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Hmo Jobs in California (NOW HIRING)

CompHealth

Family Practice Physician

Menifee, CA · On-site

$285K - $330K/yr

This role offers flexible hours and the opportunity to work with a Medicare population in a value-based HMO model. Join a team that supports your career goals and provides a fulfilling practice ...

DBM GLOBAL INC

Heavy Machine Operator (C)

Stockton, CA

$20 - $21/hr

The HMO-C utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of non-CNC equipment and machines To perform this job successfully, an ...

Schuff Steel

Heavy Machine Operator (B)

Stockton, CA · On-site

$21.50 - $22.50/hr

The HMO-B utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of non-CNC machines and equipment. To perform this job successfully, an ...

SCHUFF STEEL CO

Heavy Machine Operator (B)

Stockton, CA

$21.50 - $22.50/hr

The HMO-B utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of non-CNC machines and equipment. To perform this job successfully, an ...

CompHealth

Family Medicine Physician

Menifee, CA · On-site

$285K - $330K/yr

CompHealth is seeking a dedicated healthcare professional to join a practice focusing on HMO and Medicare populations. This role offers the flexibility of choosing work hours and provides a ...

SCHUFF STEEL CO

Heavy Machine Operator (C)

Stockton, CA

$20 - $21/hr

The HMO-C utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of non-CNC equipment and machines To perform this job successfully, an ...

DBM GLOBAL INC

Heavy Machine Operator (B)

Stockton, CA

$21.50 - $22.50/hr

The HMO-B utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of non-CNC machines and equipment. To perform this job successfully, an ...

Schuff Steel

Heavy Machine Operator (C)

Stockton, CA · On-site

$20 - $21/hr

The HMO-C utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of non-CNC equipment and machines To perform this job successfully, an ...

CompHealth

Internal Medicine Physician

Menifee, CA · On-site

$285K - $330K/yr

This role offers a great work-life balance with flexible hours and excellent staff support, focusing on a value-based HMO model with a Medicare patient population. The position provides an ...

Laguna Summit

Dental Office Manager

Laguna Hills, CA

$32 - $34/mo

Title Dental Office Manager What You'll Do: • Overseeing daily operations with confidence and clarity • Leading front office and support staff with a steady hand • Handling HMO authorizations ...

Managed Staffing

Claims Examiner

Whittier, CA · On-site

$30 - $32/hr

Handle claims received from hospitals and affiliated medical groups for HMO patients. * Apply correct payment methodologies for professional (MD), hospital, SNF, and ancillary service claims.

Schuff Steel

Heavy Machine Operator (A)

Stockton, CA · On-site

$23 - $28/hr

The HMO-A utilizes a high degree of proficiency while utilizing full skills of the trade including knowledge and understanding of CNC machine programs. To perform this job successfully, an individual ...

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How much do hmo jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for hmo in California is $22.61, according to ZipRecruiter salary data. Most workers in this role earn between $16.48 and $27.54 per hour, depending on experience, location, and employer.

What is an HMO?

An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.

What are the typical responsibilities of an HMO medical officer on a daily basis?

As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.

What are the key skills and qualifications needed to thrive in the HMO position, and why are they important?

To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.

What are the most commonly searched types of Hmo jobs in California?

The most popular types of Hmo jobs in California are:

What are popular job titles related to Hmo jobs in California?

For Hmo jobs in California, the most frequently searched job titles are:

What job categories do people searching Hmo jobs in California look for?

The top searched job categories for Hmo jobs in California are:

Hmo jobs near you
Infographic showing various Hmo job openings in California as of August 2026, with employment types broken down into 1% As Needed, 91% Full Time, 7% Part Time, and 1% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $47,025 per year, or $22.6 per hour.

Director, HMO Claims Services

Scripps Health

San Diego, CA • Hybrid

Full-time

Posted 11 days ago

Scripps Health rating

8.6

Company rating: 8.6 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

8th of 893 rated healthcare providers

Job description

This is a full-time leadership position, eligible for Scripps Health annual Management Incentive Compensation Plan.

This position is partial remote and located in San Diego and does require residence in San Diego. The weekly schedule will be 2 days in the office and 3 days remote.

About Scripps Health:

Founded in 1924, Scripps Health is a $5 billion, private nonprofit health system based in San Diego, founded in 1924 by philanthropist Ellen Browning Scripps. Serving over 600,000 patients annually, it operates five acute-care hospitals, 30 outpatient centers, home health services, and a wide physician network of 3,000 affiliated doctors and 17,800 employees.  Recognized nationally for excellence, Scripps has earned top rankings from U.S. News & World Report, Fortune, Newsweek, and Becker's Healthcare, and maintains an AA rating with a stable outlook from S&P Global Ratings due to its strong leadership and financial performance.

The Director of HMO Payment (Claims) Services for Scripps Health Plan provides strategic and operational leadership for the claims payment function, ensuring the accurate, timely, and compliant processing and payment of professional and institutional provider claims.

This leader is responsible for optimizing claims operations, driving successful Plan and DMHC audit performance, overseeing staff education and training, and managing the PDR process. The Director will partner closely with MSO and Plan departments to ensure effective workflows, resolve operational issues, and promote seamless coordination across the organization.

As a subject matter expert, this individual will play a key role in Epic/Tapestry system implementations, workflow optimization, reporting, and data-driven performance management, including the development and monitoring of claims KPIs.

Please note: This is a health plan claims payment/operations leadership position-not a revenue cycle, hospital billing, or accounts receivable role.

Successful candidate will demonstrate:

  • Claims automation optimization.
  • Claims recovery.
  • Epic/Tapestry expertise including workbench and WebI reporting.
  • Reporting and KPI development and management.
  • Experience with mailroom.

#LI-JS1

Required Education/Experience/Specialized Skills:

  • 8 years' experience in managed care claims, 3 of which in leadership.
  • Expertise is California DMHC claims regulations, NCQA regulations and health Plan experience.
  • Strong technical aptitude for computer systems and databases.

Preferred Education/Experience/Specialized Skills/Certification: .

  • Bachelor's degree in related field.
  • Epic Tapestry experience.
  • Strong reporting experience, specifically Epic Workbench and WebI.
  • Understanding of institutional and professional claims, implications and codes.
  • Experience with DMHC audits, health plan audits, CPT and ENM coding
  • Mailroom experience.

What Scripps Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Scripps Health

Sourced by ZipRecruiter

As a nationally recognized health system, Scripps Health is committed to providing the highest quality care to our patients. Through collaboration and innovation, our healthcare professionals lead the frontier in caring for our community. With a culture centered around teamwork, each laboratory site serves as a resource of support for each other, setting our laboratories as the benchmark for standardization.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

San Diego, CA, US

Year founded

1924

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