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Manager Grievance &amp; Appeals (Provider Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Manager, Grievance &amp; Appeals (Provider Services) to join our team. The Manager Grievance &amp; Appeals (Provider Services) will provide daily oversight and technical management for provider services, including provider disputes, provider grievances and provider appeal to ensure compliance with state, federal and accreditation standards applicable to CalOptima Health. The incumbent will work with CalOptima Health management staff and other affiliated health networks with a close interface to the program and process, including areas such as Utilization Management, Claims Administration, Delegation Oversight, Quality Improvement and health network relations. The incumbent will research complex claims problems, isolate root causes and partner with various entities for resolution. The incumbent will communicate with all levels of internal staff, regulatory agencies, health networks, providers, vendors, community-based organizations and medical groups. Position Information: 
<ul>
<li>Department: GA - Provider Disputes </li>
<li>Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Program Oversight
<ul>
<li>Identifies and analyzes trends, collaborates with the Director to provide trends and makes recommendations for improvement.</li>
<li>Stays current on the local, state and federal health care environment, identifying issues that may impact CalOptima Health's programs as they relate to claims, provider disputes, grievances and provider appeals.</li>
<li>Develops, implements, maintains and reviews the adequacy of the CalOptima Health provider grievance systems, reporting, policies and functions to achieve stated goals, including, but not limited to, complaint resolution and timely responsiveness for all lines of business, to ensure compliance with all relevant regulatory requirements pertaining to provider disputes.</li>
<li>Works with the Audit and Oversight department and key departments to ensure internal departments and external partners (e.g., health networks and delegates) are up to date with regulatory, departmental and organizational changes impacting the grievance and appeals processes.</li>
<li>Ensures timely and effective data collection, summarization, integration and reporting, including, but not limited to, productivity, status and trend reports for specific committees such as the Quality Improvement Committee, Grievance and Appeals Committee, Quality Assurance Committee of the Board of Directors and other ad hoc reporting as required.</li>
<li>Serves as CalOptima Health's primary point of contact and subject matter expert related to provider services (disputes, grievances and appeals).</li>
<li>Participates in Department of Managed Healthcare (DMHC), Department of Health Care Services (DHCS) and Centers for Medicare and Medicaid (CMS) audits related to area of responsibility for all CalOptima Health programs. </li>
</ul>
</li>
<li>45% - 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>Manages, hires, mentors and develops department staff.</li>
<li>Oversees the development and maintenance of internal policies and procedures and desktops to ensure compliance with all state and federal regulations for multiple lines of business.</li>
<li>Manages and makes recommendations on the development and maintenance of an effective dispute, appeals and grievance process and systems consistent with CalOptima Health policies and stated goals, including, but not limited to mechanisms to monitor provider disputes, grievances and appeals involving Legal, DMHC, DHCS, Independent Medical Review, Medi-Cal State Hearings, Office of Administrative Hearings and Appeals, CMS and external review agencies for CMS.</li>
<li>Partners with the management to ensure appropriate training and auditing tools are developed and maintained for the department. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, nursing, healthcare administration or related field PLUS 3 years of health care management experience in a related area of responsibility (provider disputes and appeals, claims administration, appeals and grievances) 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 leadership experience required. </li>
<li>Experience in health maintenance organization, Medi-Cal/Medicaid, Medicare Advantage, Medicare Part D, Special Needs Plans, Medicare-Medicaid Plans and/or the Program of All-Inclusive Care for the Elderly required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience with process improvement implementation.</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, work schedules that allow every other Monday or Friday off (9/80 schedule), 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=6357344&amp;targetURL=https://alliantbenefits.cld.bz/24caloptimacabenguide" target="_blank">2024 CalOptima Health Benefits Guide</a> and our <a href="https://apptrkr.com/get_redirect.php?id=6357344&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 16, 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/6357344" target="_blank">https://jobs.caloptima.org/jobs/manager-grievance-appeals-provider-services-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-cf7b2c04c4b10840a8654602344b5194

Manager Grievance & Appeals (Provider Services)

