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27 jobs found
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  • Category:
    • Health Care (15)
    • Management (15)
    • Other (10)
    • Insurance (4)
    • Admin - Clerical (2)
    • Human Resources (2)
    • Information Technology (2)
    • QA - Quality Control (2)
    • Strategy - Planning (2)
    • Accounting (1)
    • Customer Service (1)
    • Finance (1)
    • General Business (1)
    • Professional Services (1)
    • Training (1)
    • Nurse (1)
  • Company:
    CalOptima (off)
  • City:
    • Orange (27)
  • State:
    • California (27)
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MANAGER, LONG TERM SUPPORT SERVICES (97414-012715) - View similar jobs
Job type: Full-Time
This position is responsible for developing and managing the Long Term Care (LTSS) department work activities and personnel to ensure that service...
CalOptima
CA - Orange
Today
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QI Nurse Specialist (06707-012615) - View similar jobs
Job type: Full-Time
The QI Nurse Specialist is responsible for daily program maintenance pertaining to Centers for Medicare and Medicaid Services (CMS) Special Needs Plan...
CalOptima
CA - Orange
Yesterday
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Medical Authorization Assistant - Case Mgmt (14303-012115) - View similar jobs
Job type: Full-Time
To assist the Case Management Department offering support services under the direction of the Director of Case Management, Manager of Case Management...
CalOptima
CA - Orange
2 Days Ago
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Administrative Assistant (Long Term Care) (15118) - View similar jobs
Job type: Full-Time
The Administrative Assistant supports the Director, as well as the LTSS team and programs. Primary duties include preparing materials for committee...
CalOptima
CA - Orange
2 Days Ago
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Manager, Audit & Oversight (07776-012315) - View similar jobs
Job type: Full-Time
Leads the routine oversight, monitoring and auditing of all internal business functions within CalOptima, as well as externally delegated functions to...
CalOptima
CA - Orange
2 Days Ago
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Medical Case Manager (OneCare Clinical) (96242-14317-10021-012115) - 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
6 Days Ago
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SOCIAL WORKER (CASE MANAGEMENT) (97405-011615) - View similar jobs
Job type: Full-Time
The Social Worker is a critical part of the case management team and acts as the primary contact for Social Services, California Childrens Services...
CalOptima
CA - Orange
1 Week Ago
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Director, Compliance (96362-121714) - View similar jobs
Job type: Full-Time
The Director of Compliance ensures that CalOptima and its subcontracted health networks comply with appropriate standards, regulations, contractual...
CalOptima
CA - Orange
1 Week Ago
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SR. PROJECT MANAGER (15096-092214) - 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
1 Week Ago
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SYSTEMS NETWORK ADMINISTRATOR (06734-112414) - View similar jobs
Job type: Full-Time
This position is responsible for all aspects of day-to-day administration of CalOptima desktop systems and limited administration of server systems...
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
1 Week Ago
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SUPERVISOR, LONG TERM SUPPORT SERVICES (LTSS) (15123-111314) - View similar jobs
Job type: Full-Time
The Supervisor is responsible for planning, organizing, developing and implementing the principles, programs, policies, procedures, and techniques...
CalOptima
CA - Orange
1 Week Ago
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PROGRAM/POLICY ANALYST (MEDI-CAL) (14320-011515) - View similar jobs
Job type: Full-Time
The Program/Policy Analyst coordinates and maintains CalOptima’s relationships with regulatory agencies. Specifically, the Program Analyst works to...
CalOptima
CA - Orange
1 Week Ago
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CLAIMS QA ANALYST (15059-010915) - View similar jobs
Job type: Full-Time
The QA Analyst is responsible for auditing claims activity performed in the claims department following regulatory and internal guidelines in...
CalOptima
CA - Orange
2 Weeks Ago
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PROGRAM SPECIALIST (15137-010915) - View similar jobs
Job type: Full-Time
Under general supervision, provides support to the Director on specialized tasks relevant to an assigned program and/or project. This position has...
CalOptima
CA - Orange
2 Weeks Ago
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Manager, Human Resources (Compensation & Benefits) (96343-120914) - View similar jobs
Job type: Full-Time
Responsible for managing all aspects of compensation and benefits administration for CalOptima and its employees. This position is responsible for...
CalOptima
CA - Orange
2 Weeks Ago
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DIRECTOR, STRATEGIC DEVELOPMENT (13120-120814) - View similar jobs
Job type: Full-Time
Lead and assist the organization in developing and successfully implementing short and long term strategic goals and objectives. Coordinate...
CalOptima
CA - Orange
2 Weeks Ago
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CLAIMS EXAMINER (96188-010715) - View similar jobs
Job type: Full-Time
The claims examiner analyzes and processes claims. This position is responsible for following regulatory and internal guidelines in conjunction with...
CalOptima
CA - Orange
2 Weeks Ago
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DIRECTOR, PACE PROGRAM (10050-010715) - View similar jobs
Job type: Full-Time
The PACE Program Director assumes overall leadership and responsibility for CalOptima’s Program of All-Inclusive Care for the Elderly (PACE). The...
CalOptima
CA - Orange
2 Weeks Ago
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CLAIMS RESOLUTION SPECIALIST (CUSTOMER SERVICE) (07777-111214) - 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
3 Weeks Ago
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MEDICAL CASE MANAGER (LONG TERM CARE) (15121-15116-122614) - View similar jobs
Job type: Full-Time
The LTSS Medical Case Manager is part of an advanced specialty collaborative practice, responsible for case management, care coordination and...
CalOptima
CA - Orange
Dec-31
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Grievance Resolution Specialist (14160-14207-122914) - View similar jobs
Job type: Full-Time
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to...
CalOptima
CA - Orange
Dec-30