CalOptima

  www.caloptima.org
  www.caloptima.org

CalOptima Jobs & Careers in Orange, CA

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Show:  All Results Last 7 Days
1 day ago

DIRECTOR, CUSTOMER SERVICE – new

CalOptima Orange, CA

Develop and manage the Customer Service department to ensure high quality and responsive service to members and providers. Responsible for all… CareerBuilder


28 days ago

Investigator, Sr. (Fraud, Waste and Abuse)

CalOptima Orange, CA

• Proactively identify instances of potential fraud, waste, and abuse through data analysis. • Identify abnormal billing patterns through… CareerBuilder


23 days ago

HEALTH EDUCATOR

CalOptima Orange, CA

• Provide health education coaching to individuals or group classes using a member-centered approach. • Promote preventive care, health… CareerBuilder


23 days ago

SYSTEMS NETWORK ADMINISTRATOR

CalOptima Orange, CA

May receive general direction from higher level supervisory or management staff. In addition, may exercise technical and… CareerBuilder


30 days ago

Analyst, Sr. (Business Intelligence)

CalOptima Orange, CA

The Sr. Analyst for Business Intelligence plays an active role in the implementation and maintenance of business intelligence solutions related to… CareerBuilder


9 days ago

DIRECTOR, STRATEGIC DEVELOPMENT

CalOptima Orange, CA

• Facilitate the development, monitoring, and successful implementation of the annual and long term strategic planning process. • Lead the… CareerBuilder


1 day ago

Medical Case Manager - Onsite Concurrent Review – new

CalOptima Orange, CA

• Perform onsite concurrent review and evaluate proposed services utilizing evidence-based medical criteria and/or established policies and… CareerBuilder


14 days ago

COMPLIANCE - LEAD (ONECARE)

CalOptima Orange, CA

• Develop and implement processes, policies and procedures and other activities to ensure CalOptima, as well as its subcontracted health networks… CareerBuilder


23 days ago

MANAGER, HUMAN RESOURCES (RECRUITMENT AND BENEFITS)

CalOptima Orange, CA

• Oversee, manage, and develop the recruitment and benefits staff. • Interact with CalOptima management, benefits administrators, health care… CareerBuilder


2 days ago

HCC CODING SPECIALIST- MEDICARE – new

CalOptima Orange, CA

• Travel to physician offices or physician medical groups to review medical records to ensure documentation reflects accurate coding… CareerBuilder


CalOptima Reviews

10 Reviews
3.3
10 Reviews
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  1.  

    Everyone is on the take

    • Comp & Benefits
    • Work/Life Balance
    • Senior Management
    • Culture & Values
    • Career Opportunities
    Former Employee - Anonymous Employee in Orange, CA
    Former Employee - Anonymous Employee in Orange, CA

    I worked at CalOptima full-time (more than an year)

    Pros

    great employees and environment on the staff level

    Cons

    incompetent leadership, just do some research; they failed their last audit due to that/negative review.
    leadership is more worried about watching their own back and their own job security than getting the job done.
    If you are overqualified this is Not the place for you PLUS dont even think about getting your foot in the door to move up...they DO Not hire internally.
    And Pay! They used to be at least competitive; these new people in HR are cutting salaries left and right. As well NEVER go to HR with issues or problems; they will ensure you will be laid off or the first one out when the time approaches... HR is very LAZY un-proactive, always spinning the blame back on the employee. THIS IS A TYPICAL ORANGE COUNTY BUSINESS WHERE EVERYONE IS ON THE TAKE; MUST PLAY THE CORPORATE GAME OR YOUR TIME WILL BE LIMITED

    Advice to ManagementAdvice

    Replace your self or stop hiring based on relationships and actually hire based on talent

    Doesn't Recommend
    Neutral Outlook

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