Remote Claims Resolution Specialist – Health Plan
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Healthcare
Healthcare Administration, Healthcare Compliance, Medical Billing and Coding
Job Description & How to Apply Below
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.
The following opening is for a Remote Claims Resolution Specialist – Health Plan with Cal Optima Health Partnership.
We are seeking a motivated Remote Claims Resolution Specialist – Health Plan to join Cal Optima Health Partnership in Orange, CA, United States.
Consider building your career as a Remote Claims Resolution Specialist – Health Plan at Cal Optima Health Partnership.
The Remote Claims Resolution Specialist – Health Plan position in the Management & Operations, IT & Technology field is open for applications.
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