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Remote Claims Lead – Healthcare Adjudication Expert

Remote / Online - Candidates ideally in
Orange, Orange County, California, 92613, USA
Listing for: CalOptima Health Partnership
Remote/Work from Home position
Listed on 2026-10-11
Job specializations:
  • Healthcare
    Health Insurance
Salary/Wage Range or Industry Benchmark: 56000 - 84000 USD Yearly USD 56000.00 84000.00 YEAR
Job Description & How to Apply Below

Cal Optima Health in California seeks a Claims Examiner Lead to provide advanced claim adjudication, system navigation and regulatory compliance. You will mentor staff, oversee workflow, monitor quality, and ensure timely processing across all lines of business.

This position offers Full Telework in California; if partial telework, two days weekly at the Orange, CA office. Join a mission-driven team partnering with providers and community partners to improve member health.

This is an excellent opening to take on the Remote Claims Lead – Healthcare Adjudication Expert role at Cal Optima Health Partnership.

This posting is for the Remote Claims Lead – Healthcare Adjudication Expert role at Cal Optima Health Partnership, based in Orange, CA, United States.

We are looking to fill the Remote Claims Lead – Healthcare Adjudication Expert position at Cal Optima Health Partnership in Orange, CA, United States.

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