Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese). What the Regulatory Agencies Need You to Possess? * N ...
Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese). What the Regulatory Agencies Need You to Possess? * N ...
QI Nurse Specialist (RN) (PQI)
Orange, CA · On-site
QI Nurse Specialist (RN) (PQI) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community‐based organization that serves member health with excellence and ...
QI Nurse Specialist (RN) (PQI)
Orange, CA · On-site
QI Nurse Specialist (RN) (PQI) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community‐based organization that serves member health with excellence and ...
Chief Executive Officer
Orange, CA · On-site
$269 - $841.50/hr
CalOptima Health serves approximately 800,000 members, operates a $ 4+ billion budget each year, and employs approximately 1,600 staff. Reporting to the CalOptima Health Board of Directors (10 ...
Chief Executive Officer
Orange, CA · On-site
$269 - $841.50/hr
CalOptima Health serves approximately 800,000 members, operates a $ 4+ billion budget each year, and employs approximately 1,600 staff. Reporting to the CalOptima Health Board of Directors (10 ...
Z TEMP - Program Specialist (Coordinator)
Orange, CA · On-site
$26 - $35/wk
Coordinates incoming language translation and/or reviews requests of CalOptima Health member materials. * Interacts directly with members and providers to coordinate and book face-to-face interpreter ...
Quick apply
Z TEMP - Program Specialist (Coordinator)
Orange, CA · On-site
$26 - $35/wk
Coordinates incoming language translation and/or reviews requests of CalOptima Health member materials. * Interacts directly with members and providers to coordinate and book face-to-face interpreter ...
Float Peer Navigator, Street Medicine (Anaheim, CA)
$17.75 - $22.75/hr
Adhere to the guidelines, standards, and operational requirements outlined in the CalOptima Street Medicine Operations Manual. * Work collaboratively with members to develop individualized housing ...
Float Peer Navigator, Street Medicine (Anaheim, CA)
$17.75 - $22.75/hr
Adhere to the guidelines, standards, and operational requirements outlined in the CalOptima Street Medicine Operations Manual. * Work collaboratively with members to develop individualized housing ...
Float Peer Navigator, Street Medicine (Anaheim, CA)
Anaheim, CA · On-site
$18.25 - $23.50/hr
Adhere to the guidelines, standards, and operational requirements outlined in the CalOptima Street Medicine Operations Manual. * Work collaboratively with members to develop individualized housing ...
Float Peer Navigator, Street Medicine (Anaheim, CA)
Anaheim, CA · On-site
$18.25 - $23.50/hr
Adhere to the guidelines, standards, and operational requirements outlined in the CalOptima Street Medicine Operations Manual. * Work collaboratively with members to develop individualized housing ...
Float Peer Navigator, Street Medicine (Anaheim, CA)
Anaheim, CA · On-site
$18.25 - $23.50/hr
Adhere to the guidelines, standards, and operational requirements outlined in the CalOptima Street Medicine Operations Manual. * Work collaboratively with members to develop individualized housing ...
Float Peer Navigator, Street Medicine (Anaheim, CA)
Anaheim, CA · On-site
$18.25 - $23.50/hr
Adhere to the guidelines, standards, and operational requirements outlined in the CalOptima Street Medicine Operations Manual. * Work collaboratively with members to develop individualized housing ...
Care Coordinator
Santa Ana, CA · On-site
$20 - $27/hr
Conduct outbound and inbound calls with CalOptima ECM members. * Engage members and assist with ECM enrollment and participation. * Schedule appointments and coordinate services with healthcare ...
Care Coordinator
Santa Ana, CA · On-site
$20 - $27/hr
Conduct outbound and inbound calls with CalOptima ECM members. * Engage members and assist with ECM enrollment and participation. * Schedule appointments and coordinate services with healthcare ...
Medical Biller
Anaheim, CA · On-site
$23 - $27/hr
Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. * Follow up unpaid claims and work toward resolution. * Resolve billing ...
