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Activity Coordinator (PACE) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Activity Coordinator (PACE) and help shape the future of healthcare where you'll be an integral part of our PACE- Clinic team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will be responsible for developing, coordinating and planning individual and group recreational activities for participants in CalOptima Health's PACE. You will also monitor and revise activities to ensure participants' and program goals are met and aligned with applicable regulations. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Coordinates, implements and overlooks the activity program; updates the activity calendar and works with various departments to ensure entertainment and classes are scheduled.</li>
<li>Coordinates the day center's social programming and activities, including communicating current events.</li>
<li>Collaborates with supervisor to oversee day floor activities.</li>
<li>Conducts initial, annual and periodic assessments for all participants.</li>
<li>Establishes attainable and measurable goals and schedules individualized recreational activities and social activities as part of the plan of care.</li>
<li>Communicates participant changes to team members and reports any concerns to the Interdisciplinary Team (IDT) as needed.</li>
<li>Records, signs and dates progress reports in the participant's medical record.</li>
<li>Explains activities and programming to participants and works with other therapists and primary care staff to enhance the day center experience of participants.</li>
<li>Builds relationships and coordinates with various community resources, including performances by community organizations and holiday celebrations.</li>
<li>Coordinates recreational and activity outings into the community where possible.</li>
<li>Participates in Quality Assurance (QA) activities as appropriate; leads participant discussions on PACE programming improvement. </li>
<li>Serves as a member of the IDT and attends staff meetings and participates in participant care planning. </li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in recreational therapy or a related field PLUS 2 years of experience providing services for the frail or elderly population within the last 5 years required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire. </li>
<li>Must successfully obtain the Activity Coordinator State certification within the first 90 days of hire required. </li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese) required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Experience in event planning or activity coordination. </li>
<li>Experience designing engaging activities for diverse groups with different interests and abilities. </li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment more than 50 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 305 - $55,966 - $83,949 ($26.91 - $40.3601). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Office (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6687152&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 12, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6687152" target="_blank">https://jobs.caloptima.org/jobs/activity-coordinator-pace-pace-garden-grove-california-united-states-c9fe60e0-4578-4a6f-8245-f883b232de26</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-3bae58d095ae3a4bba5c235f2a27eeb6

Activity Coordinator (PACE)

Program Manager (Quality Incentives) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Program Manager (Quality Incentives) and help shape the future of healthcare where you'll be an integral part of our Quality Analytics team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Under the general direction of the Director of Quality Initiatives, You will collaborate and coordinate with leadership to design, implement and evaluate quality incentive programs. You will support with leading, implementing and optimizing pay for value incentive programs across our provider and hospital network. You will interact with CalOptima Health's executives and management, legal counsel and state and federal regulatory agencies. Additionally, you will support CalOptima Health staff on related projects as needed. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>80% - Program Management
<ul>
<li>Leads end-to-end management of provider incentive programs, health network pay-for-value initiatives and hospital quality pay for value models.</li>
<li>Collaborates with cross-functional teams and vendors to develop program strategies and performance metrics.</li>
<li>Monitors quality incentive program performance, identifies improvement opportunities and implements data-driven enhancements.</li>
<li>Communicates program goals, progress and outcomes to internal stakeholders and external partners.</li>
<li>Participates in meetings with providers, health networks and hospital partners to review performance for quality measures and CalOptima Health's pay for value (P4V) programs.</li>
<li>Assists partners with understanding and implementing best practices to improve performance.</li>
<li>Assists in the implementation of quality improvement grant programs that utilize unearned incentive dollars.</li>
<li>Assists management in the development of specifications and scope of work for a Request for Proposal (RFP), Request for Quote (RFQ) or Request for Inquiry (RFI) to support new program development as needed.</li>
<li>Supports program design, development and implementation of quality programs impacting, but not limited to Healthcare Effectiveness Data and Information Set (HEDIS), Managed Care Accountability Sets (MCAS) and Centers for Medicare &amp; Medicaid Services (CMS) STARs quality measures consistent with the quality program and workplan.</li>
<li>Produces slide decks, summaries, root cause analyses, impact analyses and other reports as needed by leadership.</li>
<li>Applies analytical skills to evaluate data based on project specifications; requests and interprets data to support decision-making and communicates insights to cross-functional stakeholders.</li>
<li>Establishes key performance indicators (KPIs) and metrics to monitor project progress and performance, providing regular updates to senior management.</li>
<li>Leads performance and quality improvement projects, Plan Do Study Act or other formats as needed.</li>
<li>Reviews evidence-based literature for best practices to incorporate into strategy.</li>
<li>Develops and oversees the process of written tools for programmatic use, including program plans, surveys and evaluation instruments.</li>
<li>Maintains current knowledge of applicable regulations or clinical guidelines related to program development.</li>
<li>Stays current on the local, state and federal health care environment and identifies issues that may impact CalOptima Health's quality program and work plan. </li>
</ul>
</li>
<li>15% - Administration Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Reviews and assists in updating policies and procedures to ensure knowledge related to assigned programs and projects is kept up to date.</li>
<li>Works with all CalOptima Health departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. </li>
</ul>
</li>
<li>5% -
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in healthcare or a related field required PLUS 3 years of experience in program development, program/project management or quality metrics analysis and improvement required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in public health, health administration or related field. </li>
<li>1 year of experience working in a highly matrixed, mission-driven organization.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6687168&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 11, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6687168" target="_blank">https://jobs.caloptima.org/jobs/program-manager-quality-incentives-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-f798b55cf9658a43bbd24454ae6ef359

