CalOptima

  • Orange, California
CalOptima

Employer Description

Our motto and programs

“Better. Together.” is our motto, and it means that by working together, we can make things better — for our members and community. As a public agency, CalOptima was founded by the community as a County Organized Health System that offers health insurance programs for low-income children, adults, seniors and people with disabilities. As Orange County’s single largest health insurer, we provide coverage through four major programs:

 

Medi-Cal

California’s Medicaid Program for low-income children, adults, seniors and people with disabilities, offering comprehensive health care coverage

 

OneCare Connect Cal MediConnect Plan

Medicare-Medicaid Plan that combines Medicare and Medi-Cal benefits and adds worldwide emergency care, dental care, vision care and transportation to medical services at no extra cost

 

OneCare (HMO SNP)

Medicare Advantage Special Needs Plan for seniors and people with disabilities who qualify for both Medicare and Medi-Cal

 

Program of All-Inclusive Care for the Elderly

PACE for frail older adults, providing a full range of health and social services so seniors can remain living in the community

25 JOB(S) AT CalOptima

  • As Needed HEDIS Case Manager

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Jan 07, 2026
    • Full Time
    • Human and Social Services
    • Public Health
  • As Needed HEDIS Case Manager

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Jan 07, 2026
    • Full Time
    • Human and Social Services
    • Public Health
  • Supervisor Finance (Contracts)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Jan 07, 2026
    • Full Time
    • Human and Social Services
    • Public Health
  • Customer Service Representative Sr (General)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Jan 06, 2026
    • Full Time
    • Human and Social Services
    • Public Health
  • Pharmacy Services Specialist (Clinical Programs - Stars)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Jan 06, 2026
    • Full Time
    • Human and Social Services
    • Public Health
  • Facilities & Support Services Coordinator

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Jan 06, 2026
    • Full Time
    • Human and Social Services
    • Public Health
  • Grievance & Appeals Nurse Specialist

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Jan 06, 2026
    • Full Time
    • Human and Social Services
    • Public Health
  • Sr Manager, Member Retention & Outreach (Sr Manager I)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Director, Actuarial Services (Director IV)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Program Manager - Quality Initiatives

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Sr Manager, Covered California (Sr. Manager II)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Auditor, Provider Data

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Personal Care Coordinator Sr (Bilingual in Vietnamese)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Director Premium Billing and Member Enrollment (Director II)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Program Assistant (Claims Administration)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Program Manager (Provider Data Operations)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Grievance Resolution Specialist

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Lead Decision Support (Principal Financial Analyst)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Intern (Privacy Operations) - Spring 2026

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health
  • Claims Resolution Specialist (Customer Service)

    • 505 City Pkwy W, Orange, California
    • CalOptima
    • Dec 31, 2025
    • Full Time
    • Human and Social Services
    • Public Health

CalOptima

Our motto and programs

“Better. Together.” is our motto, and it means that by working together, we can make things better — for our members and community. As a public agency, CalOptima was founded by the community as a County Organized Health System that offers health insurance programs for low-income children, adults, seniors and people with disabilities. As Orange County’s single largest health insurer, we provide coverage through four major programs:

 

Medi-Cal

California’s Medicaid Program for low-income children, adults, seniors and people with disabilities, offering comprehensive health care coverage

 

OneCare Connect Cal MediConnect Plan

Medicare-Medicaid Plan that combines Medicare and Medi-Cal benefits and adds worldwide emergency care, dental care, vision care and transportation to medical services at no extra cost

 

OneCare (HMO SNP)

Medicare Advantage Special Needs Plan for seniors and people with disabilities who qualify for both Medicare and Medi-Cal

 

Program of All-Inclusive Care for the Elderly

PACE for frail older adults, providing a full range of health and social services so seniors can remain living in the community