Claims Recovery Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Recovery Specialist to join our team. The Claims Recovery Specialist will be responsible for performing recoveries on claims that have been overpaid and must understand and adhere to recovery regulations mandated by CalOptima Health policies, AB1455, Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulati
Data Analyst, Sr. (HEDIS) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst Sr to join our team. The Data Analyst Sr (HEDIS) will provide expertise in business requirements for the organization's Healthcare Effectiveness Data and Information Set (HEDIS) data reporting and analysis in the Quality Analytics department. The incumbent will be responsible for conducting quality assurance on data collection, data processing, data analysis and reporting. In addition,