Program Manager (Quality Incentives)

Supervisor Utilization Management (Prior Authorization) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Supervisor Utilization Management (Prior Authorization) and help shape the future of healthcare where you'll be an integral part of our UM - Prior Authorization team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will monitor and supervise the department operations to ensure service standards are met. You will make recommendations regarding assignments based on assessment of workload serve as a resource to the Prior Authorization staff regarding CalOptima Health's policies and procedures and regulatory requirements governing authorization processing. Lastly, you will provide ongoing monitoring and development of staff. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>50% - Supervisory Functions
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Assists the manager as needed to ensure departmental and agency goals are met.</li>
<li>Identifies learning opportunities for staff and develops training materials (e.g., desktop procedures and/or Microsoft PowerPoint presentations) to provide education.</li>
<li>Interviews potential candidates and makes recommendations for second round interviews and/or hiring of a candidate.</li>
<li>Creates staffing assignments based on authorization priority, workload, current staffing and review of timeliness reports.</li>
<li>Trains, audits, supervises and coaches Prior Authorization staff.</li>
<li>Reviews staff monthly productivity metrics and identifies and conducts performance feedback and/or counseling/corrective action meetings with the assistance of Human Resources as necessary.</li>
<li>Reviews workflows, procedures and/or policies and recommends or implements changes as appropriate.</li>
<li>Reviews denials and modifications of member notifications prior to mailing and collaborates with staff to implement updates as necessary. </li>
</ul>
</li>
<li>45% - Program Support
<ul>
<li>Assists in the monitoring of appropriate benefit checks, application of guidelines to determine medical necessity, appropriate routing and timely completion of authorization requests.</li>
<li>Assists with the collection, monitoring and analysis of prior authorization indicators and activities.</li>
<li>Provides coverage and expertise for other teams within the Utilization Management department.</li>
<li>Conducts prior authorization presentations to internal or external customers.</li>
<li>Serves as a subject matter expert (SME) to departmental staff, internal departments and affiliated health networks regarding authorization rules and processes. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Associate degree in Nursing (ADN) PLUS 3 years of clinical nursing experience required, preferably in a managed care environment; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>2 years of progressive leadership experience, including direct supervision of staff in managed care and/or utilization management required. </li>
<li>1 year of utilization management/prior authorization review experience required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Bachelor of Science degree in Nursing (BSN).</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>Current and unrestricted California Board Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license required.</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6687180&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 11, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6687180" target="_blank">https://jobs.caloptima.org/jobs/supervisor-utilization-management-prior-authorization-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-501b7ec506de63449aa238e8339c5068

Supervisor Utilization Management (Prior Authorization)

