military Jobs in Los Angeles, CA

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Program Coordinator (Credentialing)

CalOptima

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

Customer Service Representative

CalOptima

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

Customer Service Coordinator (OneCare Call Center) (Bilingual Required)

CalOptima

Orange, California, USA

Full-time

Customer Service Coordinator (OneCare Call Center) (Bilingual Required) CalOptima CalOptima Health is seeking a highly motivated an experienced Customer Service Coordinator (OneCare Call Center) (Bilingual Required) to join our team. The Customer Service Coordinator (Call Center) will support Customer Service (CS) management by resolving member issues and assisting with other call center activities. The incumbent will coordinate member's immediate health care needs with health networks, provider

Program Specialist (Credentialing)

CalOptima

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

Software Engineer

Strategic Staffing Solutions

Remote or Irving, Texas, USA

Full-time, Contract

STRATEGIC STAFFING SOLUTIONS HAS AN OPENING! This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Visa Sponsorship is Available! The details are below. Beware of scams. S3 never asks for money during its onboarding process. Job Title: Software Engineer Location: Irving, TX 75038 Duration: 24+ months Hybrid Work- 3 days on site Job ref# 241473 Consult on or participate in moderately complex initiatives and deliverables within

Contracts Specialist

CalOptima

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

Security Control Testing Analyst -Remote Work

RapidIT, Inc

Remote

Contract

Job Title: Security Control Testing Analyst Location: Remote Work Duration: Multiyear Contract Description: Qualifications: Experience in control testing to include experience in some of the three lines of defense (Audit, ERM, First Line areas) Experience in audit and information security risk assessments Knowledge of applicable federal and state laws, rules and regulations (i.e. Federal Financial Institutions Examination Manual (FFIEC), National Information of Standards and Technology (NIST), a

LVN (PACE)

CalOptima

Orange, California, USA

Full-time

LVN (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced LVN (PACE) to join our team. Under the general direction of the Supervisor Nursing Services for the Program of All Inclusive Care for the Elderly (PACE) and within regulatory practice, the Licensed Vocational Nurse (LVN) (PACE) provides direct nursing care to PACE participants by performing prescribed medical treatments, providing nursing observations and assisting the Registered Nurse (RN) in educating participan

Financial Analyst I

CalOptima

Orange, California, USA

Full-time

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

Orange, California, USA

Full-time

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

Activity Coordinator (PACE)

CalOptima

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

RSA Archer Developer

ASSYST

Remote

Full-time

ASSYST is looking for an Archer Developer to support our federal project. The ideal candidate will demonstrate an advanced understanding of RSA Archer professional services. Duties & Responsibilities: Designing, building, and maintaining applications within the RSA Archer platformCollaborate with stakeholders to gather system requirements and document configurations.Partner with security and infrastructure teams to maintain system availability.Configuration of the Archer software toolDevelop dis

Grievance Resolution Specialist (Provider Resolution)

CalOptima

Orange, California, USA

Full-time

Grievance Resolution Specialist (Provider Resolution) CalOptima CalOptima Health is seeking a highly motivated an experienced Grievance Resolution Specialist (Provider Resolution) to join our team. The Grievance Resolution Specialist (Provider Resolution) will coordinate the Grievance and Appeal resolution process, respond to verbal and written Grievances and Appeals from members and providers relating to member eligibility and benefits, contract administration, claims processing, utilization

Medical Assistant (PACE)

CalOptima

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

Argo Developer

LTIMindtree

Remote

Full-time

About Us: LTIMindtree is a global technology consulting and digital solutions company that enables enterprises across industries to reimagine business models, accelerate innovation, and maximize growth by harnessing digital technologies. As a digital transformation partner to more than 700+ clients, LTIMindtree brings extensive domain and technology expertise to help drive superior competitive differentiation, customer experiences, and business outcomes in a converging world. Powered by nearly 9

Program Manager Sr (Marketplace)

CalOptima

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

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

CalOptima

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

Medical Case Manager (Community Based Adult Services)

CalOptima

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

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

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