Sr Director, Information Technology CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Director, Information Technology to join our team. The Sr Director will be accountable for the Information Technology (IT) strategy and execution for a group of health plan applications for CalOptima Health. This position will work closely with business leadership and the department staff to find solutions and deliver the technology required to support the launch of new applications and
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
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
Financial Analyst I CalOptima CalOptima Health is seeking a highly motivated an experienced Financial Analyst I to join our team. The Financial Analyst I (Budgeting) will be responsible for supporting the Budget department's annual preparation and ongoing maintenance of CalOptima Health's administrative, medical and capital budgets. The incumbent will possess strong analytical and problem-solving skills, have excellent attention to details and the ability to work independently and as part of the
Financial Analyst I CalOptima CalOptima Health is seeking a highly motivated an experienced Financial Analyst I to join our team. The Financial Analyst I (Budgeting) will be responsible for supporting the Budget department's annual preparation and ongoing maintenance of CalOptima Health's administrative, medical and capital budgets. The incumbent will possess strong analytical and problem-solving skills, have excellent attention to details and the ability to work independently and as part of the
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'
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
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
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
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
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
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
Director, Credentialing (Director I) CalOptima CalOptima Health is seeking a highly motivated an experienced Director, Credentialing (Director I) to join our team. The Director of Credentialing will be responsible for overseeing the process of verifying and maintaining health care provider credentials, ensuring compliance with all relevant regulations and standards, overseeing a contracted credentialing verifications organization (CVO), managing a team of credentialing staff, and ensuring ongoin
Clinical Auditor Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor Sr to join our team. The Clinical Auditor Sr (Behavior Health) will serve as the auditor for clinical and quality areas within the Behavioral Health Integration department. The incumbent will ensure regulatory (Medicare and Medi-Cal) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, moni
Provider Data Management Services Coordinator CalOptima CalOptima Health is seeking a highly motivated an experienced Provider Data Management Services Coordinator to join our team. The Provider Data Management Services (PDMS) Coordinator will be responsible for building, updating and maintaining provider data in the CalOptima Health provider system. The incumbent will function as a liaison between CalOptima Health and providers to ensure the accuracy and completeness of provider data is reflect
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
Member Liaison Specialist (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Member Liaison Specialist to join our team. The Member Liaison Specialist (Behavioral Health) will be responsible for providing care management support to members seeking Behavioral Health Treatment (BHT), including Applied Behavior Analysis (ABA). The incumbent will assist members in relation to BHT services, following up with members before and after appointments, providing mem
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
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
