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Other JobsManager, Utilization Management Nurse Management Description: Your Role The Facility Compliance Review FCR team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never (more...) Company: Blue Shield of California Location: Fullerton Posted on: 07/1/2025 Member Liaison Specialist (Behavioral Health) Description: Member Liaison Specialist Behavioral Health CalOptima CalOptima Health is seeking a highly motivated Member Liaison Specialist Behavioral Health to join our team. The Member Liaison Specialist Behavioral (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Customer Service Representative (OneCare) (Bilingual Required) Description: Customer Service Representative OneCare Bilingual Required CalOptima CalOptima Health is seeking a highly motivated Customer Service Representative OneCare Bilingual Required to join our team. (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Administrative Assistant (PACE Center) Description: Administrative Assistant PACE Center CalOptima CalOptima Health is seeking a highly motivated Administrative Assistant PACE Center to join our team. The Administrative Assistant for the Program of (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Interdisciplinary Team Lead (Program Specialist) Description: Interdisciplinary Team Lead Program Specialist CalOptima CalOptima Health is seeking a highly motivated Program Specialist Interdisciplinary Team Lead to join our team. The Program Specialist Interdisciplinary (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Grievance & Appeals Nurse Specialist Description: Grievance amp Appeals Nurse Specialist CalOptima CalOptima Health is seeking a highly motivated Grievance amp Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Licensed Clinician, Senior (ABA Case Manager) Description: Your Role Reporting to the Manager, Care Management- Behavioral Health, the Licensed Clinician, Senior ABA Case Manager helps members with behavioral health needs navigate the health care system for (more...) Company: Blue Shield of California Location: Fullerton Posted on: 07/1/2025 Buyer, Sr. Description: Buyer, Sr.CalOptima CalOptima Health is seeking a highly motivated Buyer Sr to join our team. The Buyer Sr will handle complex purchasing assignments such as formal bidding that involves technical specifications (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Program/Policy Analyst Sr (Medi-Cal Compliance) Description: Program/Policy Analyst Sr Medi-Cal Compliance CalOptima CalOptima Health is seeking a highly motivated Program/Policy Analyst Sr Medi-Cal Compliance to join our team. The Program/Policy Analyst Sr (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Supervisor Information Technology Services (Infrastructure) Description: Supervisor Information Technology Services Infrastructure CalOptima CalOptima Health is seeking a highly motivated Supervisor Information Technology Services Infrastructure to join our team. The Supervisor (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 |
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