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THE POSITION: The Alameda County Water District in Fremont, California is seeking a motivated individual for the Utility Mechanic I position in the Operations &amp; Maintenance Department. As part of the Facilities Maintenance team of skilled trades, the Utility Mechanic series performs a wide range of mechanical maintenance activities for preventive maintenance, troubleshooting, repair, and installation work within the District's Water Supply, Production, Treatment and Distribution facilities. The Utility Mechanic series is responsible for pumps and piping systems, valves, chemical storage and feed systems, and various complex mechanical systems and fixed works within facilities. The position utilizes a variety of hand and shop tools, performs fabrication and welding, rigging and complies with industrial safety requirements. The ideal candidate is an effective communicator with strong mechanical aptitude, initiative, and able to function well both independently and as part of a team.
Utility Mechanic I is the entry-journey level classification in the Utility Mechanic series. Under close to general supervision, within a framework of established policies and procedures, incumbents perform routine mechanical maintenance work, assist with the more complex maintenance and repair work, and will be subject to standby duty or emergency call outs after satisfactory completion of Probationary period. As experience and proficiency are gained, assignments become more varied and complex. Assignments are given in specific terms and are subject to frequent review by the Systems Maintenance Supervisor and/or Senior Utility Mechanic while in progress and upon completion. There is limited latitude for independent judgement and action in well-defined areas of work.
SALARY: The annual salary ranges for the Utility Mechanic I is $103,309 -$125,572, plus excellent benefits.
Education and Experience - Possession of a high school diploma or its equivalent; and Three (3) years of full-time experience in maintenance and repair of water distribution systems, water treatment plants, food processing plants, refineries, or similar facility. Two (2) years of full-time experience as a Utility Worker II at the District can substitute for one year of required experience up to a maximum of two years. 
Additional Requirements:
- Must possess a valid California driver's license and maintain a satisfactory driving record.
- A Distribution Operator (D2) license and/or Treatment Operator (T2) license from the State of
California must be acquired within 18 months.
- Must obtain, and maintain, Service Truck Crane (STC) certification within 12 months of appointment as required by CAL/OSHA and FED/OSHA.
Knowledge, Skills, and Abilities: Knowledge of standard methods, practices, procedures, and tools of the mechanical maintenance trade; general mechanical equipment repair and maintenance techniques; safety regulations and practices relative to work activities; shop mathematics; the operation and use of electric arc and gas welding and cutting equipment. Skill and Ability to: perform semi-skilled maintenance and repair of shop, field, and plan equipment and structures; learn to perform skilled mechanical repair, maintenance, and installation work involving the use of specialized tools, instruments, and equipment; learn to interpret mechanical and shop drawings, specifications, and diagrams; acquire increased job knowledge and skills; proper and safe use of a variety of hand and power tools of the trade; apply safe work practices; keep records related to the work; perform the essential functions of the job without causing harm to self or others; operate modern office equipment including computer equipment and specialized software applications programs; communicate clearly and concisely, both orally and in writing; establish, maintain, and foster positive and effective working relationships with those contacted in the course of work.
The essential duties of this classification require the ability to work outdoors 50% to 100% of the time under various climatic and geographic conditions; to work overtime as needed and subject to standby duty and emergency call-outs as required; to work in an environment with potential exposure to high frequency and constant noise, dust, allergens, chemicals, solvents, fumes, smoke, gases, grease, oil and sun exposure; in confined spaces; on ladders and/or scaffolding; and work around moving vehicles and hazardous equipment and machinery.
The essential duties of this classification require repetitive use of feet and hands to operate vehicles, equipment and tools; the ability to wear, on, and off a self-contained breathing apparatus; to feel the attributes of objects by touch; to verbally exchange ideas and information; to hear to receive verbal detailed information and instruction; to see at arm's length to twenty feet with a good field of vision; to maintain body equilibrium to prevent falling when walking, standing or crouching on narrow, slippery or moving surfaces; to climb stoop, kneel, crouch, reach, stand, and walk on a sustained basis; to lift and carry tools and equipment and to push and pull objects weighing between 25 to 75 pounds; and finger dexterity and hand strength to operate and grasp tools and equipment.
SELECTION PROCEDURE:
<ol>
<li>Application materials must be submitted online at <a href="https://apptrkr.com/6763568" target="_blank">www.acwd.org</a> no later than 5:00 p.m., on Wednesday, December 31, 2025. Application materials must include a completed Alameda County Water District Employment application. Incomplete applications will not be given further consideration.</li>
<li>All application materials will be evaluated, and candidates who present the best job-related qualifications will be invited to participate in a written test. Successful candidates from the written test will be invited to a qualification appraisal interview panel. </li>
</ol>
Represented employee applicants receive promotional consideration consistent with the provisions of the MOU.
 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-f259ac8fb64a0948b244aa48d0d5dfc1

