Search Results: 28 vacancies
...pediatric, family medicine, and neonatology. Our high-performing group has 4 office locations, 70 employees , and a 5-star rating with CalOptima.
We are an equal-opportunity employer that welcomes highly-qualified applicants from diverse backgrounds. We offer a...
Suggested
...pediatric, family medicine, and neonatology. Our high-performing group has 4 office locations, 70 employees , and a 5-star rating with CalOptima.
We are an equal-opportunity employer that welcomes highly-qualified applicants from diverse backgrounds. We offer a...
Suggested
...in writing
-Strong customer service skills
-General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima
-Bilingual (English/Spanish)
-Positive work ethic
-General computer skills required including: electronic medical record and...
Suggested
Work experience placement
Shift work
...in writing
•Strong customer service skills
•General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima
•Bi-lingual (English/Spanish, or English/Vietnamese) preferred
•Positive work ethic
•General computer skills required...
Suggested
Immediate start
Shift work
Night shift
...are looking for a skilled Billing and Invoicing Specialist who is comfortable working with healthcare billing, particularly with CalOptima Connect, and also has the capability to handle a diverse range of invoicing needs across various programs. The ideal candidate will...
Suggested
...Preferred****
Job Summary
The Customer Service Representative Sr is the first line of contact for CalOptima Health members and providers and will assist them with questions related to the Medi-Cal programs for Orange County. The incumbent...
Suggested
Temporary work
...records, progress notes, and documentation in accordance with agency standards and funding requirements using software including CalOptima, HMIS, Apricot/Planstreet as well as confidential hard copies.
Perform other duties as assigned by supervisor or program manager...
Suggested
Hourly pay
Full time
Work experience placement
Local area
Flexible hours
Weekend work
Afternoon shift
Monday to Friday
...life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer.
Focus on IEHP/CalOptima Outreach
Schedule Initial Health Assessments for managed care members
Follow-up with new patients to ensure satisfaction and...
Suggested
Hourly pay
Full time
Flexible hours
...and Training:
~ High School Diploma
~1 year in eligibility and verification of healthcare benefits, specifically Medi-Cal or CalOptima Health.
~ CoveredCA Certified Counselor is highly preferred
Qualifications, Skills, and Experience:
~1 year of...
Suggested
Hourly pay
Full time
Relief
Local area
...the position such as those listed above may also be qualifying. Preferred Qualifications:
*) Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese).
*) Prior authorization and...
Suggested
Contract work
Temporary work
...short- and long-term goals/priorities for the department.
* Coordinates incoming language translation and/or reviews requests for CalOptima Health member materials.
* Interacts directly with members and providers to coordinate and book face-to-face interpreter...
Suggested
Contract work
Temporary work
Actuary Principal CalOptima CalOptima Health is seeking a highly motivated an experienced Actuary Principal to join our team. The Actuary Principal is a key member of the Financial Analysis department. The incumbent is responsible for rendering actuarial analysis and pro...
Suggested
Full time
Temporary work
Local area
Remote job
Outdoor
Flexible hours
Weekend work
Afternoon shift
Monday to Friday
Supervisor, Finance (Budget) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Finance (Budget) to join our team. The Supervisor Finance (Budget) will be responsible for overseeing the development and management of CalOptima Health's annual...
Suggested
Full time
Temporary work
Local area
Remote job
Outdoor
Flexible hours
Weekend work
Afternoon shift
Monday to Friday
...revolutionize healthcare for all Californians. As an ECM Lead Care Manager, you will play a pivotal role in this historic change by helping CalOptima Health members navigate the healthcare system and access comprehensive care. You will be at the forefront of creating a more...
Suggested
Hourly pay
Holiday work
Full time
Contract work
Remote job
Weekend work
Saturday
Afternoon shift
...services.
Engage eligible members.
Offer services where the member lives, seeks care, or finds most easily accessible and within CalOptima Health guidelines
Advocate on behalf of members with health care professionals.
Use motivational interviewing, trauma-...
Suggested
Hourly pay
Holiday work
Contract work
...assistance to case managers to refer clients to IFMG.
Submit referrals to CalAim programs (ECM, Community Supports, etc.) using the CalOptima Connect portal. Monitor CalAim referrals for our housing clients to ensure connection to services.
Maintain, and organize...
Holiday work
Contract work
Immediate start
...collaborates with others to support short and longterm goals/priorities for the department.
Maintains adequate information in CalOptima Health s systems; ensures data collection summarization integration and reporting which includes case creation and management and...
Weekly pay
Full time
Contract work
...genetic information or any other reason prohibited by law in employment.
Establish and maintain effective working relationships with CalOptima Health s leadership and staff. Function efficiently and productively in a high-volume call center. Learn procedures and...
Weekly pay
Full time
...Client: CalOptima Health
Job Title: Customer Service Representative
Duration: 05 Months
Start Date: ASAP
Location: 505 City Parkway West, CA
Position Type: Contract
Interview Type: In Person/Web Interview
Ceipal ID:...
Contract work
Temporary work
Immediate start
Flexible hours
Weekend work
Afternoon shift
...employer determines is necessary or desirable to meet business needs.
Establish and maintain effective working relationships with CalOptima Health s leadership and staff.
Communicate clearly and concisely both orally and in writing.
Utilize computer and...
Weekly pay
Full time
Immediate start
