CalOptima Jobs & Careers in Orange, CA

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Auditor, Sr. (Pharmacy)

CalOptima Orange, CA

• Work with the Pharmacy Management department on establishing/monitoring operational Part D metrics, updating dashboards, logs and other reports… Glassdoor


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… Glassdoor


Personal Care Attendant

CalOptima Orange, CA

• Provides personal care and escort assistance in accordance with individual treatment plans including peri-care, grooming, dressing, showering… Glassdoor


Auditor (Credentialing)

CalOptima Orange, CA

• Inform various departments within CalOptima and delegates of CalOptima of any changes to regulatory requirements in relation to credentialing and… Glassdoor


Grievance and Appeals Nurse Specialist

CalOptima Orange, CA

• Prepares clinical reviews and provides monitoring of cases involving medical decisions and quality or care or service, and insures all cases are… Glassdoor


Claims QA Analyst

CalOptima Orange, CA

. The QA Analyst must exercise discretion and judgment while auditing the work of others within the program. Position Responsibilities • Conduct… Glassdoor


Compliance Analyst (PACE)

CalOptima Orange, CA

• Support the overall process for policy and procedures development. • Facilitate development, review and approval of policies. • Provide… Glassdoor


Administrative Assistant (IS- Systems Development)

CalOptima Orange, CA

• Prepare meeting materials, meeting set-up, minute taking, etc. as designated by the Director and Managers. • Responsible for organizing and… Glassdoor


Claims Resolution Specialist

CalOptima Orange, CA

• Responsible for answering provider questions in regards to claims payment, denials to assist in resolving the providers claim issues… Glassdoor


Actuarial Analyst, Sr.

CalOptima Orange, CA

• Prepare, analyze, and report the monthly Incurred But Not Reported (IBNR) reserve estimate. • Prepare the semi-annual Chronic Illness… Glassdoor

Updated Sep 2, 2014

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Employees say it's “OK”   10 ratings

3.3

Pros: “The benefits are pretty good. Retirement plan is also pretty good.”Full Review


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