Utility Mechanic 1

Maintenance Mechanic - HVAC (Facilities) - Riverside City College Riverside Community College District Application Deadline. Interested candidates must apply by the deadline listed below by 8:00 p.m., Pacific Standard Time: Maintenance Mechanic - HVAC (Facilities) - Riverside City College Department: Facilities (R) Position Type: Support Staff (Classified / Confidential) College/Campus: Riverside Physical location of the position: Riverside Employment Type: Full-Time Position Length: 12-month Salary Range: Grade L Salary Amount: $6,629 - $8,069 Salary Type: Monthly Is this position categorically (grant) funded? No Basic Function: BASIC FUNCTION Performs skilled mechanical maintenance duties in the construction, diagnosis, repair, installation, and alteration of District heating, ventilation, air conditioning and refrigeration (HVAC) systems and related equipment and facilities; performs preventive maintenance and routine servicing of equipment to ensure efficient operation. SUPERVISION RECEIVED AND EXERCISED Receives general supervision from assigned area supervisor. May provide lead direction to temporary staff and/or student workers. CLASS CHARACTERISTICS This classification in the Maintenance series is responsible for independently performing skilled mechanical duties in support of the District's HVAC systems. Employees at this level exercise judgment and initiative in their assigned tasks, receive only occasional instruction or assistance as new or unusual situations arise, and are fully aware of the operating procedures and policies of the department. Education: Education and Experience: Completion of the twelfth (12th) grade and three (3) years of experience installing, maintaining, and repairing HVAC systems; or an equivalent combination of education, training, and/or experience. Experience: Knowledge of: 1. Operational characteristics of various heating and cooling systems. 2. Commercial, industrial, and institutional electrical distribution systems and energy management systems. 3. Programming principles for automated logic and summit tracer type systems. 4. Boiler maintenance, installation, and repair. 5. Chemical usage required for cooling tower maintenance. 6. Diagnostic equipment used to troubleshoot and resolve HVAC system issues. 7. Piping and plumbing systems related to HVAC systems. 8. Industry safety regulations and precautions. 9. Mathematical principles. 10. Applicable federal, state, and local laws, rules, regulations, ordinances, and organizational policies and procedures relevant to assigned area of responsibility. Ability to: 1. Troubleshoot, diagnose, maintain, and repair a diverse range of heating and cooling systems and devices. 2. Install, evaluate, and make operating adjustments to heating and cooling systems. 3. Estimate materials and time necessary for project related maintenance and repair. 4. Size and design an air conditioning system to fit an application. 5. Read and interpret as-built blueprints and submittals. 6. Attend and participate in construction meetings. 7. Maintain and update maintenance records and schedules. 8. Apply basic knowledge to new and changing machine/system models. 9. Interpret local and state building codes and procedures as the related to HVAC systems. 10. Work with other trades to support and aide in job performance. 11. Place orders for maintenance and repair for building HVAC systems. 12. Exercise independent judgment within general policy, and procedural guidelines. 13. Effectively use computer systems, software applications relevant to work performed, and business equipment to perform a variety of work tasks. 14. Communicate effectively in the course of performing work tasks. 15. Establish, maintain, and foster effective working relationships with those contacted in the course of work. 16. Demonstrate clear evidence of sensitivity and understanding of the diverse academic, socioeconomic, disability, and ethnic backgrounds of students, staff, and the community. 17. Provide efficient, high-level customer service to the public, vendors, contractors, and District personnel. Licenses/Certifications: Licenses and Certifications: 1. A valid driver's license and proof of insurability may be required to drive a District or personal vehicle. 