Caloptima
Caloptima

60 Caloptima Utilization Management Coordinator Jobs Hiring Near You

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Caloptima Jobs Information

Do workers at CalOptima get paid breaks?

Yes. Most people get paid breaks.
79% of people say they get paid breaks.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Does CalOptima pay people when they’re sick?

Yes. Most people get paid when they’re sick.
79% of people say they would get paid if they were sick but scheduled to work.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

At CalOptima, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
100% of people say they have to use vacation days when they’re out sick.
Based on data from 11 people who took the Breakroom Quiz between May 2025 and April 2026.

Is the health insurance from CalOptima affordable enough for their workers?

Most people say the health insurance costs are okay.
100% of people say the health insurance costs are okay
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.

Do people get paid time off at CalOptima?

Most people get paid time off work.
92% of people say they get paid time off.
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.

Do workers at CalOptima worry about hours?

Most people don’t worry about getting enough hours.
100% of people report they don’t worry about getting enough hours.
Based on data from 7 people who took the Breakroom Quiz between May 2025 and April 2026.

Do CalOptima workers get to choose the shifts they work?

Most people get to choose which shifts they work.
80% report that they have enough control over which shifts they work.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.

How easy is it for CalOptima workers to change shifts?

Most people find it easy to change shifts.
100% of people report that it’s easy to change shifts if they need to.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.

How easy is it to get time off at CalOptima?

Most people find it easy to get time off.
100% of people report it’s easy to get time off.
Based on data from 10 people who took the Breakroom Quiz between May 2025 and April 2026.

Do CalOptima managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 6 people who took the Breakroom Quiz between May 2025 and April 2026.

Do jobs at CalOptima spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
33% of people report that their job takes up time that they don’t get paid for.
Based on data from 6 people who took the Breakroom Quiz between May 2025 and April 2026.

How easy is it to take sick days at CalOptima?

Most people find it easy to take sick days.
92% of people report that it’s easy to take time off if they are sick.
Based on data from 13 people who took the Breakroom Quiz between May 2025 and May 2026.

Is working at CalOptima good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
80% of people who care for a child or other relative report this is a good place to work.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and April 2026.

Do people at CalOptima feel treated with respect by their managers?

Most people feel treated with respect by their managers.
86% of people say they’re treated with respect by their managers.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people at CalOptima get to take their breaks without interruption?

Most people get breaks without interruption.
93% of people report that they get to take their breaks without interruption.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Is it stressful to work at CalOptima?

Most people feel stressed here.
73% of people say they often feel stressed at work.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people at CalOptima enjoy their jobs?

Most people enjoy their job.
71% of people report they enjoy their job.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people at CalOptima recommend working with their team?

Only some people recommend working with their team.
47% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people get enough training when they start at CalOptima?

Some people didn’t get enough training when they started.
43% of people report they didn’t get enough training when they started working here.
Based on data from 14 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people get support to advance at CalOptima?

Most people are given support to advance their career here.
In the last year, 80% of people report being given support to advance their career here.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.

Do people think CalOptima’s headquarters understands what’s happening where they work?

Some people think headquarters doesn’t understand what’s happening where they work.
58% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 12 people who took the Breakroom Quiz between May 2025 and April 2026.

Do workers feel well informed about how CalOptima is doing?

Most people feel well informed about how the company is doing.
93% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 15 people who took the Breakroom Quiz between May 2025 and May 2026.

Utilization Management Coordinator - I

Bravens

Reston, VA • On-site

Full-time

Re-posted 29 days ago


Job description

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.
Job Title: Utilization Management Coordinator – I.
Location: Reston, VA.
Purpose:

  • Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
Essential Functions:
  • 35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
  • 35% Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
  • 20% Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
  • 10% Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer-to-Peer reviews.
Top 5 Required Skills:
  • Previous authorization experience.
  • Strong analytical skills.
  • Good communication skills.
  • Electronic efficiency.
  • Reliability/Dependability.
Qualifications:
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Knowledge, Skills and Abilities (KSAs):
  • Ability to effectively participate in a multi-disciplinary team including internal and external participants., Proficient.
  • Excellent communication, organizational and customer service skills., Proficient.
  • Knowledge of basic medical terminology and concepts used in managed care., Proficient.
  • Knowledge of standardized processes and procedures for evaluating medical support operations business practices. Proficient.
  • Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy., Proficient.
  • Ability to pay attention to the minute details of a project or task, Proficient.
  • Experience in the use of web-based technology and Microsoft Office applications such as Word, Excel, and Power Point, Proficient.
Education Level:
  • High School Diploma.
Experience:
  • 3 years’ experience in health care claims/service areas or office support.
Preferred Qualifications:
  • Two years’ experience in health care/managed care setting or previous work experience within division.
  • Knowledge of CPT and ICD-10 coding.


Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.


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About Bravens

Sourced by ZipRecruiter

Bravens is an Information Technology Consulting and Services company with the vast experience, full of success stories in the service of many companies and organizations in general. The experience in consulting, our work philosophy and high qualification of our professionals consolidate us in an outstanding position in our sector. We specialize in Web Technologies and offer a comprehensive range of proprietary solutions and advanced services that add value to the innovation. We are the partner that companies seek to be supported in their business strategies through technology.

Industry

It services

Company size

11 - 50 Employees

Headquarters location

Chantilly, VA, US

Year founded

2010

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