Accountant 2 - Sponsored Programs Administration Job ID: 276117 Location: Augusta University Full/Part Time: Full Time Regular/Temporary: * About Us Augusta University is Georgia's innovation center for education and health care, training the next generation of innovators, leaders, and healthcare providers in classrooms and clinics on four campuses in Augusta and locations across the state. More than 10,500 students choose Augusta for educational opportunities at the center of Georgia's cybersecurity hub and experiential learning that blends arts and application, humanities, and the health sciences. Augusta is home to Georgia's only public academic health center, where groundbreaking research is creating a healthier, more prosperous Georgia, and world-class clinicians are bringing the medicine of tomorrow to patient care today. Our<a href="https://apptrkr.com/get_redirect.php?id=6332110&amp;targetURL=https://www.augusta.edu/about/mission.php" target="_blank"> mission and values</a> make Augusta University an institution like no other. The<a href="https://apptrkr.com/get_redirect.php?id=6332110&amp;targetURL=https://www.usg.edu/hr/orientation/welcome_to_the_board_of_regents_university_system_office" target="_blank"> University System of Georgia</a> is comprised of our 26 institutions of higher education and learning as well as the System Office. Our USG Statement of Core Values are Integrity, Excellence, Accountability, and Respect. These values serve as the foundation for all that we do as an organization, and each USG community member is responsible for demonstrating and upholding these standards. More details on the USG Statement of Core Values and Code of Conduct are available in USG Board Policy 8.2.18.1.2 and can be found online at <a href="https://apptrkr.com/get_redirect.php?id=6332110&amp;targetURL=https://www.usg.edu/policymanual/section8/C224/#p8.2.18_personnel_conduct" target="_blank">https://www.usg.edu/policymanual/section8/C224/#p8.2.18_personnel_conduct.</a> Additionally, USG supports Freedom of Expression as stated in Board Policy 6.5 Freedom of Expression and Academic Freedom found online at <a href="https://apptrkr.com/get_redirect.php?id=6332110&amp;targetURL=https://www.usg.edu/policymanual/section6/C2653" target="_blank">https://www.usg.edu/policymanual/section6/C2653</a>. Location Augusta University - Our Health Sciences Campus: 1120 15th Street, Augusta, GA 30912 Our Summerville Campus: 2500 Walton Way, Augusta, GA 30904 College/Department Information The Division of Sponsored Programs Administration and the Augusta University Research Institute serve as a central unit to coordinate and support Augusta University's Internal and External Sponsored Projects. The Division aims to identify, support, and advance opportunities for research, training, teaching, and scholarly activities by managing the entire lifecycle of sponsored project ' from proposal and grant development and submission to contract preparation, award management, and project close out management. The DSPA seeks to advance extramural support programs for the institution by providing administrative, informational, and logistical assistance to faculty and staff, while ensuring compliance with pertinent policies and regulations of the institution, extramural sponsors, and federal oversight agencies. Job Summary This position is responsible for monitoring assigned sponsored accounts, educating department administrators/principal investigators concerning compliance issues, and assisting them in managing the sponsored funds in accordance with state and federal regulations. Responsibilities The duties include, but are not limited to: Prepare financial reports for various sponsored programs. Help educate administrators and faculty about compliance for federal and state regulations for various sponsored programs. Work collaboratively with various offices to ensure terms and conditions of each sponsored program are met. Invoice sponsoring agencies and track accounts receivable. Monitor sponsored programs to determine that expenditures are in compliance with agency requirements and terms of the award. Establish and maintain budgets for sponsored programs. Review and authorize transfers (expenditure and budget) for sponsored accounts. Perform all other related duties as assigned and necessary for managing sponsored programs. Required Qualifications Bachelor's degree from an accredited college or university in Accounting, Finance or related field with a demonstrated emphasis in accounting coursework and a minimum of two years of related work experience. Preferred Qualifications Experience with Excel Knowledge, Skills, &amp; Abilities Knowledge of accounting, Excel including formulas and pivot tables to achieve management and understanding of large amounts of financial data. Proficient in Microsoft Office and other computer software/databases. SKILLS Excellent interpersonal, written, and verbal communication skills. Detail-oriented with strong organizational, prioritization, analytical, multi-tasking, and problem-solving skills. ABILITIES Ability to maintain confidentiality, follow written processes, use multiple databases include financial systems, to reconcile accounts, and to recommend solutions to discrepancies as well as continue to monitor accounts and systems ongoing Shift/Salary/Benefits Shift: Days; Monday - Friday (Work outside of normal business hours may be required) Salary Minimum: $45,400 annually Pay Band: B8 Salary to be commensurate with qualifications of the selected candidate within the established range (generally minimum-midpoint) of the position Recruitment Period: Until Filled Augusta University offers a variety of benefits to full-time benefits-eligible employees and some of our half-time (or more) employees. Benefits that may be elected could include health insurance, dental insurance, life insurance, Teachers Retirement System (or Optional Retirement Plan), as well as earned vacation time, sick leave, and 13 paid holidays. Also, our full-time employees who have been employed with us successfully for more than 6 months can be considered for the Tuition Assistance Program. Consider applying with us today! Conditions of Employment All selected candidates are required to successfully pass a Background Check review prior to starting with Augusta University. If applicable for the specific position based on the duties: the candidate will also need to have a credit check completed for Positions of Trust and or approved departmental Purchase Card usage. Motor vehicle reports are required for positions that are required to drive an Augusta University vehicle. For Faculty Hires: Final candidates will be required to provide proof of completed academic degree(s) as well as post-secondary coursework in the form of original transcript(s). Those candidates trained by a foreign institution will also be required to provide an educational/credential evaluation. All employees are responsible for ensuring the confidentiality, availability, and integrity of sensitive [patient, student, employee, financial, business, etc.] information by exercising sound judgment and adhering to cybersecurity and privacy policies during their employment and beyond. Other Information This position is also responsible for promoting a customer-friendly environment and providing superior service to our patients, students, faculty, and employees. "Augusta University is a patient-and family-centered care institution, where employees partner every day with patients and families for success." Augusta University is a tobacco-free environment, and the use of any tobacco products on any part of the campus, both inside and outside, is strictly prohibited. Equal Employment Opportunity Augusta University is proud to be an equal opportunity employer, welcoming applicants from underrepresented groups, including individuals with disabilities and veterans. How To Apply Consider applying with us today! Search for Job ID: 276117 <a href="https://apptrkr.com/get_redirect.php?id=6332110&amp;targetURL=https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.augusta.edu%2Fhr%2Fjobs%2F&amp;data=05%7C01%7Capril.godfrey%40usg.edu%7C631396d91c524c74497208da7017d89b%7C4711f877fb3a4f11aaab3c496800c23d%7C0%7C0%7C637945544983568848%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=Uh0MAMlBT003th6nRVp3vYHiWxjSyEessQd6O14aRR4%3D&amp;reserved=0" target="_blank">https://www.augusta.edu/hr/jobs/</a> Select University Faculty &amp; Staff &gt; External Applicants if you are a candidate from outside the university Select University Faculty &amp; Staff &gt; Internal Applicants if you are a current university employee If you need further assistance, please contact us at 706-721-9365 To apply, visit <a href="https://apptrkr.com/6332110" target="_blank">https://careers.hprod.onehcm.usg.edu/psp/careers/CAREERS/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&amp;Action=U&amp;FOCUS=Applicant&amp;SiteId=12000&amp;JobOpeningId=276117&amp;PostingSeq=1</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-d6ab50f33dc40d4799dd7cd5a3aa8c84

