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29 Jobs Found
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Program Development Analyst, Sr. (16025-020516)

Job type: Full-Time

The Sr. Program Development Analyst provides project support to assist in the development and implementation of programs and initiatives, including...

CalOptima  
CA - Orange
22 hours ago

Provider Network Specialist (96165-020516)

Job type: Full-Time

Functions as a liaison between CalOptima and contracted health networks/medical groups (collectively referred to as health networks) and facilitate...

CalOptima  
CA - Orange
22 hours ago

Training Program Coordinator (15129-020516)

Job type: Full-Time

Under general supervision, provides grievance & appeals specialized tasks relevant to an assigned program and/or projects. This position requires t...

CalOptima  
CA - Orange
4 days ago

HR Specialist (Data Management) (16138-020316)

Job type: Full-Time

Under general supervision, the HR Specialist provides human resources support to the business implementation of data management initiatives and pro...

CalOptima  
CA - Orange
5 days ago

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Medical Case Manager (Onsite Concurrent Review) (14127-071515)

Job type: Full-Time

Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Direct me...

CalOptima  
CA - Orange County
7 days ago

Health Educator (15070-020216)

Job type: Full-Time

Responsible for planning, implementing and evaluating health education activities for CalOptima members. Provides individual and group health educa...

CalOptima  
CA - Orange County
7 days ago

Supervisor, Claims (Shared Risk) (08032-020216)

Job type: Full-Time

The Claims Supervisor oversees the day-to-day operations of the shared risk claims examining staff. This position is responsible for following regu...

CalOptima  
CA - Orange County
7 days ago

Supervisor, Long Term Services and Supports (LTSS) (15123-020116)

Job type: Full-Time

The Supervisor is responsible for planning, organizing, developing and implementing the principles, programs, policies and procedures employed in t...

CalOptima  
CA - Orange
8 days ago

Social Worker (Care Manager) (02565-020116)

Job type: Full-Time

Assess prospective patients for the various programs available to the patient. Develop, implement, monitor, modify, and document service (care) pla...

CalOptima  
CA - Orange
8 days ago

Data Entry Tech (Claims) (15060-020116)

Job type: Full-Time

The Data Entry Tech is responsible for the accurate and timely review of the claims data file, as well as following regulatory and internal guideli...

CalOptima  
CA - Orange
8 days ago

Program Specialist (Claims Administrative) (96183-012916)

Job type: Full-Time

The Claims Administrative Program Specialist analyzes and processes complex claims and projects. This position is responsible for following regulat...

CalOptima  
CA - Orange
11 days ago

Program Assistant (Enrollment) (11022-012816)

Job type: Full-Time

Under general supervision, provide assistance with specialized services, including data reporting, analysis, and reconciliation relevant to an assi...

CalOptima  
CA - Orange
11 days ago

Manager, Quality Analytics (HEDIS) (96248-012716)

Job type: Full-Time

The HEDIS Manager works collaboratively with the Director to develop, implement, and evaluate health outcomes and performance measures pertinent to...

CalOptima  
CA - Orange County
13 days ago

HR Representative, Sr. (Compensation) (15105-012716)

Job type: Full-Time

This position provides expertise in administering CalOptima’s base pay, incentive and merit compensation programs. These include: job evaluations...

CalOptima  
CA - Orange
13 days ago

Manager, Clinic Operations (RN) (12060-012216)

Job type: Full-Time

Under the direction of the PACE Director, the Manager of Clinic Operations is responsible for oversight of the PACE clinic operations. This include...

CalOptima  
CA - Orange
15 days ago

Health Coach (16102-012216)

Job type: Full-Time

The Health Coach assesses member needs and develops a disease management plan that meets member’s self-management needs and is aligned with the mem...

CalOptima  
CA - Orange
15 days ago

Health Coach (15076-012216)

Job type: Full-Time

The Health Coach assesses member needs and develops a disease management plan that meets member’s self-management needs and is aligned with the mem...

CalOptima  
CA - Orange
15 days ago

Manager, Human Resources (Benefits) (96342-012216)

Job type: Full-Time

This position is responsible for managing all aspects of health and welfare benefits and retirement plans administration for CalOptima and its empl...

CalOptima  
CA - Orange
15 days ago

Director, Human Resources (97435-012216)

Job type: Full-Time

Guide and manage the overall Human Resources services, policies and programs for CalOptima including recruitment and staffing, performance manageme...

CalOptima  
CA - Orange
15 days ago

Buyer, Sr. (97449-011916)

Job type: Full-Time

The Senior Buyer will handle complex purchasing assignments such as formal bidding that involves technical specifications and complex evaluation pr...

CalOptima  
CA - Orange
20 days ago

Compliance - Lead (OneCare) (1265-117)

Job type: Full-Time

Under the direction of the Director of Compliance, the Compliance Lead helps to ensure that CalOptima and its subcontracted health networks and phy...

CalOptima  
CA - Orange
20 days ago

Payroll Specialist (15099-011916)

Job type: Full-Time

Responsible for assisting the Payroll Manager in all aspects of the timely and accurate processing of bi-weekly, multi-state payroll and year-end p...

CalOptima  
CA - Orange County
21 days ago

Program Specialist (Translation & Interpreter Services) (14001-011316)

Job type: Full-Time

Under general supervision, this position supports CalOptima’s compliance with cultural and linguistic (C&L) State and Federal regulatory requiremen...

CalOptima  
CA - Orange
26 days ago

Auditor, Sr. (Credentialing) (14331-011316)

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
27 days ago

Clinical Pharmacist (02580-111715)

Job type: Full-Time

The clinical pharmacist is an integral part of the CalOptima Pharmacy Management team and will work to drive pharmacy initiatives and clinical prog...

CalOptima  
CA - Orange County
28 days ago

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