ZipRecruiter

Log In

1

Caloptima Jobs (NOW HIRING)

ACI Infotech

SQL Database Administrator

Orange, CA · On-site

$53.25 - $66.75/hr

Establish and maintain effective working relationships with CalOptima leadership and staff. * Communicate clearly and concisely, both verbally and in writing. * . Utilize computer and appropriate ...

Aroha Technologies

Medical Case Manager

Orange, CA · On-site

$43.66 - $69.86/hr

... CalOptima Health to join the Behavioral Health Utilization Management (BHI - BH Utilization Management) team in Orange, CA. This position is responsible for reviewing medical service requests ...

MERCY HOUSE

ECM Lead Care Manager (5173)

Santa Ana, CA

$23 - $24/hr

Provide services at locations that are accessible and convenient for the member, including their residence or places where they seek care, in alignment with CalOptima Health guidelines * Assist ...

next page

Showing results 1-20

All JobsCaloptima Jobs

Caloptima information

See salary details

$8

$26

$61

How much do caloptima jobs pay per hour?

As of Jun 25, 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 are the key skills and qualifications needed to thrive as a CalOptima Case Manager, and why are they important?

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 some 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 and what does it do?

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
Program Specialist - Cultural and Linguistic

Program Specialist - Cultural and Linguistic

SUNSHINE ENTERPRISE USA LLC

Orange, CA • On-site

Full-time

Posted 6 days ago

Job description

Company Overview: Our client is a leading healthcare located in Orange, CA, seeking a highly motivated and experienced program specialist coordinating the compliance with cultural and linguistic (C&L) state and federal regulatory requirements. Position Summary: The successful candidate must have at least 2 years of relevant experience in a healthcare setting and be bilingual. Work Duration: Up to 6 months Work type: On-site Position Responsibilities: 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 requests with contracted interpreting vendors. Coordinates the timely vending and completion of Alternative Format material, such as Braille, Audio and Large Print, with contracted vendors. Coordinates the vending of professional translation and review services in one or more languages (Arabic, Chinese, Farsi, Korean, Spanish, and Vietnamese) Assists in completing and/or responding to regulatory agency reports (Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc.), surveys, audits and evaluations regarding the client's C&L program

Reviews, researches and responds to member grievances related to contracted vendor issues. Administrative Support Processes vendor invoices for translation and interpreter services timely and accurately. Reviews, analyzes, and interprets regulations and internal/external policies and procedures related to cultural and linguistic services.

Processes vendor invoices for translation and interpreter services timely and accurately. Reviews, analyzes, and interprets regulations and internal/external policies and procedures related to cultural and linguistic services. Complete additional assignments and projects as assigned.

Experience & Education: High School diploma or equivalent required. Bachelor's degree in a health care related field or cultural and linguistic studies strongly preferred. 2 years of experience in project coordination, translations or interpreting services required.

2 years of experience in health maintenance organization (HMO), Medicare, Medi Cal/Medicaid and health services. 1 year of experience with a health plan or working with culturally diverse populations strong preferred. 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.

Bilingual in English and one of Arabic, Chinese, Farsi, Korean, Spanish, or Vietnamese. Professional education in project management, translation, interpretation or cultural competency training preferred. Experience in managed care and/or government programs preferred.

Necessary Attributes: Establish effective relationships with internal and external stakeholders. Demonstrate independent judgment and decision-making skills. Communicate effectively both verbally and in writing.

Flexible schedule availability for evening and weekend events. Strong organizational, analytical, and problem-solving abilities. Proficiency in Microsoft Office (Word, Outlook, Excel, PowerPoint) and job-specific applications/systems.

Please see HR for information on physical demands and work environment of this job. Sunshine Enterprise USA is an "Equal Opportunity Employer-Minorities, Females, Veterans and Disabled Persons"

Apply