Quick apply
Medical Biller
Anaheim, CA · On-site
$23 - $27/hr
Timely submission of claims to variety of insurance payers including PPO's, HMO's, Medicare, Medi-Cal, and CalOptima. * Follow up unpaid claims and work toward resolution. * Resolve billing ...
The immediate funding focus is the First 5 Orange County and CalOptima Health Community Enrollers Program through June 2028. The Manager will prioritize Abrazar's assigned Engaged Neighborhoods ...
Quick apply
The immediate funding focus is the First 5 Orange County and CalOptima Health Community Enrollers Program through June 2028. The Manager will prioritize Abrazar's assigned Engaged Neighborhoods ...
Government Specialist II
Santa Ana, CA · On-site
$28.84 - $36.25/hr
Extensive knowledge of Medicare, Medi-Cal, Caloptima, and CCS claim adjudication. Benefits : * Medical, dental and vision coverage is provided for all full time and part time employees* * Medical is ...
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Government Specialist II
Santa Ana, CA · On-site
$28.84 - $36.25/hr
Extensive knowledge of Medicare, Medi-Cal, Caloptima, and CCS claim adjudication. Benefits : * Medical, dental and vision coverage is provided for all full time and part time employees* * Medical is ...
Urology Medical Assistant - Front and Back Office
Anaheim, CA · On-site
$18 - $23/hr
Medi-Cal, CalOptima, Medicare, HMO, and PPO. * Must be bilingual. * EMR experience required Benefits: * Medical * Dental * Vision * Vacation * Holiday Pay
Quick apply
Urology Medical Assistant - Front and Back Office
Anaheim, CA · On-site
$18 - $23/hr
Medi-Cal, CalOptima, Medicare, HMO, and PPO. * Must be bilingual. * EMR experience required Benefits: * Medical * Dental * Vision * Vacation * Holiday Pay
Urology Medical Assistant - Front and Back Office
Anaheim, CA · On-site
$18 - $23/hr
Medi-Cal, CalOptima, Medicare, HMO, and PPO. * Must be bilingual. * EMR experience required Benefits: * Medical * Dental * Vision * Vacation * Holiday Pay
Quick apply
Urology Medical Assistant - Front and Back Office
Anaheim, CA · On-site
$18 - $23/hr
Medi-Cal, CalOptima, Medicare, HMO, and PPO. * Must be bilingual. * EMR experience required Benefits: * Medical * Dental * Vision * Vacation * Holiday Pay
Position Summary The ECM Care Coordination Specialist supports Casa de la Familia's Enhanced Care Management (ECM) program through CalOptima. This position serves as a primary point of contact for ...
Quick apply
Position Summary The ECM Care Coordination Specialist supports Casa de la Familia's Enhanced Care Management (ECM) program through CalOptima. This position serves as a primary point of contact for ...
Position Summary The ECM Care Coordination Specialist supports Casa de la Familia's Enhanced Care Management (ECM) program through CalOptima. This position serves as a primary point of contact for ...
Position Summary The ECM Care Coordination Specialist supports Casa de la Familia's Enhanced Care Management (ECM) program through CalOptima. This position serves as a primary point of contact for ...
Position Summary The ECM Care Coordination Specialist supports Casa de la Familia's Enhanced Care Management (ECM) program through CalOptima. This position serves as a primary point of contact for ...
Position Summary The ECM Care Coordination Specialist supports Casa de la Familia's Enhanced Care Management (ECM) program through CalOptima. This position serves as a primary point of contact for ...
Urology Medical Assistant - Front and Back Office
Anaheim, CA · On-site
$18 - $23/hr
Medi-Cal, CalOptima, Medicare, HMO, and PPO. * Must be bilingual. * EMR experience required Benefits: * Medical * Dental * Vision * Vacation * Holiday Pay
Quick apply
Urology Medical Assistant - Front and Back Office
Anaheim, CA · On-site
$18 - $23/hr
Medi-Cal, CalOptima, Medicare, HMO, and PPO. * Must be bilingual. * EMR experience required Benefits: * Medical * Dental * Vision * Vacation * Holiday Pay
Government Specialist II
Santa Ana, CA · On-site
$28.84 - $35.19/hr
Extensive knowledge of Medicare, Medi-Cal, Caloptima, and CCS claim adjudication. Benefits : * Medical, dental and vision coverage is provided for all full time and part time employees* * Medical is ...
