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26 jobs found
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  • Category:
    • Other (14)
    • Health Care (10)
    • Management (8)
    • Admin - Clerical (5)
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    • Customer Service (4)
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  • Company:
    CalOptima (off)
  • City:
    • Orange (26)
  • State:
    • California (26)
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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
2 Days 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
4 Days Ago
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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
5 Days Ago
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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
5 Days Ago
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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
6 Days Ago
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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
6 Days Ago
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DIRECTOR, GRIEVANCE & APPEALS RESOLUTION SERVICES (GARS) (14102-092314) - View similar jobs
Job type: Full-Time
Develop and manage the Grievance and Appeals Resolution Services (GARS) department to ensure that service standards are met and ensure adherence to...
CalOptima
CA - Orange
6 Days Ago
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SYSTEMS NETWORK ADMINISTRATOR, SR. (09019-092314) - View similar jobs
Job type: Full-Time
This position is responsible for the day-to-day operations of the company e-Mail, Right Fax, Desktops, Provide Helpdesk Support, Windows Enterprise...
CalOptima
CA - Orange
6 Days Ago
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GRIEVANCE RESOLUTION SPECIALIST (15096-092214) - 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
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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AMBULATORY MEDICAL CASE MANAGER (15158-15159-092214) - 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
1 Week Ago
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AUDITOR, SR. (CREDENTIALING) (14337-071714) - 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
1 Week 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
1 Week Ago
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CONTRACTS SPECIALIST (13074-091714) - View similar jobs
Job type: Full-Time
This position will assist in the implementation of certain provider contracts and letters of agreement. The Contracts Specialist is responsible for...
CalOptima
CA - Orange
1 Week Ago
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RECEPTIONIST (96367-091514) - View similar jobs
Job type: Full-Time
The Receptionist is responsible for answering and transferring incoming telephone calls and shall respond to all calls from CalOptima members...
CalOptima
CA - Orange
2 Weeks Ago
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MEMBER LIAISON SPECIALIST (BILINGUAL POSITION) (091214) - View similar jobs
Job type: Full-Time
Provides member service to Seniors, Persons with Disabilities or chronic conditions, and persons without housing. Functions as a liaison between...
CalOptima
CA - Orange
2 Weeks Ago
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ENROLLMENT COORDINATOR-PACE (BILINGUAL KOREAN) (091214) - View similar jobs
Job type: Full-Time
The PACE Enrollment Coordinator is responsible for the initial screening and coordination of new participants to the CalOptima PACE (Program of All...
CalOptima
CA - Orange
2 Weeks Ago
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PROVIDER ENROLLMENT DATA COORDINATOR (15036-01531-091214) - View similar jobs
Job type: Full-Time
Enters and maintains the provider enrollment database, and functions as a liaison between the Health Networks and providers. Responsible for...
CalOptima
CA - Orange
2 Weeks Ago
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HELP DESK TECHNICIAN (15086-090914) - View similar jobs
Job type: Full-Time
This position is responsible for all aspects of day-to-day administration of the CalOptima IS Help Desk and desktop systems. Employees at this level...
CalOptima
CA - Orange
2 Weeks Ago
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ADMINISTRATIVE ASSISTANT (IS PROJECT MANAGEMENT) (090414) - View similar jobs
Job type: Full-Time
The Administrative Assistant for Information Services (IS) performs general administrative functions on behalf of the Directors and the IS department...
CalOptima
CA - Orange
3 Weeks Ago
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MANAGER, BUSINESS INTEGRATION (PROGRAM DEVELOPMENT) (12049-090214) - View similar jobs
Job type: Full-Time
The Manager of Business Integration (Program Development) manages the development of programs and initiatives, facilitating and providing support that...
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
1 Week Ago