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Caloptima Jobs (NOW HIRING)

22nd Century Technologies Inc. (TSCTI)

Be Seen First

Social Worker

Orange, CA · On-site

$32.70 - $52.31/hr

May be required to perform home visits to private homes of CalOptima Health's PACE participants; frequent travel in Orange County. * Support PACE participants with care coordination needs, such as ...

New

Meals On Wheels OC

Care Navigator Specialist

Santa Ana, CA · On-site

$24 - $29/hr

Navigators offer guidance and support to help members access CalOptima Health and other healthcare systems. They are highly trained communicators and subject matter experts, skilled in Motivational ...

New

Alfred A Sidhom M D Inc

Medical Biller

Anaheim, CA · On-site

$23 - $27/hr

  • Medical

  • Dental

  • Vision

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 ...

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Caloptima information

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How much do caloptima jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for caloptima in the United States is $26.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $30.77 per hour, depending on experience, location, and employer.

What skills and qualifications are needed to thrive as a CalOptima case manager?

To thrive as a CalOptima Case Manager, you need a solid background in healthcare, case management, and knowledge of Medi-Cal or public health programs, typically supported by a degree in nursing, social work, or a related field. Familiarity with case management software, electronic health records (EHR), and state or federal health regulations is essential. Strong interpersonal skills, cultural competency, and problem-solving abilities make someone stand out in this position. These skills ensure effective patient advocacy, compliance with health policies, and the delivery of coordinated, high-quality care for vulnerable populations.

What are common challenges faced by CalOptima employees in serving a diverse member population?

CalOptima employees often work with members from a wide range of cultural, linguistic, and socioeconomic backgrounds. A common challenge is ensuring clear communication and understanding diverse health needs, which may require using translation services or adapting outreach strategies. Team members collaborate with case managers, healthcare providers, and community organizations to deliver tailored support, making cultural competence and adaptability crucial skills. Overcoming these challenges is highly rewarding, as it directly contributes to improved health outcomes for underserved populations.

What is CalOptima?

CalOptima is a county-organized health system in Orange County, California, that administers health insurance programs for low-income residents. Its main programs include Medi-Cal, OneCare (HMO SNP), and the Program of All-Inclusive Care for the Elderly (PACE). CalOptima coordinates health care services such as primary care, specialty care, mental health, and pharmacy benefits for its members. The organization works with a network of doctors, hospitals, and other providers to ensure members receive quality, accessible health care. Eligibility for CalOptima programs is generally based on income, age, and health status.

What is the difference between Caloptima vs Medical Billing Specialist?

AspectCaloptimaMedical Billing Specialist
CredentialsTypically requires knowledge of healthcare programs, insurance policies, and possibly certifications in healthcare administrationRequires knowledge of billing procedures, coding, and often certifications like CPC or CPC-H
Work EnvironmentGovernment or healthcare organization setting, focusing on Medicaid/Medicare programsMedical offices, hospitals, or billing companies handling insurance claims
Employer & IndustryPublic health agencies, managed care organizationsPrivate healthcare providers, billing companies
Search & Comparison IntentUnderstanding roles within healthcare administration and insurance programsLearning 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.

More about Caloptima jobs

What cities are hiring for Caloptima jobs?

Cities with the most Caloptima job openings:

What job categories do people searching Caloptima jobs look for?

The top searched job categories for Caloptima jobs are:

Caloptima jobs near you
Infographic showing various Caloptima job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 89% In-person, 4% Hybrid, and 7% Remote job distribution, with an average salary of $54,791 per year, or $26.3 per hour.

Government Specialist II

KPC GLOBAL MEDICAL CENTERS INC.

Santa Ana, CA • On-site

$28.84 - $36.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description


Under the direction of the Billing Supervisor, the Government Programs Specialist will perform his/her duties in accordance with corporate guidelines.


Requirements:

  1. Must be a high school graduate.
  2. Must have strong computer skills including, MS-Word, Excel, and Outlook.
  3. Excellent mathematical skills required.
  4. Ability to type 45-50 wpm.
  5. Good oral communication skills are desired.
  6. Minimum of two years recent continuous experience in a business office
  7. 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 100% employer paid including dependents*
  • Employee Stock Ownership Program
  • Basic Life and AD&D
  • 401k plan with company match
  • Generous PTO plan*
  • Pet Insurance Discount Program*
  • Employee Discount Program*

*per diem staff ineligible


The posted pay scale represents the range the Company reasonably expects to pay candidates for this position. The actual wage for this position may depend on factors such as experience and education, specific skills and abilities, alignment with similar internal candidates, marketplace factors, an applicable collective bargaining agreement, and Company business practices.

KPC Health logo

About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

Social media

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