caloptima

Government Jobs - - $47,840.00 - $64,584.00 Annually Customer Service Representative CalOptima CalOptima Health is seeking a highly motivated an experienced Customer Service Representative to join our team. The Customer Service Representative (CSR) will be the first line of contact for CalOptima Health's members and providers. The incumbent will assist...

Customer Service Rep, Covered California CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review...

Claims Resolution Specialist, Covered California CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you...

The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. Claims Examiner Sr ...

CalOptima is seeking a Financial Analyst III (Financial Reporting) to join our accounting team. The role focuses on preparing comprehensive monthly financial reports and statutory filings, with reporting to executives and the Board of Directors. Telework is approved with California residency requirements; occasional in-office presence in Orange, CA is...

CalOptima is seeking a Sr Claims Examiner to analyze and adjudicate complex claims within a primarily remote role. You will ensure compliance with regulatory and internal guidelines while supporting the Claims Administration team in delivering accurate and timely reimbursements. The position requires a high school diploma or equivalent plus 2 years of...

CalOptima Health is seeking a Chief Operating Officer to join the Executive Office and drive strategic leadership across health plan operations, provider relations, and information security. You will balance resources, oversee budgets, and ensure compliance while guiding cross-functional teams to achieve organizational goals.The role requires executive-level...

Manager Customer Service, Enrollment & Premium Billing (Covered California) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a...

Business Analyst Sr (Covered California) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review...

CalOptima is seeking a Sr Claims Examiner to analyze and adjudicate complex claims within a primarily remote role. You will ensure compliance with regulatory and internal guidelines while supporting the Claims Administration team in delivering accurate and timely reimbursements. The position requires a high school diploma or equivalent plus 2 years of...

CalOptima Health is seeking a Senior Business Analyst for the Covered California initiative to analyze enrollment and premium billing functions. You will translate requirements, support cross-functional teams, and ensure regulatory compliance in a fast-paced environment.Role involves design sessions, testing, documentation, and driving data-driven...

The Team You'll JoinWe are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person.Help us build healthier communities for all.More About the OpportunityWe are hoping you will join us as a Chief Operating Officer (COO) and help shape the future of healthcare where...

Join Us in this Amazing Opportunity We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. The Team...

CalOptima Health Partnership in Orange, CA, is seeking a Sr. HRIS Representative to support our HR information systems and drive efficiency across HRAdmin Services. This role blends hands-on system work with strategic partnership to improve tools and data processes.You will collaborate with HR, IT, and operations, test changes, implement new HR tech, and...

CalOptima Health is seeking a Sr Claims Examiner to support the Claims Administration team. The role emphasizes analyzing and validating complex claims, adhering to regulations, and collaborating across providers and stakeholders in a telework-enabled environment. The position requires a high school diploma with 2 years of claims processing experience,...

CalOptima Health in Orange, CA seeks a MuleSoft Integration Architect (ITS Architect III) to shape our enterprise integration strategy. The role focuses on MuleSoft Anypoint Platform, API-led connectivity, and secure, scalable data integration across core systems.You will lead API design, governance, and collaboration with IT, security, and cloud teams to...

CalOptima Health is seeking a Sr Claims Examiner to support the Claims Administration team. The role emphasizes analyzing and validating complex claims, adhering to regulations, and collaborating across providers and stakeholders in a telework-enabled environment. The position requires a high school diploma with 2 years of claims processing experience, and...

CalOptima Health is seeking a Sr Claims Examiner to support the Claims Administration team. The role emphasizes analyzing and validating complex claims, adhering to regulations, and collaborating across providers and stakeholders in a telework-enabled environment. The position requires a high school diploma with 2 years of claims processing experience, and...

CalOptima Health is seeking a Sr Claims Examiner to support the Claims Administration team. The role emphasizes analyzing and validating complex claims, adhering to regulations, and collaborating across providers and stakeholders in a telework-enabled environment. The position requires a high school diploma with 2 years of claims processing experience, and...

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. We are hoping you will join us as a Claims...