Quick apply
Government Specialist II
Santa Ana, CA · On-site
$28.84 - $35.19/hr
Extensive knowledge of Medicare, Medi-Cal, Caloptima, and CCS claim adjudication. Benefits : * Medical, dental and vision coverage is provided for all full time and part time employees* * Medical is ...
Case Manager I- SC/Anaheim Emergency Shelter (AES)-11-145
Tustin, CA · On-site
$25 - $27/hr
Accuracy of CalOptima (CalAIM) billing process submission in a timely manner by designated deadline. * Practice consistent communication related to guest status, this includes keeping supervisor ...
Case Manager I- SC/Anaheim Emergency Shelter (AES)-11-145
Tustin, CA · On-site
$25 - $27/hr
Accuracy of CalOptima (CalAIM) billing process submission in a timely manner by designated deadline. * Practice consistent communication related to guest status, this includes keeping supervisor ...
Permanent Supportive Housing Case Manager II-SC/Center of Hope, Orange County-11-145
Tustin, CA · On-site
$22.25 - $26.75/hr
Accuracy of CalOptima (CalAIM) billing process submission in a timely manner by designated deadline. * Other duties as assigned by Program Supervisor or lead. Core Competencies * Strategic Thinking ...
Quick apply
Permanent Supportive Housing Case Manager II-SC/Center of Hope, Orange County-11-145
Tustin, CA · On-site
$22.25 - $26.75/hr
Accuracy of CalOptima (CalAIM) billing process submission in a timely manner by designated deadline. * Other duties as assigned by Program Supervisor or lead. Core Competencies * Strategic Thinking ...
Caloptima information
See salary details
$8.89 - $13.70
16% of jobs
$15.17 is the 25th percentile. Wages below this are outliers.
$13.70 - $18.51
29% of jobs
The median wage is $19.71 / hr.
$18.51 - $23.32
19% of jobs
$27.58 is the 75th percentile. Wages above this are outliers.
$23.32 - $28.13
12% of jobs
$28.13 - $32.93
8% of jobs
$32.93 - $37.74
5% of jobs
$37.74 - $42.55
4% of jobs
$42.55 - $47.36
2% of jobs
$47.36 - $52.16
2% of jobs
$52.16 - $56.97
1% of jobs
$56.97 - $61.78
1% of jobs
$8
$26
$61
How much do caloptima jobs pay per hour?
What are the key skills and qualifications needed to thrive as a CalOptima Case Manager, and why are they important?
What jobs make $3,000 a month without a degree?
What are some common challenges faced by CalOptima employees in serving a diverse member population?
What is CalOptima and what does it do?
What is the difference between Caloptima vs Medical Billing Specialist?
| Aspect | Caloptima | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires knowledge of healthcare programs, insurance policies, and possibly certifications in healthcare administration | Requires knowledge of billing procedures, coding, and often certifications like CPC or CPC-H |
| Work Environment | Government or healthcare organization setting, focusing on Medicaid/Medicare programs | Medical offices, hospitals, or billing companies handling insurance claims |
| Employer & Industry | Public health agencies, managed care organizations | Private healthcare providers, billing companies |
| Search & Comparison Intent | Understanding roles within healthcare administration and insurance programs | Learning about billing procedures and certifications |
Caloptima is a managed care organization focusing on Medicaid services, while a Medical Billing Specialist handles insurance claims and coding in healthcare settings. Both roles involve healthcare administration but differ in scope and specific responsibilities.
What are the qualifications for CalOptima?
How much does CalOptima pay?
Is CalOptima a government job?

Other
Retirement, PTO
Posted 3 days ago
Job description
Apply now Job no: 494115
Work type: Full Time
Location: PACE - Garden Grove
Categories: Medical / Clinical
Join Us in this Amazing Opportunity
The Team You'll Join
We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.