Senior Accountant Full Time San Lorenzo, CA, US Requisition ID: 1028 Salary Range: $58.4007 To $78.2626 Hourly THE POSITION: Under the general direction of the Finance Manager, to perform a variety of responsible accounting and clerical duties in the preparation and management of accounting records and financial transactions in all business aspects of the District's sewer, solid waste, and recycling activities. Note: There is only one job posting for the accounting position, which may be filled as either a Senior Accountant or an Accountant. REQUIREMENTS: Examples of duties include: Perform analysis and reconciliation of fiscal and accounting records and create financial reports; manage the District's computerized accounting system and record day-to-day activities; perform, audit, and review all phases of bi-weekly payroll processing, including reconciliation of payroll deductions, health and welfare benefits payments, and remittances; perform cost accounting and compliance administration for construction projects; provide support to a variety of finance and accounting activities, including financial planning and annual budget processes; project accounting activities (account assignment, account validation and maintenance, and project reporting); prepare 1099-Misc., sales tax forms, and other tax return documents; prepare General Ledger journal entries and lead the month-end close; prepare financial, statistical, budgetary, and analytical studies, statements, and reports; maintain daily logs of cash position, bank deposits, cash receipts, and transfers; perform monthly and quarterly reconciliations of all cash and investment accounts, including deferred compensation accounts; and process accounts receivable, including invoices, credits, refunds, and monthly reconciliations, and prepare quarterly billings for CVSD, industrial customers and others. For a complete list of duties and responsibilities, please review the job description at <a href="https://apptrkr.com/get_redirect.php?id=6661785&amp;targetURL=http://www.oroloma.org/employment" target="_blank">www.oroloma.org/employment</a>. EXPERIENCE AND EDUCATION: Any combination of education and experience, which would provide the required knowledge and abilities, is qualifying. Five years of professional accounting experience, including preparation of annual financial statements, implementation of accounting standards, and development of accounting processes; and Equivalent to a Bachelor's degree from an accredited college or university with major coursework in accounting, business administration, or a closely related field. LICENSE OR CERTIFICATION: Possession of a valid driver's license and a motor vehicle record that meets the District's driving standard. FINAL FILING DATE: Resumes will be reviewed in the order they are received, so apply now! The final filing date is November 14, 2025. NOTE: The information contained herein does not constitute an expressed or implied contract; any part of the selection process may be modified/canceled to meet the needs of the District. To apply: <a href="https://apptrkr.com/6661785" target="_blank">https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=15103cd6-c3ba-4567-ac76-31499f411077&amp;ccId=19000101_000001&amp;lang=en_US&amp;selectedMenuKey=CareerCenter&amp;jobId=579742</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-21505dcc84558546bde8f638aa38460e

Senior Accountant

Accountant Full Time San Lorenzo, CA, US Requisition ID: 1027 Salary Range: $53.0895 To $71.145 Hourly THE POSITION: Under general direction of the Finance Manager, to perform a variety of responsible accounting and clerical duties in the preparation and management of accounting records and financial transactions in all business aspects of the District's sewer, solid waste and recycling activities. Note: There is only one job posting for the accounting position, which may be filled as either a Senior Accountant or an Accountant. REQUIREMENTS: Examples of duties include: perform month-end financial reporting and day-to-day management of the District's computerized accounting system; perform all phases of bi-weekly payroll processing, reconciliation, including payroll deductions, health and welfare benefits payments, and remittances; perform cost accounting and compliance administration for construction projects; process and act as lead person for accounts payable, and process purchase orders and encumbrances; prepare 1099-Misc and sales tax forms and other tax return documents; perform data entry of General Ledger, Accounts Receivable, Accounts Payable, Cash Receipts, Budget, and Project Grant systems into the computerized accounting system; prepare financial, statistical, budgetary, and analytical studies, statements, and reports; maintain daily logs of cash position, bank deposits, cash receipts, and transfers; perform monthly reconciliations of cash positions in various financial institutions; process accounts receivable, including invoices, credits, refunds, and monthly reconciliations, and prepare quarterly billings for CVSD, industrial customers, and others; assist in the preparation of the District's budgets, audits, and Comprehensive Annual Financial Reports, as required. For a complete list of duties and responsibilities, please review the job description at <a href="https://apptrkr.com/get_redirect.php?id=6661786&amp;targetURL=http://www.oroloma.org/employment" target="_blank">www.oroloma.org/employment</a>. EXPERIENCE AND EDUCATION: Any combination of education and experience, which would provide the required knowledge and abilities, is qualifying. Three years of increasingly responsible public or private accounting experience; and equivalent to an Associate of Arts degree from an accredited college or university with major coursework in business administration, accounting and/or public administration with emphasis in the accounting or business administration area is required. Bachelor's degree is highly desirable. LICENSE OR CERTIFICATION: Possession of a valid driver's license and a motor vehicle record that meets the District's driving standard. FINAL FILING DATE: Resumes will be reviewed in the order they are received, so apply now! The final filing date is November 14, 2025. NOTE: The information contained herein does not constitute an expressed or implied contract; any part of the selection process may be modified/canceled to meet the needs of the District. To apply: <a href="https://apptrkr.com/6661786" target="_blank">https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=15103cd6-c3ba-4567-ac76-31499f411077&amp;ccId=19000101_000001&amp;lang=en_US&amp;selectedMenuKey=CurrentOpenings&amp;jobId=579739</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-84499778b568f540b6a849626d8e2ba0