2. Possession of valid Refrigerant Recovery and Recycling Equipment Certification and maintain certification throughout employment. Other: PHYSICAL DEMANDS Must possess mobility to work in the field; strength, stamina, and mobility to perform medium to heavy physical work; ability to sit, stand, and walk on level, uneven, or slippery surfaces; vision to read printed materials and a computer screen, to distinguish colors, and to inspect and operate equipment; and hearing and speech to communicate in person and over the telephone. Employees frequently reach, twist, turn, kneel, bend, stoop, squat, crouch, grasp, and make repetitive hand movements in the performance of daily duties; work in confining spaces; climb and descend ladders; operate varied hand and power tools; operate motor vehicles and visit various District sites. The job involves fieldwork requiring frequent walking in operational areas to identify problems or hazards, which may include working on live electrical wires. Finger dexterity is frequently needed to operate and repair tools and equipment. Must also possess mobility to work in a standard office setting and use standard office equipment, including a computer. Employees must possess the ability to lift, carry, push, and/or pull materials and objects averaging a weight of 50 pounds or heavier weights, with the use of proper equipment and/or assistance from other staff. The essential functions of this classification must be performed by the incumbents with or without reasonable accommodations. ENVIRONMENTAL CONDITIONS Employees in this classification work in the field and are exposed to loud noise levels, extreme cold and hot temperatures, inclement weather conditions, road hazards, vibration, confining workspaces, chemicals, mechanical and/or electrical hazards, hazardous physical substances, and fumes, dust, and air contaminants. Employees may interact with upset individuals in interpreting and enforcing departmental policies and procedures. Duties and Responsibilities: EXAMPLES OF TYPICAL JOB FUNCTIONS 1. Repairs/rebuilds mechanical drive systems including, but not limited to, replacement of drive bearings, shafting, blower wheel assemblies, multi-pulley and belt drives, and exhaust blower assemblies and motors for HVAC equipment. 2. Maintains and repairs hot and cold-water pumping systems including motor replacement, bearing and shaft seal replacement, mounting and alignment techniques for proper operation, and replacement of rubber and chain drive couplings; repairs and rebuilds triple duty valve/Y strainer assemblies; checks valves, air and sludge separators, air bleeds and water treatment, air scavenging, and sludge removal. 3. Maintains and repairs cooling towers, evaporator condensers, and air-cooled condensers; maintains, repairs, and replaces fills elements, water distributors, filter screenings, piping, electrical components, and control operations. 4. Maintains hot water boiler operation, including electronic and mechanical safety, primary and secondary pump systems and boiler ignition controls, chilled water systems operations, water flow dynamics, and piping-pumping configurations. 5. Maintains and repairs, as necessary, gas fired furnaces, infra-red heaters, and hydraulic systems. 6. Works and meets with contractors and vendors obtaining estimates, evaluations, reports, and pricing, and provides recommendations accordingly. 7. Attends and participates in pre-construction meetings for assigned projects and work. 8. Responds to emergency electrical and plumbing calls; assists other co-workers as required; may serve as contact person in the absence of the supervisor; provides instruction on the use and operation of HVAC equipment; monitors HVAC over DDC/EMS computer systems; updates and maintains service logs. 9. Participates in District-provided in-service training programs. 10. Performs other related duties as assigned; specific duties not listed does not exclude them for this classification if the work is similar or related. Conditions of Employment: CONDITIONS OF EMPLOYMENT: SALARY: Salary grades consist of nine steps. A new employee is normally placed on Step 1 of the grade. Changes in step placement take place on the first day of the first month following the anniversary date of attaining permanent classified employee status until the maximum of the grade is reached. HOLIDAYS: There are 13 holidays observed each year. A pro-rata reduction will be made for employees working less than full-time and less than twelve months. VACATION: Employees are granted 12 days of vacation per year through the first five years of service to the District; 15 days after completion of five continuous years of service to the District; and 22 days after completion of 10 continuous years of service to the District. This computation is based on full-time, twelve-month employment. A pro-rata reduction will be made for employees working less than full-time and less than twelve months. SICK LEAVE: One day of sick leave for each month of service is granted. This is based on full-time, twelve-month employment. A pro-rata reduction will be made for