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

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