More About the Opportunity
We are hoping you will join us as a Therapy Aide, Recreational and help shape the future of healthcare where you'll be an integral part of our PACE- Clinic team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Office.
- If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.
Under the direct supervision of the Supervisor Day Center (PACE) and working under the guidance of the Activity Coordinator, the Therapy Aide (Recreational) will provide therapeutic and recreational support services to CalOptima Health's Program for All-Inclusive Care for the Elderly (PACE) participants in the day health center. Additionally, you will perform other activities and tasks as assigned.
Together, we are building a stronger, more equitable health system.
Your Contributions To the Team:
- 95% - Program Support
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- Assists in the coordination of the day center's social programming and activities, communicates current events and PACE organizational issues to participants in a culturally and linguistically appropriate manner.
- Facilitates recreational programming in accordance with individual treatment plans and participates in social and recreational activities with participants.
- Supports with coordinating and facilitating participant outings, special events and activity ideas and collaborates with other departments.
- Supports supervision of the participant's level of engagement and involvement and provides feedback to the Activity Coordinator; documents activity services provided (e.g., charge tickets).
- Reports observed changes in the participant's conditions to the supervisor and other Interdisciplinary Team (IDT) members as appropriate.
- Maintains and ensures activity supplies are consistently available for participant use.
- Demonstrates safe practices with participants utilizing proper body mechanics as needed and complies with universal precautions.
- Assists with care plan assessments as needed.
- 5% - Other
- Completes other projects and duties as assigned.
Do You Have What the Role Requires?
- High school diploma or equivalent PLUS 1 year of experience with the frail or elderly population within the last 3 years required, preferably in a social or recreational program setting; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
- 1 year of experience with people with dementia required.
- CPR and First-Aid Certification required or must be obtained within six (6) months of the date of hire.
You'll Stand Out More If You Possess the Following:
- Bachelor's degree in recreational therapy or related field.
- Experience in event planning or activity coordination.
- Experience designing engaging activities for diverse groups with different interests and abilities
- Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese).
What the Regulatory Agencies Need You to Possess?
- N/A
Your Knowledge & Abilities to Bring to this Role:
- Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem-solve and possess project management skills.
- Work in a fast-paced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multi-program teams and external committees/coalitions.
- Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
Your Physical Requirements (With or Without Accommodations):
- Ability to visually read information from computer screens, forms and other printed materials and information.
- Ability to speak (enunciate) clearly in conversation and general communication.
- Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
- Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
- Lifting and moving objects, patients and/or equipment more than 50 pounds
Ways We Are Here For You
- You'll enjoy competitive compensation for this role.
- Our current hiring range is: Pay Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077).
- The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.
- The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.
- Our current hiring range is: Pay Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077).
- This position is approved for Full Office (**If the position is Telework, it is eligible in California only**)
- A comprehensive benefits package
- CalPERS pension program and additional retirement packages.
- Additional benefits and perks including:
- A generous PTO program
- A quality work life balance
- Various wellness programs
- Tuition Reimbursement
- Professional development opportunities
- Career development opportunities
- Flexible scheduling
- And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.
Our Work Environment:
If located at the 500, 505 Building or a remote work location:
- Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
- There are no harmful environmental conditions present for this job.
- The noise level in this work environment is usually moderate.
If located at PACE:
- Work is typically indoors in a clinical setting serving the frail and elderly.
- There may be harmful or hazardous environmental conditions present for this job.
- The noise level in this work environment is usually moderate to loud.
If located in the Community:
- Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
- Employee will occasionally work outdoors in varied temperatures.
- There may be harmful or hazardous environmental conditions present for this job.
- The noise level in this work environment is usually moderate to loud.
Why Join Us?
We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare.
What's Your Next Step?
All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is August 4, 2026 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.
Our Commitment to You
Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview.
If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process.
CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.
Advertised: 22 Jul 2026 Pacific Daylight Time
Applications close: 21 Aug 2026 Pacific Daylight Time
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