employees working less than full-time and less than twelve months. There is no limit to the number of days of sick leave which may be accrued. FRINGE BENEFITS: The District provides a health and welfare benefit package for employees and legal qualifying dependents. Those employees working less than full-time and less than twelve months will receive a pro-rata share of the benefit package. The dollar value of the package is a subject of negotiation between the District and the Bargaining Unit. The work location and assignment within a job classification is determined by the District and may be subject to change. All offers of employment will be contingent upon the availability of funds and approval by the Board of Trustees. The Riverside Community College District (the District) fosters and maintains a work environment free from discrimination harassment or retaliation, where all persons are treated with dignity and respect. The District is a proud equal opportunity employer and does not discriminate against any person based on ethnic group identification, national origin, religion, age, gender, gender identity, gender expression, race, color, genetic information, sexual orientation, physical or mental disability, or any characteristic listed or defined in Section 11135 of the Government Code or any characteristic that is contained in the prohibition of hate crimes set forth in subdivision (1) of Section 422.6 of the California Penal Code, or any other status protected by law. The District adheres to these principles in all aspects of employment, including, recruitment, hiring, training, compensation, promotion, benefits, discipline and termination. All employees share in the responsibility for fulfilling the District's commitment to equal employment opportunity. In addition, it is the policy of the District to provide reasonable accommodation to qualified applicants and employees. If you need assistance or an accommodation due to a disability or have inquiries regarding compliance or grievance procedures you may contact the District Compliance Officer and Title IX, Section 504/ADA Coordinator Lorraine Jones as follows: Lorraine Jones, Ed.D., M.S.W. District Compliance Officer and Title IX/ADA/504 Coordinator 3801 Market Street Riverside, CA 92501 <a href="https://apptrkr.com/get_redirect.php?id=6763999&amp;targetURL=mailto:lorraine.jones@rccd.edu" target="_blank">lorraine.jones@rccd.edu</a> 951-222-8039. Work Hours/Work Days for Classified and Hourly Positions Only: Tuesday - Saturday: 8:00 am - 4:30 pm Required Applicant Documents: Resume or Curriculum Vitae Cover Letter Optional Applicant Documents: Other Document Associate or Equivalent Transcript Bachelors or Equivalent Transcript Effective Employment Date: Anticipated Start Date December 2025 Application Deadline: Open Until Filled Special Comments: IMPORTANT NOTICES: * The first round of applicants will be reviewed on 5/12/25 and every two weeks after that until the position is filled. * Only electronic, on-line applications are accepted. All supporting materials, required or optional, must also be in electronic formats and attached to the electronic, on-line application when applying. Supporting materials are only accepted as Adobe Acrobat (.pdf) or Microsoft Word files and must be less than 2 MB in size. * An application will not be considered complete unless all Required Documents are electronically attached to the application by the Application Deadline date. An incomplete file may subject the candidate to disqualification. * Paper applications and supporting materials WILL NOT be accepted! * Letters of reference must be non-confidential and submitted electronically when applying on-line. * Interested candidates must apply by the deadline listed above by 8:00 p.m., Pacific Standard Time. * The Riverside Community College District does not require testing at the initial application filing period. As you progress through the selection process, you may be required to perform a job-related test based on the needs of the work area for which you are being considered. * The District will make reasonable accommodations for applicants with disabilities. Applicant should contact Human Resources and Employee Relations at (951) 222-8595 for assistance. Application Types Accepted: Classified/Management/Confidential Application To apply visit <a href="https://apptrkr.com/6763999" target="_blank">http://pa379.peopleadmin.com/applicants/Central?quickFind=61832</a> To apply, please visit: <a href="https://apptrkr.com/6763999" target="_blank">http://pa379.peopleadmin.com/applicants/Central?quickFind=61832</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-a2a91be7414acf4f87604f92219a70cb

