(FEP) Correspondence Phone Support, Intermediate
Redding, CA; Long Beach, CA; El Dorado Hills, CA; Lodi, CA; Oakland, CA; Rancho Cordova, CA
Our FEP (Federal Employee Program) Customer Experience Teams receive incoming telephone calls from healthcare providers and active and retired Federal Employees. Call Centers are open Mo...

Correspondence Phone Support, Intermediate (Bilingual)
Lodi, CA; Long Beach, CA; El Dorado Hills, CA; Oakland, CA; Rancho Cordova, CA; Redding, CA; Woodland Hills, CA
Start dates from August 2024 October 2024 Mandatory Training Virtual As a Senior Markets Customer Service Representative (CSR), you are in charge of upholding our mission of providing se...

Correspondence Phone Support, Intermediate
Rancho Cordova, CA; Long Beach, CA; El Dorado Hills, CA; Lodi, CA; Oakland, CA; Redding, CA; Woodland Hills, CA
Start dates from August 2024 October 2024 Mandatory Training Virtual As a Senior Markets Customer Service Representative (CSR), you are in charge of upholding our mission of providing se...

Program Manager, Principal
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Network Management team is responsible for the development and maintenance of all provider networks, including vendor and Plan to Plan relationship necessary to provide our...

Sr. Manager, Provider Services Management
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Network Management team is responsible for the development and maintenance of all provider networks, including vendor and Plan to Plan relationships necessary to provide ou...

Program Coordinator, Experienced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Promise Chief Medical Officer (CMO) team provides clinical and strategic leadership to ensure sustainable, scalable, and compliant operations with the aim of improving acce...

Manager, Program Management Clinical
Redding, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Quality Review team completes internal audits of front line staff and vendors to ensure alignment with department processes and regulatory compliance. Quality Reviewers als...

Clinical Quality Coordinator, Intermediate
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the...

Clinical Quality Coordinator, Entry
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the...

Medical Informatics Analyst, Principal
Oakland, CA; Long Beach, CA; El Dorado Hills, CA
Your Role The Data & Analytics (D&A) team focuses enterprise wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data driven sol...

Program Coordinator, Associate
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Social Programs team is responsible for the support, oversight and administration of Social Programs benefits and services ensuring that our eligible members receive approp...

Enterprise Data Governance Modeler, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Data Services & Solutions, Data Governance team provide the framework, tools and oversight needed to standardize processes and procedures to govern data assets for world cl...

Case Management - Nurse, Senior
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis...

Duals Outreach & Enrollment Manager, Experienced
San Diego, CA
Your Role The Duals Outreach & Enrollment Manager is responsible for planning and executing beneficiary education, enrollment, community events, meetings, and conducting provider educati...

Utilization Management Nurse, Senior
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Manag...