Accountant 2 - Sponsored Programs Administration

Music Library Specialist/Student Supervisor Amherst Campus Full Time JR6107 Amherst has taken a leadership role among highly selective liberal arts colleges and universities in successfully diversifying the racial, socio-economic, and geographic profile of its student body. The College is similarly committed to enriching its educational experience and its culture through the diversity of its faculty, administration and staff. Job Description: Amherst College invites applications for the Music Library Specialist/Student Supervisor position. The Music Library Specialist/Student Supervisor is a full-time, year-round position, starting at $22.37 per hour - commensurate with experience. The Music Library Specialist/Student Supervisor is responsible for managing the library services, operations, programs, and collections of the Music Library. The position provides quality customer service in all circulation, reserve, and reference activities; and effectively works with student assistants, and contributes to music collection development and selection. Participates fully as a member of the Access Services department. Collaborates with the other Access Services student supervisors to develop and maintain best practices &amp; policies for student employment in the department. Summary of Responsibilities: Music Library operations 
<ul>
<li>Supervises stack maintenance and undertakes reorganization projects in the Music Library </li>
<li>Contributes to music collection development and selection with the Arts &amp; Humanities Librarian and the Collection Development &amp; Acquisitions Librarian through the purchase of scores and the establishment and maintenance of standing orders and approval plans; consults with music faculty about collection needs </li>
<li>Collaborates with the Arts &amp; Humanities Librarian on goals and planning for services and policies in the Music Library </li>
<li>Collaborates with the Digital Initiatives and Web Services department on supporting digitization initiatives in the music collection </li>
<li>Maintains media stations, manages audio production and other multi-media equipment, and supports new digital media in the library and the instruction of students in their use. Collaborates with the Weekend Access Services Assistant to maintain and replace circulating equipment </li>
<li>Manages and helps rethink the space of the Music Library </li>
<li>Responds to users about overdue and billing notices generated by the online system relating to the Music Library collections </li>
<li>Coordinates signage, maintains supplies, and oversees maintenance of photocopiers and printers for the Music Library </li>
</ul>
 Music Library staffing 
<ul>
<li>Assumes responsibility for staffing the Music Library circulation desk </li>
<li>Creates and manages the Student Assistant schedule during the academic year and for breaks </li>
<li>Provides backup staffing when students aren't available </li>
<li>Provides responsive and inclusive service at the Music Library </li>
<li>Welcomes users, maintains borrower accounts, explains policies, and makes referrals to other library or campus departments as appropriate </li>
<li>Hires, trains, and supervises student assistants for the Music Library, ensuring that they understand and carry out library policies and procedures </li>
<li>Supports student desk attendants in resolving customer service issues in a user-focused, equitable way </li>
<li>Collaborates with the Access Services student supervisor team to coordinate training needs, ensure desk staffing, monitor the Access Services Supervisors' email inbox, and set attendance/behavior expectations for student employees in the department </li>
</ul>
 Processes print and electronic reserves for the Music department 
<ul>
<li>Solicits syllabi/reading lists from faculty and Academic Department Coordinators </li>
<li>Checks assigned journal articles and book chapters for availability from the Library's databases and on the web </li>
<li>Collects materials and delegates digitization, assuring quality of electronic copies </li>
<li>Enters bibliographic citations, stable links and PDF files into eReserve Plus database for each course requested </li>
<li>Creates print reserve collection, maintaining accurate course and material listings in library database </li>
<li>Communicates with faculty and Academic Department Coordinators for clarification, copyright, and other issues </li>
<li>Collaborates regularly with the Reserves Team to establish and update departmental workflows for reserve processing </li>
<li>Shares monitoring of and responding to messages in the reserves email account with the reserves team </li>
<li>Provides backup support for reserve processing in non-music disciplines </li>
</ul>
 Access Services Team 
<ul>
<li>Provides backup support at Frost Library to meet departmental needs </li>
<li>Attends regular department, library, division, and collegewide meetings </li>
<li>Creates a professional development plan and participates in service opportunities in consultation with supervisor </li>
<li>Maintains documentation for areas of responsibility </li>
</ul>
 Supports other library departmental initiatives 
<ul>
