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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 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 Financial Analyst IV (Decision Support) Description: Financial Analyst IV Decision Support CalOptima CalOptima Health is seeking a highly motivated Financial Analyst IV Decision Support to join our team. The Financial Analyst IV Decision Support will (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) Description: Certified Coding Specialist Sr HCC-Medicare and Medi-Cal CalOptima CalOptima Health is seeking a highly motivated Certified Coding Specialist Sr HCC-Medicare and Medi-Cal to join our team. The Certified (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 Director, Sales and Marketing (Director I) Description: Director, Sales and Marketing Director I CalOptima CalOptima Health is seeking a highly motivvresponsible for overseeing the execution and leading the implementation of member outreach, acquisition (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 Enterprise Analytics Manager (Principal Business Intelligence Analyst Tableau) Description: Enterprise Analytics Manager Principal Business Intelligence Analyst Tableau CalOptima CalOptima Health is seeking a highly motivated an experienced Principal Business Intelligence Analyst - Tableau (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 (3 Days Left) Travel Pediatric Clinical Risk Management RN Description: Job Description Prime Staffing is seeking a travel nurse RN Clinical Nurse Coordinator for a travel nursing job in Orange, California. Job Description amp Requirements - Specialty: Clinical Company: Prime Staffing 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 Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) Description: Sr Manager, Fraud, Waste and Abuse Investigations Sr Manager I CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Fraud, Waste and Abuse Investigations Sr Manager I to join our (more...) Company: CalOptima Location: Orange Posted on: 07/1/2025 |
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