Accountant

Covered California Solutions Architect (ITS Architect IV) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Covered California Solutions Architect (ITS Architect IV) and help shape the future of healthcare where you'll be an integral part of our IT - Application Development team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. The ITS Architect IV (Covered California Solution Architect) will be responsible for defining and implementing innovative solutions to ensure successful implementation of the Covered California program. You'll have overall ownership of the implementation, ensuring the solution meets requirements and fits seamlessly into the current CalOptima Health environment. Additionally, you'll lead initiatives, focusing on delivering high-quality, scalable and efficient solutions that address the unique needs of Covered California. Additionally, you'll facilitate collaboration with various departments to ensure the solution aligns with organizational goals and integrates smoothly with existing systems. Finally, you'll promote best practices, continuously improve the flow of value and identify and manage risks to ensure the successful delivery of the solution. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the program.</li>
<li>Architects and leads solution initiatives, ensuring all teams are prepared by understanding the business context, program vision and expected outcomes.</li>
<li>Provides subject matter expertise and supports large complex projects and/or multiple smaller projects.</li>
<li>Navigates complex situations and makes informed decisions that progress the solution development process.</li>
<li>Tracks and interprets productivity metrics, quality measurements and team performance metrics to monitor progress, ensure the solution meets the desired outcomes and identify areas for improvement.</li>
<li>Maintains effective communication with stakeholders to ensure their needs and expectations are met throughout the project lifecycle.</li>
<li>Collaborates with stakeholders to help them better understand the principles and practices of solution development and the implications for the program.</li>
<li>Mentors team members on best practices to foster a culture of collaboration and continuous improvement.</li>
<li>Implements and manages development practices within a software development lifecycle, including defining roles, responsibilities and processes.</li>
<li>Fosters collaboration across teams to ensure that objectives are well understood and potential roadblocks are identified early. </li>
<li>Maintains knowledge about current technological trends and ensures CalOptima Health is aligned with these trends.</li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in information technology or related field PLUS 10 years of experience working in a health plan information technology setting, with 5 years of experience in a large health plan required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>10 years of experience in software development and architecture required. </li>
<li>7 years of experience leading complex, cross-functional solutions and initiatives required. </li>
<li>7 years of experience in release planning and sequencing required. </li>
<li>Proven track record of leading successful software projects required. </li>
<li>Experience leading the process of developing information technology procedures and documenting required. </li>
<li>Full-cycle development experience required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>5 years of experience defining, monitoring and reporting on KPIs. </li>
<li>Experience implementing Covered California solutions for a health plan. </li>
<li>Experience implementing a billing solution for a health plan. </li>
<li>Experience with Facets. </li>
<li>Experience leading post-implementation command center activities, including monitoring issues, prioritizing issue resolution, proposing solutions and reporting on metrics. </li>
<li>Experience with cloud platforms and microservices architecture. </li>
<li>Experience implementing Agile.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>n/a</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 317 - $132,969 - $212,751 ($63.93 - $102.2841). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6670624&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 6, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6670624" target="_blank">https://jobs.caloptima.org/jobs/covered-california-solutions-architect-its-architect-iv-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-a0cedfa5bf32434482e5727a155303ca

Covered California Solutions Architect (ITS Architect IV)