Maintenance Mechanic - HVAC (Facilities) - Riverside City College

Actuarial Analyst Sr CalOptima 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 Actuarial Analyst Sr and help shape the future of healthcare where you'll be an integral part of our Financial Analysis 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 perform actuarial analysis on projects and support the Financial Analysis and other departments within CalOptima Health. You will also develop and design reports, create and maintain databases to support the business requirements of the team and continually improve data acquisition and reporting methods. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>95% - Actuarial Analysis 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>Prepares, analyzes and reports the monthly Incurred But Not Reported (IBNR) reserve estimate.</li>
<li>Prepares the semi-annual Chronic Illness &amp; Disability Payment System (CDPS) risk score and analyzes and reports the financial impact for the risk score adjusted capitation rate.</li>
<li>Prepares the annual rate development template/bid for all lines of business.</li>
<li>Generates and analyzes monthly enrollment, claims and utilization reports.</li>
<li>Provides support to the Accounting department in preparing reports related to claims data and/or reserve estimation for internal and external auditors.</li>
<li>Designs reports from the data warehouse as needed and ensures data integrity.</li>
<li>Analyzes and assists in making recommendations regarding the monthly IBNR reserve estimate and the financial aspects of certain major policy issues.</li>
<li>Cross-trains as backup for various departmental functions.</li>
<li>Supports with ad-hoc analysis requests. </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 actuarial science, business administration, finance, economics, mathematics or other related field PLUS 2 years of actuarial 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>
<li>2 actuarial exams with passing scores required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in actuarial science, business administration, finance, economics, mathematics or other related field. </li>
<li>Experience with managed health care programs and financial modeling.</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: 312 - $84,092 - $134,548 ($40.43 - $64.6865). 
<ul>
<li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience 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=6760887&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 October 21, 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/6760887" target="_blank">https://jobs.caloptima.org/jobs/actuarial-analyst-sr-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-3b253af7e5ab41468b638081759ce147

Actuarial Analyst Sr

Data Governance Technical Analyst (Data Warehouse Programmer/Analyst) 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 Data Governance Technical Analyst (Data Warehouse Programmer/Analyst) and help shape the future of healthcare where you'll be an integral part of our Enterprise Data and Systems Integrations 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. CalOptima Health is looking for a skilled and passionate Data Governance Technical Analyst to join our team. This position requires a blend of technical expertise, analytics experience, compliance knowledge and strong stakeholder engagement skills to establish and mature our data governance framework. You will work cross-functionally with CalOptima Health's leadership, data stewards, and security teams to establish/support data governance goals, policies, standards, processes and procedures. You will facilitate cross-domain collaboration and communication of organizational data standards. Utilizing tools such as Office 365/Power BI/SQL/SharePoint/Visio, your exemplary visual and written documentation skills will drive data stewardship and improve corporate data literacy. Also, you will have programming skills to automate processes (e.g. Python), a foundational understanding of big data platforms (e.g. Microsoft Fabric/Databricks/Snowflake), and a basic grasp of Azure fundamentals. By strengthening data accountability and operational consistency, this position enables informed healthcare decision-making, reduces internal/external regulatory risk, and improves organizational performance. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>90% - Technical Responsibilities
<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>Plays a key role in establishing an enterprise-wide data governance framework, with a focus on governing data as an enterprise asset, addressing regulatory requirements, and protection of sensitive data through organization behavior, policies, standards, principles, processes, governance metrics and related tools.</li>
<li>Serves as a liaison between Business and Technology to ensure that data related business requirements for governing data are clearly defined, communicated, and well understood and considered as part of operational prioritization and planning. </li>
<li>Establishes, manages and participates in a data stewardship program to foster a culture of data, including interviewing and engaging with data owners and data stewards across the organization.</li>
<li>Serves as the technical owner of the data catalog. Responsibilities include maintaining business and enterprise data dictionaries per CalOptima Health standards, defining and documenting metadata, ensuring consistent technical and business term mappings.</li>
<li>Creates and maintains process maps, workflows, data flow diagrams to support data stewardship, data classification and data quality processes. Communicate content effectively to both business and technical stakeholders. </li>
<li>Documents the origin, movement, transformation and enrichment of critical data assets through the organization's systems to improve transparency and traceability. </li>
<li>Queries and analyzes large-scale healthcare datasets and business logic (e.g., claims, pharmacy, patient data) using SQL and other tools.</li>
<li>Develops and maintains automation scripts to streamline data governance processes/tasks.</li>
<li>Facilitates the development and implementation of data protection standards and adoption requirements across the enterprise in partnership with the cybersecurity team.</li>
<li>Assists in regulatory compliance efforts related to data management while ensuring all data governance activities align with regulatory requirements such as HIPAA and other relevant industry standards.</li>
<li>Maintains clear, comprehensive documentation of data definitions, validation processes, analytic methodologies, and project deliverables.</li>
<li>Prepares and presents data governance maturity scorecards, KPIs/metrics/operational dashboards to senior management that track initiative effectiveness and adoption.</li>
<li>Provides employee engagement sessions to strengthen data literacy and reinforce data governance principles, practices, roles, and accountability expectations.</li>
<li>Manages multiple projects simultaneously, ensuring timely delivery and alignment with stakeholder expectations. </li>
<li>Participates in Data Governance Council meetings and contributes to policy development. </li>
</ul>
</li>
</ul>
 
