Grievances & Appeals Program Assistant (Temporary)

CalOptima; Orange (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

CalOptima Health in Orange, CA is seeking a Y - As Needed / Temp Program Assistant (GARS) to support the Grievance & Appeals team. This full-office role runs Monday through Friday, with a six-month assignment horizon and duties including case setup, data entry in the GARS system, and coordinating with DMHC, CMS, and DSS on inquiries.

You will handle 80% program support, 15% administrative tasks, and 5% other projects, join a mission-driven team, and ensure accurate documentation, acceptance

Qualifications

• High school diploma or equivalent with 1 year of appeal/grievance experience in Medi-Cal/Medicaid or Medicare programs.
• Experience in customer service and working with diverse stakeholders.
• Ability to organize, analyze, and manage multiple projects.

Responsibilities

• Provide program support and assist department priorities.
• Serve as the point of contact for grievances and appeals.
• Monitor and route inquiries from DMHC, CMS, and DSS.
• Enter cases into the GARS system with accurate classifications.
• Generate acknowledgment letters and assist in forms development.
• Coordinate administrative support for state hearings and related documentation.

Skills

Customer service

Communication

Time management

Multitasking

Problem solving

Project management

Education

High school diploma

Tools

Microsoft Office

GARS system

Job description

CalOptima Health in Orange, CA is seeking a Y - As Needed / Temp Program Assistant (GARS) to support the Grievance & Appeals team. This full-office role runs Monday through Friday, with a six-month assignment horizon and duties including case setup, data entry in the GARS system, and coordinating with DMHC, CMS, and DSS on inquiries.

You will handle 80% program support, 15% administrative tasks, and 5% other projects, join a mission-driven team, and ensure accurate documentation, acceptance