Senior Nursery Technician (9561C), College of Natural Resources - 81393About Berkeley At the University of California, Berkeley, we are dedicated to fostering a community where everyone feels welcome and can thrive. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff. As a world-leading institution, Berkeley is known for its academic and research excellence, public mission, diverse student body, and commitment to equity and social justice. Since our founding in 1868, we have driven innovation, creating global intellectual, economic and social value. We are looking for applicants who reflect California's diversity and want to be part of an inclusive, equity-focused community that views education as a matter of social justice. Please consider whether your values align with our <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=https://chancellor.berkeley.edu/guiding-values-and-principles" target="_blank">Guiding Values and Principles</a>, <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=https://diversity.berkeley.edu/principles-community" target="_blank">Principles of Community</a>, and <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=https://strategicplan.berkeley.edu/" target="_blank">Strategic Plan</a>. At UC Berkeley, we believe that learning is a fundamental part of working, and provide space for <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=https://www.youtube.com/watch?v=KEjdp4CRjgg&amp;t=3s" target="_blank">supportive colleague communities via numerous employee resource groups</a> (staff organizations). Our goal is for everyone on the Berkeley campus to feel supported and equipped to realize their full potential. We actively support this by providing all of our full-time staff employees with at least 80 hours (10 days) of paid time per year to engage in professional development activities. Find out more about how you can <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=http://grow.berkeley.edu/" target="_blank">grow your career</a> at UC Berkeley. Departmental Overview The Senior Nursery Technician provides facilities and horticultural expertise to support plant science research for UC Berkeley faculty, staff, and students. Under the supervision of the greenhouse manager, technicians care for plants, setup custom irrigation, lighting, and plant growth chambers for research and teaching, and perform pest control. They also assist with recordkeeping and documentation of greenhouse and field activities. Position Summary Under the general supervision of the greenhouse manager, and without direct supervision of nursery techniques, incumbent is responsible for independently prioritizing the day's activities while constantly maintaining a flexibility that may require reprioritizing assignments should equipment or operational problems arise. Incumbent is responsible for independently assessing and troubleshooting greenhouse situations and/or suggesting possible solutions to the greenhouse manager. The broader scope of maintenance and managerial duties may occasionally preclude the performance of general operational greenhouse duties. Assignments at this level require specialized knowledge and understanding of greenhouse experimental needs, equipment, irrigation, and environmental control systems. Application Review Date The First Review Date for this job is: 10/29/2025. Responsibilities 
<ul>
<li>Greenhouse Maintenance - growth chambers, equipment, nutrient pumps, autoclave operation.</li>
<li>Water Plants - including weekends and holidays, drip installation, and monitoring.</li>
<li>Greenhouse Management - recharge, chemical inventory, safety inspection.</li>
<li>Plant Propagation and Care - troubleshooting plant growth issues, and as scheduled by researchers, orient new facility users to facility and plant care standards.</li>
<li>Insect and Disease Control - weekly scouting, submit pesticide use reports to CA DPR, pesticide application.</li>
<li>Greenhouse Safety - required training on equipment, pesticides, and UCB required trainings (may be WPS worker trainer).</li>
<li>Field Work - field preparation and cleanup, t-tape and mulch installation, watering, weeding, tractor operation.</li>
<li>Purchasing - sourcing, researching, and compliance with University purchasing procedures (may be BluCard holder and fuel card user).</li>
</ul>
 Required Qualifications 
<ul>
<li>Able to perform physical labor under often strenuous conditions, including extreme heat.</li>
<li>Ability to independently lift and carry up to 40 pounds.</li>
<li>Ability to work weekend and holiday rotations as scheduled.</li>
<li>Ability to work well independently with minimal supervision and to work in a team.</li>
<li>Ability to prioritize assignments under pressure.</li>
<li>Demonstrated experience with routine greenhouse procedures.</li>