<li>Outside of peak reserve processing season, provides support to other library departmental projects </li>
</ul>
 Qualifications: Required 
<ul>
<li>Bachelor's Degree </li>
<li>1 year of work experience in an academic or research library </li>
<li>5 years of equivalent work experience in lieu of minimum education and related experience </li>
<li>Demonstrated knowledge of music and experience handling music-related material </li>
<li>Demonstrated exceptional customer service, including creative problem-solving and a commitment to equitable access </li>
<li>Demonstrated close attention to detail and organizational skills </li>
<li>Proficient computer skills and demonstrated ability to learn and apply new technologies to existing operations </li>
<li>Ability to independently manage multiple priorities and tasks </li>
<li>Ability to work closely and problem-solve with colleagues from all library departments, students, faculty, and staff </li>
<li>Strong verbal and written communication skills </li>
<li>Required reference and background checks </li>
</ul>
 Preferred 
<ul>
<li>1 year of supervisory experience, demonstrating evidence of interviewing, onboarding, scheduling, and planning the ongoing training of a team of workers </li>
<li>Bachelor's degree in music, or equivalent combination of education, training, or experience </li>
<li>1 year of experience working in a music library </li>
</ul>
 Amherst College is pleased to provide a comprehensive, highly competitive benefits package that meets the needs of staff and faculty and their families. Benefits are an important part of our overall compensation, so it is critical that you review all of the options to ensure it meets your total compensation requirements. Click here for<a href="https://apptrkr.com/get_redirect.php?id=6332761&amp;targetURL=https://www.amherst.edu/offices/human_resources/benefits" target="_blank"> Benefits Information</a>. Interested candidates are asked to submit a resume and cover letter online at<a href="https://apptrkr.com/get_redirect.php?id=6332761&amp;targetURL=https://amherst.wd5.myworkdayjobs.com/Amherst_Jobs" target="_blank"> https://amherst.wd5.myworkdayjobs.com/Amherst_Jobs</a>. Please be sure to upload all requested documents prior to clicking Submit. Applications cannot be revised once submitted. (Current employees and students should apply by clicking on the Jobs Hub icon from their Workday home screen) Review of applications will begin July 7th and will continue until the position is filled. Expected start date is early October 2025. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. To apply, visit <a href="https://apptrkr.com/6332761" target="_blank">https://amherst.wd5.myworkdayjobs.com/en-US/Amherst_Jobs/job/Amherst-Campus/Music-Library-Specialist-Student-Supervisor_JR6107</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-835e94f32626d34d8ed257e9555e49ba

Music Library Specialist/Student Supervisor

Customer Service Representative CalOptima CalOptima Health is seeking a highly motivated Customer Service Representative to join our team. The Customer Service Representative (CSR) will be the first line of contact for CalOptima Health's members and providers. The incumbent will assist members and providers with questions and/or complaints related to the Medi-Cal programs for Orange County. The incumbent will provide information regarding eligibility, enrollment, benefits and services to CalOptima Health's eligible members and providers. Position Information: 
<ul>
<li>Department: Customer Service </li>
<li>Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) </li>
<li>Work Arrangement: Full Office </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>80% - 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>Maintains departmental productivity and quality standards.</li>
<li>Follows through on and completes all member and provider inquiries or requests during the original member and provider interaction.</li>
<li>Serves as a resource for other team members. </li>
</ul>
</li>
<li>15% - Administrative Support
<ul>
<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>Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically.</li>
<li>Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction.</li>
<li>Communicates, builds and maintains internal and external relationships by prompt and accurate service delivery.</li>
<li>Identifies and communicates challenges that might arise with the use of professional judgment while adhering to departmental policies and procedures. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High School diploma or equivalent PLUS 6 months of experience in a call center capacity 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>Typing speed of 35 words per minute (WPM) required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>6 months of Medi-Cal/Medicaid or health services 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=6337909&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 15, 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/6337909" target="_blank">https://jobs.caloptima.org/jobs/customer-service-representative-505-city-parkway-west-california-united-states-7d5bf04b-390c-46e1-91cb-12f6a1dd6e9a</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-fa21bddb4c4a0240925cf86da2f60f27

