Network Specialist (14114-041514) - View similar jobs
Job type: Full-Time
Functions as a liaison between CalOptima and the contracted health networks/medical groups (collectively referred to as Health Networks) and...
CalOptima
CA - Orange County
2 Days Ago
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Project Manager (14241-041114) - View similar jobs
Job type: Full-Time
The Project Manager provides leadership, coordination, and support to ensure effective communication, development and implementation of projects...
CalOptima
CA - Orange County
4 Days Ago
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ONECARE CLINICAL CASE MANAGER, RN (14316-14317-040414) - View similar jobs
Job type: Full-Time
Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima members. The...
CalOptima
CA - Orange County
1 Week Ago
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Program/Policy Analyst (Regulatory) (040214) - View similar jobs
Job type: Full-Time
This position is responsible for supporting CalOptima’s process for development and maintenance of policies and procedures for state and federal...
CalOptima
CA - Orange County
2 Weeks Ago
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Credentialing Coordinator (14261-040214) - View similar jobs
Job type: Full-Time
Under general supervision, performs verification and processing of moderately complex to advanced level documents and database information using...
CalOptima
CA - Orange County
2 Weeks Ago
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Personal Care Attendant (PACE) (14083-040214) - View similar jobs
Job type: Full-Time
Under the direction and supervision of the Center Manager, the Personal Care Attendant provides personal care services to CalOptima PACE participants...
CalOptima
CA - Orange County
2 Weeks Ago
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Social Worker (MSW)- PACE (14096-040214) - View similar jobs
Job type: Full-Time
Responsible for the direct social work care management services to the participants of the CalOptima PACE program. Provides social service support...
CalOptima
CA - Orange County
2 Weeks Ago
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Pharmacy Resident (11043-040214) - View similar jobs
Job type: Full-Time
The pharmacy residency program occurs within an integrated managed care setting. The resident is trained in the role of the clinical pharmacist in the...
CalOptima
CA - Orange County
2 Weeks Ago
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Administrative Assistant (Project Management) (14153-040214) - View similar jobs
Job type: Full-Time
Under general supervision of the two Directors, this position will provide coordination and administrative services relevant to key functions...
CalOptima
CA - Orange County
2 Weeks Ago
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Manager, Long Term Support Services (97414-040114) - View similar jobs
Job type: Full-Time
The Manager is expected to develop and manage the Long Term Support Services department’s work activities and personnel. S/he will ensure that service...
CalOptima
CA - Orange County
2 Weeks Ago
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Performance Analyst (Performance/Capacity Reporting) (14015-032714) - View similar jobs
Job type: Full-Time
As a member of the infrastructure team, this position will assist in identifying, monitoring and reporting on appropriate infrastructure components...
CalOptima
CA - Orange County
3 Weeks Ago
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IS PROJECT MANAGER (14263-14273-032614) - View similar jobs
Job type: Full-Time
Provides leadership, coordination, and staff support to ensure effective communication, development, and implementation of special projects, programs...
CalOptima
CA - Orange County
3 Weeks Ago
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SR. SECURITY ANALYST (14274-032514) - View similar jobs
Job type: Full-Time
This role is responsible for the creation, maintenance and oversight of the enterprise-wide security plan. Establishes and performs procedures...
CalOptima
CA - Orange County
3 Weeks Ago
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SECURITY ANALYST, INT (14272-032514) - View similar jobs
Job type: Full-Time
This role is responsible for the support, maintenance and monitoring of the enterprise-wide security plan. Performs procedures necessary to ensure the...
CalOptima
CA - Orange County
3 Weeks Ago
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Claims Resolution Specialist (07772-032014) - View similar jobs
Job type: Full-Time
The Claims Resolution Specialist (CRS) is the first line of contact for CalOptima providers. The CRS will assist providers with questions related to...
CalOptima
CA - Orange County
Mar-21
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QI NURSE SPECIALIST (CBAS DELEGATION OVERSIGHT) (14136-031914) - View similar jobs
Job type: Full-Time
This position serves as the delegation oversight auditor for the Community Based Adult Centers (CBAS) and contracted delegated Health Networks (HN...
CalOptima
CA - Orange County
Mar-20
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SR. PROJECT MANAGER (11034-031914) - View similar jobs
Job type: Full-Time
The Project Manager, Sr. provides leadership, coordination and staff support to ensure effective communication and the development and implementation...
CalOptima
CA - Orange County
Mar-20
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DATA ENTRY TECH (14030-031914) - View similar jobs
Job type: Full-Time
Provide data entry services to various areas of the organization. Perform routine to complex data entry and data maintenance functions. Responsible...
CalOptima
CA - Orange County
Mar-20
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MANAGER, CLINICAL PHARMACISTS (MEDICARE) (14236-031914) - View similar jobs
Job type: Full-Time
This position will assist the Pharmacy Director and pharmacy staff with the ongoing development and implementation of Medicare Part D requirements for...
CalOptima
CA - Orange County
Mar-20