<li>Demonstrated experience with mist and irrigation set-ups.</li>
<li>Ability to access and use online forms (pdfs, Google Forms, Docs, and Sheets).</li>
<li>Effective communication and organizational skills.</li>
<li>Passing a spirometry test to wear a respirator.</li>
<li>Good work attendance record required.</li>
<li>High school diploma and/or equivalent experience/training; ability to read, write, and perform basic math calculations. </li>
<li>Six years of greenhouse, nursery, or horticulture experience; or technical gardening school education and 3 years' experience in nursery techniques.</li>
</ul>
 Preferred Qualifications 
<ul>
<li>Experience with transgenic plants.</li>
<li>Experience with pesticide safety regulations and willingness to apply pesticides if necessary, while following all safety rules.</li>
</ul>
 Salary &amp; Benefits For information on the comprehensive benefits package offered by the University, please visit the University of California's <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=http://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html" target="_blank">Compensation &amp; Benefits </a>website. Under California law, the University of California, Berkeley is required to provide a reasonable estimate of the compensation range for this role and should not offer a salary outside of the range posted in this job announcement. This range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to experience, skills, knowledge, abilities, education, licensure and certifications, analysis of internal equity, and other business and organizational needs. It is not typical for an individual to be offered a salary at or near the top of the range for a position. Salary offers are determined based on final candidate qualifications and experience. The budgeted hourly range that the University reasonably expects to pay for this position is $25.29 (Step 3) - $26.82 (Step 6). 
<ul>
<li>This is a non-exempt, biweekly-paid position.</li>
</ul>
 How to Apply 
<ul>
<li>To apply, please submit your resume and cover letter.</li>
</ul>
 Driving Required 
<ul>
<li>Required to hold valid driver's license including for (pickup trucks), have a driving record that is in accordance with local policies/procedures, and/or enroll in the California Employer Pull Notice Program.</li>
</ul>
 Other Information This position is governed by the terms and conditions in the agreement for the Service Unit (SX) between the University of California and the American Federation of State, County and Municipal Employees (AFSCME). The current bargaining agreement manual can be found at: <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=http://ucnet.universityofcalifornia.edu/labor/bargaining-units/sx/index.html" target="_blank">http://ucnet.universityofcalifornia.edu/labor/bargaining-units/sx/index.html</a> 
<ul>
<li>This is not a visa opportunity.</li>
<li>This recruitment has 2 openings.</li>
</ul>
 Conviction History Background This is a designated position requiring fingerprinting and a background check due to the nature of the job responsibilities. Berkeley does hire people with conviction histories and reviews information received in the context of the job responsibilities. The University reserves the right to make employment contingent upon successful completion of the background check. Physical Exam 
<ul>
<li>Employment is contingent upon passing a spirometry test and physical for respirator clearance.</li>
</ul>
 SB 791 and AB 810 Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. "Misconduct" means any violation of the policies or laws governing conduct at the applicant's previous place of employment, including, but not limited to, violations of policies or laws prohibiting sexual harassment, sexual assault, or other forms of harassment, discrimination, dishonesty, or unethical conduct, as defined by the employer. For reference, below are UC's policies addressing some forms of misconduct: <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=https://policy.ucop.edu/doc/4000385/SVSH" target="_blank">UC Sexual Violence and Sexual Harassment Policy</a> <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=https://policy.ucop.edu/doc/1001004/Anti-Discrimination" target="_blank">UC Anti-Discrimination Policy</a> <a href="https://apptrkr.com/get_redirect.php?id=6653801&amp;targetURL=https://policy.ucop.edu/doc/4000701/AbusiveConduct" target="_blank">Abusive Conduct in the Workplace</a> Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. To apply, visit <a href="https://apptrkr.com/6653801" target="_blank">https://careerspub.universityofcalifornia.edu/psc/ucb/EMPLOYEE/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&amp;JobOpeningId=81393&amp;PostingSeq=1&amp;SiteId=21&amp;languageCd=ENG&amp;FOCUS=Applicant</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-4115666be91b974fac52ed224853dab7