Customer Service Representative

Position: Vice President of Philanthropy 
Location: Hybrid – Miami, FL 
Reports to: CEO
Compensation: Salary $115K–$140K (DOE) + 75% of Medical, dental, and vision plan covered, retirement account with 50% matching, discretionary board bonus, and robust PTO.
Position Summary
As VP of Philanthropy, you’ll build and lead a multi-disciplinary development team, architect CLEO’s long-term fundraising strategy, and partner with our board and senior leadership to accelerate revenue growth—from major gifts and corporate partnerships to digital campaigns and institutional grants. You will own a $4M+ fundraising portfolio and scale CLEO’s proven playbook nationwide. You’ll build and manage a high-performing team, cultivate transformative partnerships, and embed equity and data-driven rigor into every campaign. Reporting directly to the CEO and partnering closely with the Board Development Committee, you will translate our Vision 2030 into ambitious fundraising strategies that fuel CLEO’s top strategic priorities.&nbsp;
Key Responsibilities
1. Team Leadership &amp; Structure
<ul>
<li>Recruit, onboard and manage:
<ul>
<li>Major Gifts &amp; Stewardship Manager</li>
<li>Corporate Partnerships Specialist</li>
<li>Donor Communications Specialist</li>
</ul>
</li>
<li>Set clear KPIs, conduct quarterly performance reviews, and foster a culture of collaboration, inclusion, and accountability.</li>
</ul>
2. Major Gifts &amp; Strategic Fundraising
<ul>
<li>Lead cultivation, solicitation, and stewardship strategies across a dynamic portfolio of donors and corporate partners</li>
<li>Cultivate and secure $100K+ gifts and seven-figure multi-year commitments from individual donors, foundations, and impact investors.</li>
<li>Lead transformational gift prospecting—with the CEO and Board—to expand CLEO’s reach into new regions and sectors.</li>
<li>Oversee RISE monthly giving and CLEO Collective circles, ensuring conversion, retention, and upgrade strategies.</li>
</ul>
3. Corporate &amp; Cause Marketing
<ul>
<li>Develop and execute a pipeline of corporate sponsorships and CSR partnerships, targeting $75K+ commitments.</li>
<li>Serve as the principal liaison to corporations, co-designing cause-marketing campaigns that align with CLEO’s equity and resilience priorities.</li>
</ul>
4. Digital &amp; Donor Communications
<ul>
<li>Oversee digital fundraising campaigns (peer-to-peer, social appeals, automated drip emails), in partnership with the Digital Communications team. 
	Establish and track metrics—cost-per-dollar, conversion rates, donor lifetime value—using Instrumentl or comparable platforms.</li>
</ul>
5. Grants Oversight &amp; Compliance
<ul>
<li>Supervise grant writer and all grant strategy, writing, submission, and reporting—especially multi-year federal and foundation proposals aligned with Vision 2030. 
	Ensure 100% compliance with funder deliverables and steward relationships to secure renewals.</li>
</ul>
6. Board &amp; Cross-Team Collaboration
<ul>
<li>Serve as staff liaison to the Board Development Committee: deliver quarterly fundraising dashboards and briefing memos.</li>
<li>Train and activate board members as individual fundraisers—matching them to prospects and co-creating tailored cultivation plans.</li>
<li>Partner with Communications, Programs, and Policy teams to surface compelling impact stories for proposals and pitches.</li>
</ul>
7. National Expansion &amp; Community Engagement
<ul>
<li>Identify and cultivate donors in key U.S. markets beyond Florida to fuel CLEO’s national growth strategy.</li>
<li>Plan and host cultivation events in key markets—both virtual and in-person—ensuring they’re accessible and mission-aligned.</li>
</ul>
Qualifications 
Required
<ul>
<li>8+ years of progressive nonprofit development leadership, including major gifts, corporate partnerships, and digital fundraising.</li>
<li>Proven track record securing $100K+ gifts and multi-year commitments; experience managing $3 million+ annual revenue.</li>
<li>Expertise designing and running capital campaigns and planned-giving vehicles.</li>
<li>Deep commitment to climate justice, equity, and community-driven solutions.</li>
<li>Exceptional communication and storytelling skills; ability to inspire diverse stakeholders.</li>
<li>Proficiency with CRM/fundraising platforms (Razors Edge, Instrumentl, EveryAction, Salesforce, etc.) and analytics tools.</li>
<li>Demonstrated success partnering with boards and empowering them as fundraisers.</li>
</ul>
Preferred
<ul>
<li>Experience in mid-sized to large nonprofits ($3 million–$10 million budgets) scaling nationally.</li>
<li>Advanced degree in nonprofit management, public administration, fundraising, or related field.</li>
<li>Familiarity with EveryAction, C3/C4 lobbying tracking, and federal grant compliance.
		</li>
</ul>
Why CLEO?
<ul>
<li>Mission-Driven Impact: Play a pivotal role in reversing the climate crisis ensuring a livable more sustainable future for all</li>
<li>Growth &amp; Autonomy: Build your team, influence national strategy, and shape a best-in-class development operation.</li>
<li>Collaborative Culture: Work alongside passionate leaders, expert program teams, and an engaged Board.</li>
<li>Competitive Compensation: Salary $115K–$140K + Medical, dental, and vision plan, retirement account with 50% matching, and robust PTO. 
	&nbsp;
		</li>
</ul>
To Apply: 
Please submit your resume, a cover letter outlining your fundraising philosophy, and two examples of major-gift successes to <a href="mailto:info@cleoinstitute.org" target="_blank">info@cleoinstitute.org</a> with the subject line “VP Philanthropy Application.”
CLEO is an equal-opportunity employer committed to diversity, equity, and inclusion in all aspects of our work. We strongly encourage candidates from underrepresented communities to apply.

