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Program Coordinator (Credentialing)

CalOptima

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Orange, California, USA

Full-time

Program Coordinator (Credentialing) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Coordinator (Credentialing) to join our team. The Program Coordinator (Credentialing) will use standard policies, procedures and guidelines to coordinate the intake of all credentialing requests and ensure the provider has submitted all information and documents to initiate the credentialing verification process. The incumbent will prepare the provider files for the Credentialing V
Posted 1 day ago

Medical Case Manager RN (Emergency Department Program)

CalOptima

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Orange, California, USA

Full-time

Medical Case Manager RN (Emergency Department Program) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager RN (Emergency Department Program) to join our team. The Medical Case Manager for Long Term Services Supports (LTSS) Emergency Department Program is part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (emergency department
Posted 1 day ago

Technical Sales Manager

DTS Inc. / Diversified Technical Systems, Inc.

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Seal Beach, California, USA

Full-time

You know how to sell - but more importantly - you know how to listen, solve, and build long-term trust with technical customers. If you're looking for a role where your knowledge of test & measurement or data acquisition systems is valued as much as your ability to close deals, DTS might be exactly what you re looking for. DTS, an award-winning manufacturer of advanced data acquisition and test systems, has a great opportunity available in our Seal Beach, CA office for a Technical Sales Manager
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Posted 2 days ago

Program Specialist (Credentialing)

CalOptima

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Orange, California, USA

Full-time

Program Specialist (Credentialing) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist (Credentialing) to join our team. The Program Specialist (Credentialing) will use standard policies, procedures and guidelines to perform a comprehensive review of all files that have gone through the verification process for credentialing and recredentialing. The incumbent will identify and prepare files for review by the Medical Director and/or Credentialing and Peer Re
Posted 9 days ago

Senior Network Administrator

Biola University

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La Mirada, California, USA

Full-time

Senior Network Administrator United States req2369 1/29/2025 Senior Network Administrator Position Description The Senior Network Administrator is responsible for designing, implementing, and maintaining Biola's network infrastructure. This role involves ensuring the security, reliability, and efficiency of network systems. This senior technician will teach and train younger technicians to ensure best practices are followed, and will also routinely manage network improvement projects. Alignment
Posted 5 days ago

Medical Assistant (PACE)

CalOptima

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Orange, California, USA

Full-time

Medical Assistant (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Assistant (PACE) to join our team. The Medical Assistant the Program of All Inclusive Care for the Elderly (PACE) will work under the general supervision of the Clinic Nurse and within regulatory practice. The incumbent will assist in the provision of direct participant care by performing routine procedures, technical and clerical support services in a clinical setting. The incumbent may admi
Posted 11 days ago

Sr Manager, Quality Improvement (NCQA) (Sr. Manager II)

CalOptima

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Orange, California, USA

Full-time

Sr Manager, Quality Improvement (NCQA) (Sr. Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Manager, Quality Improvement (NCQA) (Sr. Manager II) to join our team. The Sr Manager II (Quality Improvement) will oversee the day-to-day operations of the National Committee for Quality Assurance (NCQA) Accreditation team and lead CalOptima Health's NCQA Health Plan and Health Equity Accreditation efforts to ensure CalOptima Health achieves its renewal accreditatio
Posted 11 days ago

Collibra Administrator - Data Governance (Programmer Sr)

CalOptima

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Orange, California, USA

Full-time

Collibra Administrator - Data Governance (Programmer Sr) CalOptima CalOptima Health is seeking a highly motivated an experienced Collibra Administrator - Data Governance (Programmer Sr) to join our team. The Programmer Sr (Collibra Administrator-Data Governance) will be responsible for overseeing the administration, configuration, and deployment of Collibra, focusing on release management, performance monitoring, and platform security. This position will be the subject matter expert in Collibra'
Posted 10 days ago

Medical Case Manager (Community Based Adult Services)

CalOptima

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Orange, California, USA

Full-time

Medical Case Manager (Community Based Adult Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager-RN (Community Based Adult Services) to join our team. The Medical Case Manager for Community Based Adult Services (CBAS) will be responsible for reviewing and processing requests for authorization for CBAS services. The incumbent will utilize Medi-Cal criteria along with policies and procedures to authorize requests from CBAS providers. The incumbent
Posted 18 days ago

Personal Care Coordinator Sr

CalOptima

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Orange, California, USA

Full-time

Personal Care Coordinator Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator Sr to join our team. The Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. The incumbent will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. The incumbent will regularly
Posted 18 days ago

Program Manager Sr (Marketplace)

CalOptima

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Orange, California, USA

Full-time

Program Manager Sr (Marketplace) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager Sr (Marketplace) to join our team. The Program Manager Sr plays a vital role in program design, development, implementation and overall support of the implementation for new product lines, including commercial. The incumbent will be responsible for coordination, execution and completion of tasks supporting new program development and implementation. The incumbent will assist i
Posted 8 days ago

Personal Care Coordinator Sr

CalOptima

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Orange, California, USA

Full-time

Personal Care Coordinator Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator Sr to join our team. The Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. The incumbent will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. The incumbent will regularly
Posted 19 days ago

Test Technician

Ducommun, Inc.

