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Caloptima jobs

Viewing 1 - 10 of 46 jobs

  • Sales Representative

    Caremax RM - Buena Park, CA

    as a legitimate provider for Medicare, Medi-Cal and CalOptima, as well as private health insurance such as Blue Cross, Blue Shield and AARP to name a few. Job Description: JOB DESCRIPTION Establish and maintain a relationship with referral...

    29 days ago from ZipRecruiter

  • SOCIAL WORKER (CASE MANAGEMENT) (97405-011615)

    Caloptima - Orange, CA

    and resource for internal partners including: CalOptima Customer Service, Utilization Management, Case Management ... Adhere to CalOptima policies/procedures (i.e. PHI/HIPAA). Think analytically to evaluate alternative courses of...

    2 days ago from MiracleWorkers.com

  • Medical Case Manager (OneCare Clinical) (96242-14317-10021-012115)

    Caloptima - Orange, CA

    for providing ongoing case management services for CalOptima members. The Case Manager facilitates ... Accept referrals for case management and serve as a CalOptima OneCare liaison to community agencies, organizations...

    2 days ago from MiracleWorkers.com

  • MEDICAL AUTHORIZATION ASSISTANT - CASE MGMT (14303-14305-012115)

    Caloptima - Orange, CA

    Obtain information on requested services according to CalOptima Health Services Department guidelines, performing ... Contact the Health Networks and/or CalOptima Customer Service regarding health network enrollments...

    3 days ago from CareerBuilder

  • Government Biller/Collector

    Codingaid - Santa Ana, CA

    Hospital Biller Must have experience ebilling/collecting for MediCal, Medicare and CalOptima specifically for a Sub Acute Hospital. To Apply: http://www.asap-staff.com...

    30+ days ago from CodingAID

  • SR. PROJECT MANAGER (15096-092214)

    Caloptima - Orange, CA

    and appropriate software and interact as needed with CalOptima Information Systems. HMO, Medi-Cal/ Medicaid and ... and needs of the socially and ethnically diverse population CalOptima serves. Community-based organizations, agencies...

    8 days ago from CareerBuilder

  • Government Biller/Collector

    ASAP Staffing - Santa Ana, CA

    Hospital Biller Must have experience ebilling/collecting for MediCal, Medicare and CalOptima specifically for a Sub Acute Hospital. To Apply: http://www.asap-staff.com...

    30+ days ago from ASAP Staffing

  • Director Contract Management Managed Care Contracting Dept FT Days 8 HR

    Childrens Hospital Orange County (choc) - Los Angeles, CA

    experience required. Health plan experience as well as CalOptima experience preferred. MBA or equivalent/ HFMA managed care certification Job Management Primary Location Orange County Organization Business Dev and Managed Care Job Posting...

    30+ days ago from Childrens Hospital Orange County (CHOC)

  • Reimbursement System Support Specialist

    UnitedHealth Group - Irvine, CA

    and provider contracts * Knowledge of CMS and Caloptima websites * Advanced computer skills in Microsoft Office (Word, Excel, and Outlook), Macro Scheduler, and Scripting * Ability to read and interpret documents such as safety rules,...

    26 days ago from UnitedHealth Group

  • Patient Services Representative I

    St. Joseph Health - Mission Viejo, CA

    Responsible for all referral requests (HMO, EPO, PPO and Caloptima) to outside providers. Check eligibility, ... Educates patient, physician and staff in HMO, PPO and Caloptima protocols and benefits. Responsible for...

    30+ days ago from St. Joseph Health

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