<ul>
<li>10% - 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 computer science, health informatics, data analytics, or related field PLUS 5 years of professional experience in data governance, data management, or enterprise information management 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>2 years of hands-on health care experience, including working with administrative and clinical data required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Certification in data management or related areas (e.g. DAMA CDMP, etc.). </li>
<li>Exposure to industry standard data catalog, automated data discovery and data lineage tools (e.g., Atlan, Microsoft Purview, Collibra, Alation, Informatica, etc.). </li>
<li>Experience creating reports using Power BI. </li>
<li>Experience scripting and automating repetitive tasks using Python. </li>
<li>Familiarity with Microsoft Azure Data &amp; Analytics ecosystems (e.g. Fabric, Synapse, Databricks). </li>
<li>Exposure to data modeling tools (e.g., Erwin, ER Studio, etc.). </li>
<li>Experience in regulated industries (e.g. government). </li>
<li>Familiarity with Agile methodologies. </li>
<li>Passionate about improving the U.S. health care system and helping ensure every patient receives the best care possible.</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: 314 - $99,902 - $159,843 ($48.03 - $76.8476). 
<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 Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6757411&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 December 9, 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/6757411" target="_blank">https://jobs.caloptima.org/jobs/data-governance-technical-analyst-data-warehouse-programmer-analyst-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-df94cb910829254a9c3331e6a988cff1

Data Governance Technical Analyst (Data Warehouse Programmer/Analyst)