Vice President of Philanthropy

Front Desk Receptionist San Francisco Bay University Category: Staff Type: Full Time Min. Experience: Some Experience Salary: $25.00 - $30.00 per hour About San Francisco Bay University: San Francisco Bay University (SFBU), a nonprofit, WASC-accredited, university situated in the heart of Silicon Valley in Fremont, California, seeks an innovative and experienced Front Desk Receptionist. SFBU's mission is to offer inclusive, innovative, and inspirational education for lifelong careers and our vision is to set the standard as a national model of higher education in service of the common good. At SFBU, students come first. We prioritize students' needs by fostering personal engagement among students, faculty, and staff. We are committed to providing affordable quality education with a deep commitment to diversity, equity, inclusion, and social justice. We encourage you to learn more about SFBU by reviewing our strategic plan at <a href="https://apptrkr.com/get_redirect.php?id=6332454&amp;targetURL=https://www.sfbu.edu/strategic-plan" target="_blank">https://www.sfbu.edu/strategic-plan</a>. Position Overview: Reporting to the Senior Director of Admissions and Special Projects, the Front Desk/Receptionist serves as the university's first point of contact, delivering exceptional hospitality and professionalism. This role manages the reception area, handles communications, and supports administrative tasks as needed. This is a full-time, hourly, non-exempt position under the Fair Labor Standards Act (FLSA). Essential Functions and Responsibilities: 
<ul>
<li>Warmly greet and assist students, faculty, staff, and visitors with professionalism and courtesy.</li>
<li>Efficiently answer, screen, and direct incoming phone calls and general email inquiries, ensuring high customer service standards.</li>
<li>Ensure security protocols are followed for visitor check-in and access.</li>
<li>Provide information about university admissions process, services, events, etc. to students and visitors.</li>
<li>Schedule student appointments with the Bursar, PDSO, and Registrar.</li>
<li>Perform other related duties as assigned.</li>
</ul>
 Work Hours and Location: 
<ul>
<li>This position operates on a Monday through Friday schedule from 9:00 AM to 5:30 PM.</li>
<li>The role is based on-site at our campus. Remote work options for this position are not available.</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High School diploma or equivalent.</li>
<li>Prior experience in customer service or front desk/reception role.</li>
<li>Strong organizational skills and ability to multitask effectively.</li>
<li>Excellent verbal and written communication skills.</li>
<li>Proficiency with Microsoft Office Suite and Google Workspace applications.</li>
<li>Familiarity with standard office equipment (phone systems, copiers, printers, etc.).</li>
<li>Ability to lift and carry items up to 20 pounds.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Bachelor's degree preferred.</li>
<li>1 to 3 years relevant office support experience, preferably in higher education or similar professional setting.</li>
<li>Experience with database or scheduling software.</li>
<li>Multilingual abilities are highly desirable.</li>
</ul>
 Knowledge, Skills and Abilities: 
<ul>
<li>Demonstrated customer service orientation with a friendly, professional demeanor.</li>
<li>Ability to maintain confidentiality and exercise discretion.</li>
<li>Skilled at working independently and as part of a team in a fast-paced, high-volume environment.</li>
<li>Excellent interpersonal skills to interact effectively with diverse populations including students, faculty, staff, and external visitors.</li>
<li>Strong attention to detail and ability to follow established procedures.</li>
<li>Proficient in computer skills including browser-based applications, email platforms, and office productivity software.</li>
<li>Comfortably operate standard office equipment.</li>
<li>Basic understanding of university operations and protocols helpful.</li>
<li>Fluency or working proficiency in a second language (spoken and/or written) is a plus.</li>
</ul>
 Work Environment &amp; Physical Demands: 
<ul>
<li>Work performed primarily in an office environment.</li>
<li>Ability to lift and carry items up to 20 pounds.</li>
<li>Physical activities include crouching, walking, reaching, grasping, carrying, and pushing.</li>
<li>Occasionally required to stand or sit for extended periods.</li>
</ul>
 Salary Range: $25.00- $30.00 per hour, depending on experience. Application Process: NOTE: The supervisor/ appointing authority will decide what makes the most sense in this section. For full consideration, please submit your completed application and a letter of interest that describes your experiences based on the stated responsibilities and your demonstrated commitment to diversity, equity, inclusion, and social justice. Current CV/ resume. Names and contact information of 3 references. This position description is not intended to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change, or new ones may be assigned at any time, with or without notice. SFBU is an Equal Opportunity / Affirmative Action Employer: SFBU is committed to providing equal employment opportunities for all employees and applicants for employment. SFBU does not discriminate in employment opportunities or practices based on race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or any other characteristic protected by law. In accordance with federal and state disability laws, San Francisco Bay University provides reasonable accommodations to applicants with disabilities. If you require assistance during the application or interview process, please contact SFBU Human Resources at <a href="https://apptrkr.com/get_redirect.php?id=6332454&amp;targetURL=mailto:hrmgr@sfbu.edu" target="_blank">hrmgr@sfbu.edu</a>. To apply, please visit: <a href="https://apptrkr.com/6332454" target="_blank">https://app.trinethire.com/companies/33737-san-francisco-bay-university/jobs/109758-front-desk-receptionist</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-3dce0067c99af247876e2d6eb15623c7

