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29 jobs found
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  • Category:
    • Other (19)
    • Health Care (13)
    • Management (11)
    • Accounting (6)
    • Finance (5)
    • Customer Service (3)
    • Nurse (3)
    • Admin - Clerical (2)
    • Information Technology (2)
    • Purchasing - Procurement (1)
    • Professional Services (1)
    • QA - Quality Control (1)
    • Research (1)
    • Education (1)
    • Training (1)
    • Insurance (1)
    • Pharmaceutical (1)
  • Company:
    CalOptima (off)
  • City:
    • Orange (29)
  • State:
    • California (29)
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 Job Title / Description ( show titles only ) CompanyLocation
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REGISTERED DIETITIAN (15071-092414) - View similar jobs
Job type: Full-Time
Responsible for promoting nutritional health for CalOptima members by providing nutritional assessments and education. Conducts one-on-one nutrition...
CalOptima
CA - Orange
Today
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ADMINISTRATIVE ASSISTANT (PCC) (15160-092414) - View similar jobs
Job type: Full-Time
This position will provide administrative and clerical support for the Personal Care Coordinator (PCC) team. Facilitates faxing and mailing of...
CalOptima
CA - Orange
Today
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SUPERVISOR, CASE MANAGEMENT (PCC) (718-117) - View similar jobs
Job type: Full-Time
The Supervisor is responsible for the daily operation of Personal Care Coordinator (PCC) activities. S/he will provide guidance to staff or directly...
CalOptima
CA - Orange
Yesterday
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PERSONAL CARE COORDINATOR (15151-54 - 092314) - View similar jobs
Job type: Full-Time
This position will support the members in completing their health risk assessment (HRA) and development of an initial care plan. The Personal Care...
CalOptima
CA - Orange
Yesterday
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PHARMACY SERVICES SPECIALIST (05645-102214) - View similar jobs
Job type: Full-Time
Utilizes specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima departments, health networks...
CalOptima
CA - Orange
2 Days Ago
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AUDITOR, SR. (CUSTOMER SERVICE) (14337-081214) - View similar jobs
Job type: Full-Time
The Sr. Auditor will conduct routine oversight, monitoring and auditing of all internal business functions within CalOptima, as well as externally...
CalOptima
CA - Orange
2 Days Ago
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PROGRAM MANAGER (CBAS) (13073-102114) - View similar jobs
Job type: Full-Time
The Program Manager will be responsible formanaging the day-to-day operations of the Community Based Adult Services (CBAS) program. Specifically, the...
CalOptima
CA - Orange
3 Days Ago
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BUYER, SR. (15162-101314) - View similar jobs
Job type: Full-Time
The Sr. Buyer will handle complex purchasing assignments such as formal bidding that involves technical specifications and complex evaluation...
CalOptima
CA - Orange
3 Days Ago
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SYSTEMS MANAGER (INTEGRATION) (15064-070314) - View similar jobs
Job type: Full-Time
Responsible for identifying and assessing the systems and data implications for new business initiatives related to the Business Integration...
CalOptima
CA - Orange
5 Days Ago
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Director, Case Management (00487-101614) - View similar jobs
Job type: Full-Time
Direct all Case Management and Perinatal Services programs for CalOptima members to ensure that these functions are properly implemented by CalOptima...
CalOptima
CA - Orange
1 Week Ago
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MEDICAL AUTHORIZATION ASSISTANT- ONECARE (05620-101514) - View similar jobs
Job type: Full-Time
Provides office and case management support services. Serves as a contact between members, physicians, providers and CalOptima staff to gather...
CalOptima
CA - Orange
1 Week Ago
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Data Analyst (15054-101314) - View similar jobs
Job type: Full-Time
Under general supervision, provides claims specialized tasks relevant to an assigned program and/or project. This position has analytical, and/or...
CalOptima
CA - Orange
1 Week Ago
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Supervisor, Accounting (736-117) - View similar jobs
Job type: Full-Time
The Supervisor of Accounting oversees and coordinates the daily billing, receivable, and payment functions. He/she will be responsible for the...
CalOptima
CA - Orange
1 Week Ago
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Security Analyst, Sr. (14274-100914) - View similar jobs
Job type: Full-Time
This role is responsible for the creation, maintenance and oversight of the enterprise-wide security program. Establishes and performs procedures...
CalOptima
CA - Orange
2 Weeks Ago
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Director, Training and Education (100914) - View similar jobs
Job type: Full-Time
This position is responsible for the development of CalOptima’s training & education program. This person will work closely with clinical and business...
CalOptima
CA - Orange
2 Weeks Ago
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Manager, Provider Data Management Services (PDMS) (98462-100914) - View similar jobs
Job type: Full-Time
The Manager of Provider Data Management Services (PDMS) is responsible for the overall direction and management of provider data and analytics for...
CalOptima
CA - Orange
2 Weeks Ago
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EXECUTIVE DIRECTOR, COMPLIANCE (13121-100714) - View similar jobs
Job type: Full-Time
The Executive Director of Compliance shall serve as the Compliance Officer for the organization. The Executive Director coordinates and communicates...
CalOptima
CA - Orange
2 Weeks Ago
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Medical Director (15067-100314) - View similar jobs
Job type: Full-Time
The Medical Director is a key member of the medical management team and will be responsible for providing physician leadership in the Medical Affairs...
CalOptima
CA - Orange
2 Weeks Ago
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Auditor, Sr. (Claims) (14333-100314) - View similar jobs
Job type: Full-Time
The Audit & Oversight Auditor will conduct routine oversight, monitoring and auditing of all internal business functions within CalOptima, as well as...
CalOptima
CA - Orange
2 Weeks Ago
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Director, Utilization Management (724-117) - View similar jobs
Job type: Full-Time
This professional level Director position is responsible to direct and coordinate the planning, organization, implementation and evaluation of all...
CalOptima
CA - Orange
3 Weeks Ago
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PROGRAM ASSISTANT (14050-100114) - View similar jobs
Job type: Full-Time
Under general supervision, provide assistance with specialized services, including data reporting, analysis, and reconciliation relevant to an...
CalOptima
CA - Orange
3 Weeks Ago
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AUDITOR (CREDENTIALING) (14339-082514) - View similar jobs
Job type: Full-Time
The Credentialing Auditor will conduct routine oversight, monitoring and auditing of all internal business functions within CalOptima, as well as...
CalOptima
CA - Orange
3 Weeks Ago
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Provider Network Specialist (96165-093014) - 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
3 Weeks Ago
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GRIEVANCE AND APPEALS NURSE SPECIALIST (06762-082714) - View similar jobs
Job type: Full-Time
The Grievance and Appeals Nurse Specialist participates in managing the organization’s clinical grievance and appeal review for all lines of business...
CalOptima
CA - Orange
3 Weeks Ago
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CUSTOMER SERVICE REP (PART-TIME) (15001-06-080114) - View similar jobs
Job type: Part-Time
The Customer Service Representative is the first line of contact for CalOptima members and providers. The CSR will assist members and providers with...
CalOptima
CA - Orange
Sep-26