Senior Nursery Technician (9561C), College of Natural Resources - 81393

Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa County Salary: $136,219.20 - $163,051.20 Annually Job Type: Full Time Job Number: 2062-2025-10-09 Location: Napa, CA Department: Health &amp; Human Services Agency Closing: Continuous The Napa Valley Napa County is home to 140,000 residents who share a strong sense of community and a legacy of preserving and protecting our rich agricultural heritage. Located in the heart of California's preeminent wine region, the Napa Valley is also part of the dynamic San Francisco Bay Metropolitan Area. With its sunny Mediterranean climate and proximity to the mountains and ocean, the Valley offers residents easy access to virtually unlimited shopping, dining, cultural and recreational opportunities. The Napa Valley's strategic location, natural and cultural resources, history of responsible land use planning and attractive quality of life provide the ideal mix of small town living and big city amenities. Napa County as an Employer As an organization, Napa County is dedicated to improving the lives of our citizens and reflecting the best of the community's values: Respect, Accountability, Dedication, Integrity and Innovation. <a href="https://apptrkr.com/get_redirect.php?id=6639425&amp;targetURL=https://www.countyofnapa.org/721/Working-for-Napa-County" target="_blank">Learn more HERE.</a> The Position It's an exciting time to join Napa County HHSA's Behavioral Health Division. We're improving how we support staff and strengthen the quality of care while putting new statewide reforms-CalAIM and BHSA-into action. These efforts focus on access and better outcomes for the people we serve. The Utilization Review (UR) Coordinator is a supervisory role that leads a small team ensuring that services provided through Napa County Behavioral Health are appropriate, clearly documented, and meet Medi-Cal billing rules. You'll supervise two UR Clinicians, review data and trends, and work closely with program and fiscal staff to make sure services and records are accurate and complete. You'll turn complex regulations into clear, useful guidance for staff, create training materials that make documentation easier, and look for ways to simplify processes so clinicians can focus more on client care. This is a great opportunity to lead a high-performing, collaborative team, help staff succeed, and strengthen a behavioral health system that works better for both providers and clients. Key Responsibilities: 
<ul>
<li>Leadership &amp; Oversight: Supervise and mentor two UR Clinicians, set team priorities, assign workload, and ensure quality and consistency across all utilization review functions.</li>
<li>System Accountability: Lead Behavioral Health UR efforts to meet Medi-Cal, DHCS, and BHIN requirements; analyze patterns in authorizations and utilization to identify system improvements and ensure compliance.</li>
<li>Training &amp; Policy Development: Design and oversee the billing and documentation training program; develop UR policies, workflows, and guidance that make standards clear and achievable.</li>
<li>Collaboration &amp; Problem-Solving: Partner across Behavioral Health, Quality Management, Fiscal, and EHR teams to align processes, resolve barriers, and improve efficiency in documentation and clinical billing practices.</li>
</ul>
 <a href="https://apptrkr.com/get_redirect.php?id=6639425&amp;targetURL=https://www.governmentjobs.com/careers/napacounty/classspecs/1078811?keywords=Utilization&amp;pagetype=classSpecifications" target="_blank">Click here to review the full job description including example of duties and job requirements: HHS Utilization Review Coordinator. </a> <a href="https://apptrkr.com/get_redirect.php?id=6639425&amp;targetURL=https://www.countyofnapa.org/DocumentCenter/View/38195/Recruitment-Flyer-LOD---HHSA" target="_blank">Click here to learn more about HHSA's commitment to learning and serving!</a> This recruitment is being conducted to fill one full-time vacancy. The list established by this recruitment may also be used to fill current and future full-time, part-time, limited term, and extra help vacancies for up to one year. Memorandum of Understanding (MOU) Agreed Salary Increases and Winter Time Off: 3.5% COLA increase effective 7/1/2026 32 hours of Winter Time Off (WTO) POSITION REQUIREMENTS Experience and Education: Any combination of education and experience that would likely provide the required knowledge, skills, and abilities is qualifying. A typical way to obtain the knowledge, skills, and abilities would be: Experience: Four or more years of employment in a program delivering mental health and/or alcohol and drug services supported through state and/or federal funding. Behavioral Health experience is highly desired. Education: A Master's degree in behavioral health or a closely related discipline. License: Possession of one of the following valid licenses issued by the State of California is required: Licensed Clinical Psychologist; Licensed Clinical Social Worker; Licensed Marriage, Family and Child Therapist; Licensed Professional Clinical Counselor (Classification Specifications is under review). Possession of a valid California Driver's License is required. *Any license, certification, or registration required for this position shall be maintained (i.e., active and in good standing) at all times during employment with Napa County. For continued employment with Napa County, you must maintain such license, certification, or registration to meet the minimum qualifications of this position. THE RECRUITMENT PROCESS 1. Applications will be accepted on-line until the current vacancy is filled. 2. Applications will be reviewed for verification of possession of one of the required licenses and supplemental questions reviewed as they are received until the current vacancy is filled. 3. The most qualified candidates from the scoring of the supplemental questions will be invited for an Oral Panel Interview on a continuous basis until the current vacancy is filled. The most qualified candidates from the oral panel interview will be placed on the eligibility list for up to twelve months. Human Resources Department reserves the right to make changes to the recruitment process and schedule at any time. Example of Duties <a href="https://apptrkr.com/get_redirect.php?id=6639425&amp;targetURL=https://www.governmentjobs.com/careers/napacounty/classspecs/1078811?keywords=Utilization&amp;pagetype=classSpecifications" target="_blank">Click here to review the full job description including example of duties and job requirements: HHS Utilization Review Coordinator. </a> Napa County employees automatically become Disaster Service Workers. This means that when Napa County experiences emergencies (earthquake, wildfire, power outage, etc.) you may be asked to pivot from your regular duties to provide critical services to those affected by the emergency (CA Govt Code § 3102). Benefits <a href="https://apptrkr.com/get_redirect.php?id=6639425&amp;targetURL=https://www.countyofnapa.org/DocumentCenter/View/25884/Benefits-Summary---PSE-Supervisory" target="_blank">Learn more about the benefits package for this position here.</a> ADA Accommodation Applicants requiring accommodation during the application and/or selection process pursuant to the Americans with Disabilities (ADA) Act should contact County of Napa Human Resources at (707) 253-4303. Napa County is an Equal Opportunity Employer. To apply, please visit <a href="https://apptrkr.com/6639425" target="_blank">https://www.governmentjobs.com/careers/napacounty/jobs/5107432/utilization-review-coordinator-supervisory-role-behavioral-health</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-32fa2fc7e3a41e4ab7bf05efeb61a85c

Utilization Review Coordinator  Supervisory Role - Behavioral Health.