Front Desk Receptionist

The Boston University Global Development Policy (GDP) Center is seeking an Assistant Director for Communications and Outreach to work in Boston, MA. The ideal candidate will have a solid understanding of global development topics and themes, a strong background in strategic communications, media relations, and stakeholder engagement across both internal and external audiences. Prior experience leading and managing a team is essential.

Assistant Director for Communications and Outreach

Claims Examiner CalOptima CalOptima Health is seeking a highly motivated Claims Examiner to join our team. The Claims Examiner will be responsible for analyzing and validating claim data elements and claims processing. The incumbent will be responsible for adhering to the regulatory and internal processing guidelines in conjunction with CalOptima Health policies and procedures related to claims adjudication. Position Information: 
<ul>
<li>Department: Claims Administration </li>
<li>Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>85% - Claims Support
<ul>
<li>Performs thorough review of pending claims for billing errors and/or questionable billing practices that might include duplicate billing and unbundling of services.</li>
<li>Processes non-institutional claim types.</li>
<li>Corrects system generated errors manually prior to final claims adjudication.</li>
<li>Processes claims based upon CalOptima Health contractual agreements or pricing agreements, applicable regulatory legislation, claims processing guidelines and CalOptima Health policies and procedures.</li>
<li>Analyzes and validates Medi-Cal pricing; researches, adjusts and adjudicates claims; reviews services for accurate charges and utilizes current billing code sets, including International Classification Diseases (ICD10) codes, Current Procedural Terminology (CPT) codes and/or authorization guidelines as reference.</li>
<li>Validates eligibility and other possible health insurance coverage on the claim.</li>
<li>Alerts manager or supervisor of more complex issues that arise.</li>
<li>Processes claim exception reports as assigned. </li>
</ul>
</li>
<li>10% - 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>
</ul>
</li>
<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 related claims processing experience 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>Experience processing online claims in a managed care environment. </li>
<li>Experience processing Medi-Cal claims.</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=6329575&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 11, 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/6329575" target="_blank">https://jobs.caloptima.org/jobs/claims-examiner-505-city-parkway-west-california-united-states-fd7ed77a-73a4-4bd2-9f12-47d82ac1ed30</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-a4cc42329aeb0d40b1127d796b9ce31e