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Carson, California, USA

Full-time

Test Technician Position requires performing in-process andfinal product testing using standard and/or special purpose test equipment,thermal vacuum chambers, and vibration fixtures Who are we? Founded in 1849, Ducommun is the oldest company in California. Starting as a hardware supply store during the California Gold Rush and eventually assisted in the birth of the aerospace industry in Southern California by providing aircraft aluminum to early aerospace pioneers like Lindbergh, Douglas and Lo
Posted 23 hours ago | Updated 11 hours ago

Supervisor Coding Initiatives (Hierarchical Condition Category)

CalOptima

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Orange, California, USA

Full-time

Supervisor Coding Initiatives (Hierarchical Condition Category) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor Coding Initiatives (Hierarchical Condition Category) to join our team. The Supervisor Coding Initiatives will oversee the day-to-day operations of the Coding Specialists on the Medicare Hierarchical Condition Category (HCC), Medi-Cal Chronic Illness and Disability Payment System (CDPS) and Annual Wellness Visit (AWV) programs. The incumbent will creat
Posted 24 days ago

Activity Coordinator (PACE)

CalOptima

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Orange, California, USA

Full-time

Activity Coordinator (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Activity Coordinator (PACE) to join our team. The Activity Coordinator for the Program of All-Inclusive Care for the Elderly (PACE) will be responsible for developing, coordinating and planning individual and group recreational activities for participants in CalOptima Health's PACE. The incumbent will monitor and revise activities to ensure participants' and program goals are met and aligned with
Posted 23 days ago

Customer Service Representative

CalOptima

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Orange, California, USA

Full-time

Customer Service Representative CalOptima CalOptima Health is seeking a highly motivated an experienced Customer Service Representative to join our team. The Customer Service Representative (CSR) will be the first line of contact for CalOptima Health's members and providers. The incumbent will assist members and providers with questions and/or complaints related to the Medi-Cal programs for Orange County. The incumbent will provide information regarding eligibility, enrollment, benefits and serv
Posted 12 days ago

Medical Case Manager (LVN) (Long-Term Care)

CalOptima

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Orange, California, USA

Full-time

Medical Case Manager (LVN) (Long-Term Care) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (LVN) (LTC) to join our team. The Medical Case Manager (LVN) for Long Term Care (LTC) is responsible for reviewing and processing requests for authorization and notification of LTC Skilled Nursing Facilities. The incumbent will be responsible for inpatient review and referral related processes which include on-line responsibilities as well as selected off-line
Posted 24 days ago

Contracts Specialist

CalOptima

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Orange, California, USA

Full-time

Contracts Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Contracts Specialist to join our team. The Contracts Specialist will assist in the coordination and implementation of the department's contracts, manage the department's maintenance tasks and provide analytical support. The incumbent will assist in the oversight of the contract management system, perform user acceptance testing and develop and deploy training modules to support the activities within the
Posted 23 days ago

Sr Manager, Strategic Planning & Performance (Sr Manager II)

CalOptima

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Orange, California, USA

Full-time

Sr Manager, Strategic Planning & Performance (Sr Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Manager, Strategic Planning & Performance (Sr Manager II) to join our team. The Sr Manager (Strategic Planning & Performance) will be responsible for strategic alignment and integration across programs and projects in support of Strategic Development department process and administrative efficiency. The incumbent will be responsible for management of the departm
Posted 19 days ago

Collibra Administrator - Data Governance (Programmer Sr)

CalOptima

•

Orange, California, USA

Full-time

Collibra Administrator - Data Governance (Programmer Sr) CalOptima CalOptima Health is seeking a highly motivated an experienced Collibra Administrator - Data Governance (Programmer Sr) to join our team. The Programmer Sr (Collibra Administrator-Data Governance) will be responsible for overseeing the administration, configuration, and deployment of Collibra, focusing on release management, performance monitoring, and platform security. This position will be the subject matter expert in Collibra'
Posted 19 days ago