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Caloptima jobs

Viewing 1 - 10 of 61 jobs

  • Medical Case Manager (Pre Authorization Nurse Reviewer) (06700-061714)

    Caloptima - Orange, CA

    tasks/functions. He/she is responsible for applying CalOptima’s medical criteria and policies/procedures to ... Contacts the Health Networks and/or CalOptima Customer Service regarding health network enrollments...

    25 days ago from MiracleWorkers.com

  • Auditor, Sr. (Customer Service) (14337-081214)

    Caloptima - Orange, CA

    various departments within CalOptima and delegates of CalOptima of any changes to regulatory requirements in ... and appropriate software and interact as needed with CalOptima Information Services.Experience & Education...

    3 days ago from CareerBuilder

  • MEDICAL CASE MANAGER (LONG TERM CARE) (15116-070914)

    Caloptima - Orange, CA

    for providing ongoing case management services for CalOptima members in LTC Facilities. The LTC Case Manager ... and appropriate software and interact as needed with CalOptima Information Systems. Prepare clear, comprehensive...

    30+ days ago from MiracleWorkers.com

  • Project Mgr, CalOptima-MediCal

    Heritage Healthcare - Anaheim, CA

    Project Mgr, CalOptima-MediCal - (14004616) St. Joseph Heritage Healthcare (SJHH) is one of California's most respected ... in providing network services in support of all CalOptima Programs including Medi-cal Expansion and Dual...

    15 days ago from Heritage Healthcare

  • Project Mgr, CalOptima-MediCal

    St. Joseph's Health - Anaheim, CA

    in providing network services in support of all CalOptima Programs including Medi-cal Expansion and Dual ... Dual Eligibles and in the Health Exchanges. Meet with CalOptima and IEHP staff at regular intervals to receive...

    14 days ago from TweetMyJobs

  • Data Entry Tech (Claims) (96199-15046-15047-081214)

    Caloptima - Orange, CA

    Team of providers that are not actively registered with CalOptima. Handle claims mail and triage to appropriate ... and appropriate software and interact as needed with CalOptima Claims Processing Systems.Experience & Education...

    3 days ago from CareerBuilder

  • Program Assistant (Health Education & Disease Management) (15069-081114)

    Caloptima - Orange, CA

    work or processes with other administrative staff within CalOptima. The ability to maintain confidentiality is ... mailings, applying general business practices, as well as CalOptima policies and procedures. Coordinate work with...

    4 days ago from CareerBuilder

  • Government Lead

    Codingaid - Santa Ana, CA

    areas of the Government programs: Medi-Cal, Medicare, and CalOptima. This person will sit in a lead role between the billers and supervisor. Must have acute care hospital experience. Must be fluent in Microsoft Office products. Especially...

    3 hours ago from CodingAID

  • FACILITIES & SUPPORT SERVICES COORDINATOR (14060-080514)

    Caloptima - Orange, CA

    space moves, improvements, or maintenance issues at all CalOptima locations.Position Responsibilities Coordinate and ... and appropriate software and interact as needed with CalOptima Information Systems. Support facilities management...

    9 days ago from CareerBuilder

  • Insurance Verification/Authorization Clerk

    OfficeTeam - Naperville, IL

    Authorization Specialist will be contacting MediCal, CalOptima and west coast medical groups online and by phone ... Verification required. Experience working with MediCal and CalOptima is ideal. Must have strong communication skills,...

    1 day ago from OfficeTeam

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