Personal Care Coordinator Sr 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 Personal Care Coordinator Sr and help shape the future of healthcare where you'll be an integral part of our Case Management 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 Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. You will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. You will regularly assess the quality of service given to the member's care by identifying barriers and assisting in improving these barriers for all levels of care. You will maintain strong working relationships with the PCP and health care team to ensure member access to timely services and coordination of care. 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>Maintains strong working relationships when collaborating with the PCP and health care team to ensure timely communication of member's clinical information and ensures appropriate documentation of all interventions. Also, notifies member's care team of key event triggers.</li>
<li>Collaborates with licensed professionals in development of a care plan for each member, incorporating the HNA or HRA all assessment findings. Facilitates communication of care plan to the PCP and member, as necessary.</li>
<li>Develops and implements a member's specific care plan which includes prioritized Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) goals.</li>
<li>Facilitates and participates in interdisciplinary team meetings as applicable.</li>
<li>Processes and maintains complex or sensitive documentation of member's case and care plan within CalOptima Health's medical management system.</li>
<li>Facilitates referrals to Behavioral Health Services and identifies the need for referrals to Long-Term Support Services and community resources.</li>
<li>Facilitates transfers to member's assigned case manager in accordance with member needs, when appropriate.</li>
<li>Anticipates longer-term and more unique member needs by providing guidance in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal, as appropriate.</li>
<li>Maintains compliance with established departmental productivity guidelines; compiles and conducts basic analyses and reporting of productivity metrics to management as required.</li>
<li>Coordinates and maintains cases in current case load in accordance with case management standards. Assists with collection of health risk or health needs assessments as well as gathers medical records as needed.</li>
<li>Provides regular outreach to assigned members and evaluates quality of service given to members according to department contact standards.</li>
<li>Serves as the main point of contact for assigned members to anticipate longer term member needs.</li>
<li>Works with Case Management staff to expedite the resolution of member concerns. </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>High School diploma or equivalent required PLUS 2 years of experience working with the needs of members, such as but not limited to pediatric members, seniors or persons with disabilities (SPD) and/or special populations (e.g., homeless or at risk of homelessness) in a customer/member service 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>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Bachelor's degree in healthcare management, social work, human services or related field. </li>
<li>2 years of experience with health maintenance organization (HMO), Medi-Cal and health services. </li>
<li>Experience working with individuals with behavior health conditions or substance use disorders. </li>
<li>Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese). </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: 304 - $53,813 - $80,720 ($25.87 - $38.8077). 
<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 Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6757445&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 December 9, 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/6757445" target="_blank">https://jobs.caloptima.org/jobs/personal-care-coordinator-sr-505-city-parkway-west-california-united-states-2d201e5c-584f-4826-bd77-999a1a3af3d3</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-08c2a3f2190e1348bf04fb69d1b86160

Personal Care Coordinator Sr

Member Liaison Specialist (Customer Service) 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 Member Liaison Specialist (Customer Service) and help shape the future of healthcare where you'll be an integral part of our CS - Member Liaison 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 provide member service to seniors, persons with disabilities or chronic conditions, persons without housing and persons under the age of twenty-one (21) who participate in the Whole-Child Model program. You will also serve as a liaison between members, health networks, providers and community-based organizations to facilitate access to services and help resolve health care and psychosocial issues. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>85% - Member 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>Assesses members' concerns to identify psychosocial or health care issues and facilitate an appropriate resolution.</li>
<li>Intakes information from members, both over the phone and/or in person, to complete requests for assistance cases, grievances and appeals, per departmental guidelines.</li>
<li>Coordinates members' health care and social service needs within and outside the health network and CalOptima Health during the original interaction.</li>
<li>Addresses member and provider inquiries, questions and concerns in all areas, including enrollment, claims, benefit interpretation, coordination of care and referrals/authorizations for medical care related to services covered under the Whole-Child Model program.</li>
<li>Guides members in understanding and accessing the benefits under the Whole-Child Model program.</li>
<li>Maintains documentation of member cases within the FACETS system.</li>
<li>Initiates referrals to internal and external care management departments and government agencies.</li>
<li>Communicates with community-based organizations, health networks, providers and vendors on behalf of members to resolve disputes, helps coordinate access to care and investigates issues preventing members from receiving medical benefits and services. </li>
</ul>
</li>
<li>10% - Administrative Support
<ul>
<li>Collaborates with interdepartmental staff in call resolution as needed.</li>
<li>Identifies calls needing case management or escalation to a supervisor, manager or director and routes them according to established guidelines.</li>
<li>Meets all regulatory key performance indicators, first call resolution requirements and business objectives of CalOptima Health. </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>High school diploma or equivalent PLUS 2 years of experience as a call center agent or customer/member services representative in health care 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>2 years of experience working with the needs of persons with disabilities and chronic medical conditions in a customer/member service capacity. </li>
<li>Health maintenance organization (HMO), Medi-Cal/Medicaid and health services experience. </li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese).</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: 302 - $49,754 - $69,655 ($23.92 - $33.4880). 
<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=6757493&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 December 9, 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/6757493" target="_blank">https://jobs.caloptima.org/jobs/member-liaison-specialist-customer-service-505-city-parkway-west-california-united-states-33e8b0be-b4dd-42d0-9530-e2df2d63a939</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-537ce69475a85e4fb5e079ee955c18f2

