CalOptima, CA Jobs

CalOptima’s OneCare Customer Service team seeks a Senior Representative to support member health with dignity and excellence.

The Customer Service Representative (CSR) will be the first line of contact for CalOptima Health's members and providers.

The ITS Analyst Sr (Finance Systems) will be responsible for configuring, maintaining, and optimizing CalOptima Health's finance and related systems to support operations and ongoing process improvement.

The Social Worker for the Program for All-Inclusive Care for the Elderly (PACE) will be responsible for direct social work care management services, such as participant screening, case management, counseling and…

The Supervisor of Nursing Services (PACE) is responsible for the daily operations of the Program for All-Inclusive Care for the Elderly (PACE) nursing services.

We are hoping you will join us as a Supervisor Grievance and Appeals and help shape the future of healthcare where you'll be an integral part of our GA - Provider Disputes team, helping to strive for excellence while we…

The Program/Policy Analyst Sr (Covered California Regulatory Affairs) will coordinate and maintain CalOptima Health's relationships with regulatory agencies.

The Customer Service Rep Sr (OneCare) will serve as a senior point of contact for OneCare members and providers and assist them with questions and/or complaints related to the OneCare plan services.

The Program Manager plays a vital role in supporting the design, development, and implementation of Strategic Development programs and new product lines, including commercial.

The Manager PACE Center will be responsible for the day-to-day operations of the Program of All Inclusive Care for the Elderly (PACE) Center and works closely with the Senior Manager Clinical Center to ensure the…

The Medical Assistant the Program of All Inclusive Care for the Elderly (PACE) will work under the general supervision of the Clinic Nurse and within regulatory practice.

The Medical Case Manager (LVN) for the Program for All-Inclusive Care for the Elderly (PACE) is responsible for reviewing and processing requests for authorization and notification of medical services from health…

We are hoping you will join us as a Chief Operating Officer (COO) and help shape the future of healthcare where you'll be an integral part of our Executive Office team, helping to strive for excellence while we serve…

The Quality Improvement Specialist (Risk Adjustment) will be responsible for documentation and monitoring to ensure the accuracy, completeness and compliance of Affordable Care Act (ACA) Commercial, Medicare Advantage…

Medical Case Manager, CalAIM (RN) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting…

CalOptima's CS - Medi-Cal Call Center team seeks a Customer Service Representative to serve as the first line of contact for members and providers in Orange County.

The Marketing and Outreach Specialist Sr will be responsible for assisting in the implementation of marketing programs, advertising campaigns and strategic partnerships to support CalOptima Health's programs.

We are hoping you will join us as a Clinician (Behavioral Health) and help shape the future of healthcare where you'll be an integral part of our Behavioral Health team, helping to strive for excellence while we serve…

X - As-Needed / Temp - Medical Case Manager, MSSP CalOptima Position Information: - Department: MSSP - Direct Support - Salary Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) - Work Arrangement: Full Office - Work…