Remote Claims Resolution Specialist – Health Plan
Riverside, Riverside County, California, 92501, USA
Listed on 2026-11-01
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Healthcare
Healthcare Compliance, Healthcare Administration, Medical Billing and Coding
Cal Optima Health is seeking a Claims Resolution Specialist for the Claims Administration team. This remote role supports Medi-Cal and One Care 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.
Consider building your career as a Remote Claims Resolution Specialist – Health Plan at Cal Optima Health Partnership.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Claims Resolution Specialist – Health Plan role in the description above.
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