CalOptima Health is seeking a Claims Resolution Specialist for the Claims Administration team. This remote role supports Medi-Cal and OneCare claims and ensures adjudication alignment with AB1455 guidelines, while collaborating with providers and stakeholders across California.
The position offers Full Telework with requirement to reside in California, with occasional in-office presence if needed; strong emphasis on accuracy, customer service, and regulatory compliance.
#J-18808-LjbffrRemote Claims Resolution Specialist - Health Plan in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.