Claims Examiner

Programmer Analyst III Lubbock 41415BR High Performance Computing Center Position Description The Programmer Analyst III's role is to develop, test, analyze, and maintain software applications in support of business requirements. Major/Essential Functions 
<ul>
<li>Research, design, document, and modify software specifications throughout the production life cycle.</li>
<li>Supervise and/or lead the development of new systems, directing changes to existing systems and controlling the interfaces between the systems, initiating complex feasibility studies and making recommendations of the action to be taken.</li>
<li>Perform systems analysis, develops, and reviews programming code defined in project plans to meet design specifications, customer requirements, and/or applies vendor supplied upgrades.</li>
<li>Design, development, documentation, analysis, creation, testing, or modification of computer systems or programs, including prototypes, based on user or system design specifications.</li>
<li>Completes application modifications to enhance functionality, adapt to technology changes, and correct application errors.</li>
<li>Supervises and/or leads programming projects and initiatives, as assigned by management.</li>
<li>Completes other programming tasks, as assigned by management.</li>
<li>Adheres to all appropriate institutional policies (including IT Ops) and other relevant internal department policies.</li>
</ul>
 Required Qualifications Bachelor's degree with coursework in computer science, MIS, IT, or other related area plus three (3) years related full-time paid experience OR a combination of related education and/or experience. Applicants for this Security Sensitive Level II position will be subject to a criminal background check and must pass a drug and alcohol test after a conditional offer of employment has been extended, but before employment can be confirmed. Preferred Qualifications Bachelor's degree in Computer Science or a related degree field with coursework in computer science, management information systems, or information technology. 3 years of experience as a computer programmer, software engineer, or other related role. Requires analytical design skills, including process description, logic problem diagnostics, and problem-solving; programming languages; and application and database design and development concepts and standards. Employer will accept a bachelor's degree equivalency based on a combination of education and experience. Special Instructions to Applicant Minimum Hire Rate To apply, visit <a href="https://apptrkr.com/6317620" target="_blank">workattexastech.com</a> All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran. 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-fdd102af9ca93b4bb658a7316bbd73f5

Programmer Analyst III

Manager of Microbiology Preparation Room Bowling Green State University Salary: Depends on Qualifications Job Type: Full-Time Division: A&amp;S Dean Opening Date: 06/26/2025 Location: Main Campus (BG), OH Job Number: BGSU00855 Department: A&amp;S Dean Closing: Continuous Summary The primary function of this position is to prepare all of the materials needed for the undergraduate microbiology laboratories as well as select materials for the general biology laboratories. This postion also supports the department's graduate research program through the operation and maintenance of the Microbiology Preparations facility equipment. Finally, this position is responsible for the treatment and disposal of all infectious waste generated by the department following all Ohio Environmental Protection Agency (OEPA) and Ohio Revised Code regulations. Essential Functions 
<ul>
<li>Preparation &amp; set up for undergraduate microbiology laboratories (prepares media, cultures and reagents; maintains classroom laboratory equipment; maintains stock cultures; prepares class handouts, overheads, and lab practical's; keeps an inventory and orders supplies for microbiology classes.)</li>
<li>Treats Infectious Waste generated by the Biological Sciences classes and research labs following all OEPA regulations. Trains students and researchers on proper handling of biohazards. Creates and maintains all records pertaining to treatment (autoclaving) and disposal of infectious waste. Keeps up to date with current regulations and maintains the Department's Facility Management Plan as required by the OEPA. Treats infectious waste from other units on campus when requested</li>
<li>Maintains and operates the Microbiology Preparations Facility equipment used to prepare materials for undergraduate classes and faculty research labs. Instructs faculty, graduate and undergraduate students in the proper operation of the equipment in the facility.</li>
<li>Hires, trains and supervises work study students to work in the Microbiology Preparations Facility. Responsible for scheduling, assigning tasks, guiding, and monitoring work of students.</li>
<li>Coordinate EPA inspections and preventive maintenance of autoclaves with outside vendors.</li>
<li>Other duties as assigned</li>
</ul>
 Minimum Qualifications The following Degree is required: 
<ul>
<li>Bachelor's Degree. Degree must be conferred at time of application</li>
</ul>
 The following Experience is required: 
<ul>
<li>1 year - Microbiology and/or laboratory experience. </li>
</ul>
 Additional Information Knowledge, Skills, Abilities 
<ul>
<li>Knowledge of microbiology, skill in preparing materials for classroom laboratory experiments, knowledge of regulations for handing different types of biohazardous waste, experience running and maintaining autoclaves, experience with process of treating waste, experience supervising student workers, experience dealing with regulatory agencies. </li>
</ul>
 Required Documents to Upload to Application: Cover Letter and Resume Deadline to apply: The search committee will review applications until the position is filled; however, for best consideration, applications should be provided by July 10, 2025. BGSU does not offer H-1B or other work authorization visa sponsorship for this position. Candidates must be legally authorized to work in the United States at the time of hire and maintain work authorization throughout the employment term. Bowling Green State University is an Equal Opportunity Educator and Employer. We are committed to ensuring an equal employment opportunity for all applicants and encourage applications from all regardless of sex, race, veteran-status, disability, age, gender identity, genetic information, religion, or sexual orientation. In compliance with the ADA Amendments Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a position with Bowling Green State University, please call 419-372-8421 or email <a href="https://apptrkr.com/get_redirect.php?id=6326641&amp;targetURL=mailto:ohr@bgsu.edu" target="_blank">ohr@bgsu.edu</a>. To apply, please visit <a href="https://apptrkr.com/6326641" target="_blank">https://www.schooljobs.com/careers/bgsu/jobs/4986550/manager-of-microbiology-preparation-room</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-74047ab1bc9a464cb16ec4929ac6aaa5

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