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1 - 14 of 14 jobs found
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  • Category:
    • Other (9)
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  • Company:
    CalOptima (off)
  • City:
    • Orange (14)
  • State:
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MEDICAL CASE MANAGER (LONG TERM CARE) (15116-070914) - View similar jobs
Job type: Full-Time
LTC Medical Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima...
CalOptima
CA - Orange
Yesterday
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MANAGER, CLINICAL AUDIT AND OVERSIGHT (14328-070914 - 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
Yesterday
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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 Program Implementation...
CalOptima
CA - Orange
4 Days Ago
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Security Analyst, Sr. (13061-070314) - 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
4 Days Ago
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Supervisor, Customer Service (15025-15026-070314) - View similar jobs
Job type: Full-Time
Job Summary The Customer Service Supervisor (CSS) is responsible for daily operation of the call center and supervision of the call center staff. The...
CalOptima
CA - Orange
4 Days Ago
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MANAGER, CLINICAL AUDIT AND OVERSIGHT (14328-063014) - 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
1 Week Ago
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MANAGER, INFORMATION SERVICES (DATA SECURITY) (15089-062514) - View similar jobs
Job type: Full-Time
The Manager of IS- Data Security is the leader for all corporate data security functions for CalOptima and its subsidiaries. Overall responsibilities...
CalOptima
CA - Orange
2 Weeks Ago
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PROJECT MANAGER (COMPLIANCE) (14148-062414) - View similar jobs
Job type: Full-Time
To assess the impact and requirements of audits and requests received by CMS, AHRQ, DHCS and other agencies. Will develop strategy for the...
CalOptima
CA - Orange
2 Weeks Ago
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Actuarial Analyst, Sr. (14144-061914) - View similar jobs
Job type: Full-Time
This position will provide actuarial analysis on projects and will also support the Director of Financial Analysis and other departments throughout...
CalOptima
CA - Orange
3 Weeks Ago
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Medical Case Manager (Pre Authorization Nurse Reviewer) (06700-061714) - View similar jobs
Job type: Full-Time
This position, under the direction of the Manager of Prior Authorizations, is responsible for reviewing and processing requests for authorization and...
CalOptima
CA - Orange
3 Weeks Ago
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Provider Relations Representative (06679-061314) - View similar jobs
Job type: Full-Time
A Provider Relations Representative is a member of a cohesive unit that responds to and provides education to providers regarding CalOptima and its...
CalOptima
CA - Orange
3 Weeks Ago
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Clinical Auditor (QI Nurse) (14333-14334-061214) - View similar jobs
Job type: Full-Time
This position serves as the auditor for Quality Improvement (QI), Utilization Management (UM), and Clinical Grievances (GARS) oversight. This position...
CalOptima
CA - Orange
Jun-13
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Auditor, Sr. (Pharmacy) (14329-14330-061214) - View similar jobs
Job type: Full-Time
Under general supervision, provides support to the Director on specialized oversight of pharmacy management functions. Position is assigned to oversee...
CalOptima
CA - Orange
Jun-13
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Auditor, Sr. (GARS) (14331-061214) - View similar jobs
Job type: Full-Time
The Grievance and Appeals Auditor is responsible for auditing grievance and appeal activity performed within the GARS department to ensure that...
CalOptima
CA - Orange
Jun-13