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Physical Therapist (PT)

CalOptima

•

Orange, California, USA

Full-time

Physical Therapist (PT) CalOptima CalOptima Health is seeking a highly motivated an experienced Physical Therapist (PT) to join our team. The Physical Therapist for PACE evaluates and assesses participants to determine mobility level and other physical conditions and functional abilities. The incumbent will provide and recommend treatment protocols such as therapeutic exercise, functional mobility training and safety education and complete assessments of proper durable medical equipment (DME). T
Posted 9 days ago

Personal Care Coordinator Sr

CalOptima

•

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 4 days ago

ADABAS Natural Programmer/DBA

West Advanced Technologies, Inc.

•

Sacramento, California, USA

Contract, Third Party

ADABAS Natural Programmer/DBA Sacramento, CA 12+ months Required Skills: Need qualified programmer/analyst with a minimum of 8 years of hands-on experience in Adaptable Database System (ADABAS)/Natural programming and ADABAS Database Administrator (DBA) skills set. Must be proficient using Job Control Language (JCL) within the ISPF/TSO interface. ADABAS DBA using Software AG tools and Natural toolkit, ADABAS/NATURAL programming z/OS and/or MVS Operating System. IBM mainframe utilities (e.
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Posted 60+ days ago | Updated 11 hours ago

Program Specialist (Community Relations)

CalOptima

•

Orange, California, USA

Full-time

Program Specialist (Community Relations) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist (Community Relations) to join our team. Under general supervision, the Program Specialist will support the department's management team in a wide variety of duties. The incumbent will work closely with the department manager to support CalOptima Health initiatives through community engagement, program development and implementation of special projects, large scale e
Posted 23 days ago

Member Liaison Specialist (Behavioral Health)

CalOptima

•

Orange, California, USA

Full-time

Member Liaison Specialist (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Member Liaison Specialist (Behavioral Health) to join our team. The Member Liaison Specialist (Behavioral Health) will be responsible for assisting Medi-Cal and OneCare members with behavioral health care management needs in a call center environment, which includes but is not limited to securing behavioral health appointments for members, following up with members before and aft
Posted 23 days ago

Medical Case Manager (Behavioral Health - Utilization Management)

CalOptima

•

Orange, California, USA

Full-time

Medical Case Manager (Behavioral Health - Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (Behavioral Health - Utilization Management) to join our team. The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for authorization and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. The incumbent will be respons
Posted 24 days ago

Director, Credentialing (Director I)

CalOptima

•

Orange, California, USA

Full-time

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
Posted 9 days ago

Supervisor Coding Initiatives (Hierarchical Condition Category)

CalOptima

•

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 10 days ago

Program Manager (Medicare)

CalOptima

•

Orange, California, USA

Full-time

Program Manager (Medicare) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Manager (Medicare) to join our team. The Program Manager (Medicare) will be responsible for the coordination and maintenance of CalOptima Health's relationships with regulatory agencies such as the Centers for Medicare & Medicaid Services (CMS) and the Department of Healthcare Services (DHCS). The incumbent will manage projects and other assignments in the Regulatory Affairs & Compliance (M
Posted 23 days ago

Data Analyst

Unisys

•

Remote or Irving, Texas, USA

Full-time, Contract

Unisys is an Information Technology and Business Consulting firm providing project-based solutions, software solutions and professional staffing services. -"Those authorized to work in the United States are encouraged to apply. We are unable to sponsor at this time.Data Analyst, ID: 35543583 Remote (MUST be within driving distance to one of Gartners following CoE's: Stamford CT, Irving TX or Fort Myers FL for consideration) 4 Months Contract (Very high possibility of extension)Responsibilities:
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Posted 60+ days ago | Updated moments ago

Sr Director, Information Technology

CalOptima

•

Orange, California, USA

Full-time

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
Posted 2 days ago

Electronics Packaging Engineer, 9+ Years

Lockheed Martin Corporation

•

Remote or Littleton, Colorado, USA

Full-time

Job Description Join Our Team as an Electronics Packaging Engineer where you will work on the development of a sophisticated state-of-the-art avionics product in a world class Integrated Product Development environment. Location: This position does not support teleworking; the preferred candidate will be located near our Lockheed Martin Space facility one of the Coolest places to work: Littleton CO, and be expected to work in the office. Space is a critical domain, connecting our technologies
Posted 33 days ago | Updated 6 hours ago

Clinical Auditor Sr

CalOptima

•

Orange, California, USA

Full-time

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
Posted 16 days ago

Business Analyst-Entry Level

Agama Solutions Inc.

•

San Francisco, California, USA

Contract

Responsibilities: Check reporting results and flag potential issues: Review reports for accuracy and identify any anomalies or discrepancies. Create dashboards, spreadsheet analysis, and presentations: Support regional analysts by preparing visual data representations and reports. Troubleshoot data issues: Validate data from various sources to ensure consistency and reliability. Analyze business performance trends: Identify patterns and trends in business data to uncover growth opportunities.
Easy Apply
Posted 60+ days ago | Updated 1 day ago

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

CalOptima

•

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 4 days ago

Enterprise Analytics Manager

CalOptima

•

Orange, California, USA

Full-time

Enterprise Analytics Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Principal Business Intelligence Analyst - Tableau (Enterprise Analytics Manager) to join our team. The Enterprise Analytics Manager (Principal Business Intelligence Analyst - Tableau) will provide a "one-stop shop" for analysis, visualization, reporting, guidance and expert knowledge on health care analytics for various departments within CalOptima Health. The incumbent will work independently an
Posted 23 days ago

Enterprise Analytics Manager (Principal Business Intelligence Analyst Tableau)

CalOptima

•

Orange, California, USA

Full-time

Enterprise Analytics Manager (Principal Business Intelligence Analyst Tableau) CalOptima CalOptima Health is seeking a highly motivated an experienced Principal Business Intelligence Analyst - Tableau (Enterprise Analytics Manager) to join our team. The Enterprise Analytics Manager (Principal Business Intelligence Analyst - Tableau) will provide a "one-stop shop" for analysis, visualization, reporting, guidance and expert knowledge on health care analytics for various departments within CalOpt
Posted 24 days ago | Updated 16 days ago

EHR Oracle Health Consultant

Mastech Digital

•

Remote or Texas City, Texas, USA

Contract

Mastech Digital provides digital and mainstream technology staff as well as Digital Transformation Services for all American Corporations. We are currently seeking an EHR Oracle Health Consultant for our client in the Federal domain. We value our professionals, providing comprehensive benefits and the opportunity for growth. This is a Contract position, and the client is looking for someone to start immediately. Duration: 12+ Months Contract Location: Remote Salary: $75.00-$80.00/Hourly Role: EH
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Posted 60+ days ago | Updated moments ago

Medical Case Manager

CalOptima

•

Orange, California, USA

Full-time

Medical Case Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager to join our team. Case Management is an advanced specialty collaborative practice responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager will facilitate communication and coordination among all participants of the health care team and CalOptima Health's members to ensure the services provided promote quality and cost-effect
Posted 30 days ago

Clinical Auditor Sr

CalOptima

•

Orange, California, USA

Full-time

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
Posted 23 days ago