Program Assistant (Quality Initiatives) CalOptima CalOptima Health is seeking a highly motivated Program Assistant (Quality Initiatives) to join our team. The Program Assistant (Quality Initiatives) will be responsible for providing administrative support for projects and department leadership. The incumbent will coordinate department meetings, take minutes and coordinate internal and external communication. The incumbent will organize and prepare materials for committee meetings, such as the Stars Steering Committee and several monthly meetings with external delegates. The incumbent will also interact with other departments and external stakeholders. Additionally, the incumbent will coordinate work and processes with other administrative staff within CalOptima Health. Position Information: 
<ul>
<li>Department: Quality Analytics </li>
<li>Salary Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Administrative Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Provides support to staff, including preparing meeting materials, maintaining minutes, routing documents, conducting data entry and handling incoming and outgoing correspondence per administrative policy.</li>
<li>Provides administrative support for specific and/or ongoing department projects, such as generating reports, logs, calendars and mailings, applying general business practices and CalOptima Health policies and procedures.</li>
<li>Serves as a liaison between directors and departmental staff and follows up on the progress of projects and activities assigned to the director's subordinates or other staff.</li>
<li>Assists with department expenses and budgeting, including processing requisitions for payment.</li>
<li>Coordinates approved travel arrangements in accordance with CalOptima Health's travel policy for the department.</li>
<li>Handles all incoming invoices and expense reports for the director and other management staff as appropriate.</li>
<li>Coordinates work with other administrative staff and supports the coordination of staff efforts within the department.</li>
<li>Coordinates the calendar and schedule of the department director, including scheduling appointments, meetings and events. Exercises discretion in committing time, evaluating needs and making meeting arrangements.</li>
<li>Determines priority of matters of attention for the director, redirects matters to staff or handles matters personally, as appropriate.</li>
<li>Maintains confidential and sensitive information and files regarding management projects, policy and personnel, ensuring appropriate follow-up.</li>
<li>Maintains department directory, organization chart, SharePoint and paid time off calendar.</li>
<li>Collects data, identifies pertinent information and assists with preparing reports and presentations. </li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High school diploma or equivalent PLUS 1 year of experience in a previous administrative support role required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Associate's degree in health care management, health care administration or related field.</li>
<li>Health care experience. </li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6639342&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is July 29, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6639342" target="_blank">https://jobs.caloptima.org/jobs/program-assistant-quality-initiatives-505-city-parkway-west-california-united-states-bbca2d4d-7202-4456-a151-be62a3b755fb</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-bff749b3549afa43abf246d29a53a9e4

Program Assistant (Quality Initiatives)

Sr Manager, Individual and Family Plans (Sr Manager II) CalOptima Sr Manager, Individual and Family Plans (Sr Manager II) Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Sr Manager, Individual and Family Plans (Sr Manager II) and help shape the future of healthcare where you'll be an integral part of our Strategic Development team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This role is responsible for supporting the development of new programs and initiatives related to the implementation and ongoing management of new product lines, including commercial. You will also be responsible for managing the regulatory and programmatic aspects of program implementation and will collaborate with cross-functional business owners, Information Technology (IT), Finance, the Office of Compliance and senior leadership to manage program governance and project structure, set program objectives and implement program requirements while working across the organization to understand dependencies for ensuring effective and efficient program delivery. You will also establish, monitor and ensure the successful execution of regulatory filings and ongoing program submissions and maintenance. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>50% - Program Leadership
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Hires, manages, trains, reviews and sets goals for the team and staff.</li>
<li>Oversees the development of the Knox Keene Act licensure filing process, including collaboration with legal counsel, state regulators, consultants, internal business owners and staff to complete submissions.</li>
<li>Oversees the development of the Qualified Health Plan application, supporting data and documentation submissions, and management of the QHP certification process prior to open enrollment annually.</li>
<li>Serves as a key leader on the product team and partners cross-functionally across CalOptima Health to ensure successful implementation of the Covered California program.</li>
<li>Fosters ongoing relationships and mutually beneficial partnerships with CalOptima Health departments and external organizations.</li>
<li>Identifies opportunities for program efficiencies, develops new processes to support successful implementation and ensures sound organizational approaches across new lines of business.</li>
<li>Collaborates with other leaders to ensure all programmatic aspects meet regulatory and contractual requirements for marketplace participation.</li>
<li>Oversees programmatic reporting in partnership with business owners and IT.</li>
<li>Collaborates with the Office of Compliance department on annual and ongoing audits. </li>
</ul>
</li>
<li>45% - Program Development
<ul>
<li>Tracks marketplace requirements, regulatory changes that impact the program, and engagements with program staff and leadership to ensure ongoing compliance and engagement.</li>
<li>Partners with business owners, IT and consultants to develop and articulate programmatic requirements that impact program implementation.</li>
<li>Supports cross-functional departments in interpreting Covered California and Department of Managed Health Care requirements and problem-solving issues related to the line of business, including member and provider issues.</li>
<li>Partners with Enterprise Program Management Office (EPMO) project managers and leaders to ensure program implementation and workstreams remain on track and on budget.</li>
<li>Monitors program related processes for legal, financial and regulatory compliance, including but not limited to ensuring adherence to policies and procedures and supporting audit activities. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in a related field PLUS 5 years of experience in managed care plan or other health care related field with at least 2 years of prior experience that must have been in government programs at a managed care plan, including Medicaid/Medi-Cal, Medicare, or Marketplace/Covered California required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>3 years of management level experience required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Experience interfacing with local, state or federal regulators.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>n/a</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this particular role: (317 - $132,969 - $212,751 ($63.93 - $102.2841)),</li>
<li>This position is approved for Partial Telework. (This position is eligible for Telework in California) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6639376&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is September 22, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6639376" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-individual-and-family-plans-sr-manager-ii-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-d6fb4be68588794a8cf21fd09911dfe1

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