60 Caloptima Jobs Hiring Near You

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 members and assists ...

CalOptima Location: Orange CA - 92866 Duration: 3 + Months ( With Possibility of Extension ) Duties & Responsibilities: * 95% - Accounting Support * * Participates in a mission-driven culture of high ...

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 ...

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 ...

Monitors CalOptima Health's off-site equipment, furniture and document storage, including ensuring document inventories are always kept current. * Responds to internal 911 calls and coordinates ...

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 ...

Familiarity with payer portals such as IEHP, Molina, Anthem, or CalOptima. * Experience in ECM, population health, or value-based care. * CPC, CPB, or similar certification. Benefits * Medical ...

... CalOptima Health guidelinesSupport and engage members in their treatment, including coordination for medication review and/or reconciliation, scheduling appointments, providing appointment reminders ...

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 ...

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 ...

Join our network of independent contractor drivers in Orange County, CA MUST BE BILINGUAL - SPANISH & ENGLISH Earn $20+/ride + $0.80/mi + $200 Bonus Tired of unpredictable rideshare earnings? Ready ...

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 ...

... FPACT, CalOPTIMA, MediCal, etc.Qualifications:Bilingual in SpanishPrevious Medical Front Office experienceKnowledge and skill in filing, typing, and computer literacy. Ability to maintain an ...

The Customer Service Representative (CSR) will be the first line of contact for CalOptima Health's members and providers. You will assist members and providers with questions and/or complaints ...

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 ...

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 ...

Accompany members on office visits as needed and according to CalOptima Health guidelines * Advocate on behalf of the member with healthcare professionals and work with hospital staff on discharge ...

Accompany members on office visits as needed and according to CalOptima Health guidelines * Advocate on behalf of the member with healthcare professionals and work with hospital staff on discharge ...

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 ...

Accompany members on office visits as needed and according to CalOptima Health guidelines * Advocate on behalf of the member with healthcare professionals and work with hospital staff on discharge ...