Member Liaison Specialist (Customer Service)

Senior Executive Director, Campaign Content and Creative UCLA Development Req. 2025-9139 As UCLA prepares for its next comprehensive philanthropic campaign, we are seeking a Senior Executive Director, Campaign Content and Creative, who will play a critical role in elevating both campaign-specific and ongoing donor communications at one of the nation's top fundraising institutions. As we shift toward a new era of donor engagement, storytelling and impact-driven fundraising, you will serve as our senior-most leader in development marketing and communications with responsibility for both campaign-related efforts and ongoing philanthropic communications. As UCLA's principal campaign and communications architect, you will oversee evergreen storytelling and engagement initiatives that elevate donor experience, support major gift activity, and advance philanthropic priorities year-round. This position is not simply about overseeing communications - it's about shaping how UCLA articulates its vision, earns trust, and inspires transformational investment from the communities it serves. As an experienced and senior leader, you will serve as an architect to evolve our strategy, galvanize cross-function teams, and deliver a modern, scalable engagement model that reflects the excellence and inclusivity of UCLA as we prepare for our next campaign and beyond. At its core, a campaign is a strategic marketing and communications endeavor - designed to focus energy, inspire belief, and drive engagement through compelling storytelling and shared purpose. This is a remarkable opportunity to draw upon your experiences and provide new approaches and insights as you guide our efforts. Join us in our commitment to lead change and transformation in an environment that strives for excellence. Anticipated Hiring Salary: $116,300 - $250,000 Annually UCLA is a great place to work, helping you achieve financial well-being with a pension and other retirement savings plans. Explore more about this opportunity and embark on a rewarding career with us today at <a href="https://apptrkr.com/6751873" target="_blank">https://jobs.ucla.edu/jobs/9139</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-29eed248440ffb459f11e1ad37d3c5a4

Senior Executive Director, Campaign Content and Creative

Assistant Vice Chancellor, Donor Engagement University of California Los Angeles Budgeted Pay Scale: Full Salary Range: Special Instructions to Applicants A resume, cover letter and completed application are required to be considered for this position. **Please note, this is a hybrid role.** Position Summary As UCLA's next Assistant Vice Chancellor of Donor Engagement, you will lead the transformation of how the university connects with and inspires its donors. This pivotal role offers the opportunity to shape the future of donor relations by expanding, enhancing, and elevating the ways we build meaningful, lasting partnerships. Serving as a key strategic advisor and collaborator to the Associate Vice Chancellor for Development, you will help define the vision, priorities, and strategies that drive engagement and philanthropic success across the institution. Through direct reports, the AVC oversees the offices of: Donor Relations; Prospect Management and Development Analytics; Budget, Prospect Research; Campaign Operations; Gift Policy; and Development Events. Your leadership will foster a culture of creativity, collaboration, and innovation, including the integration of AI and data-driven tools to advance the art and science of donor engagement. Charged with building trust, managing and maximizing resources, we will look to you to think critically and strategically as you engage directly with our top-level donors to create solutions for complex inquiries and issues that increase donor satisfaction and continued giving. Your analytical and strategic abilities will inform key performance metrics, guiding decisions that elevate both the donor engagement function and the broader development organization. This is a rare opportunity to make a lasting impact at one of the world's preeminent universities-where your vision, leadership, and creativity will shape the future of philanthropy and deepen the culture of generosity that defines UCLA. UCLA is a great place to work, helping you achieve financial well-being with a pension and other retirement savings plans. Explore more and embark on a rewarding career with us today. Salary &amp; Compensation *UCLA provides a full pay range. Actual salary offers consider factors, including budget, prior experience, skills, knowledge, abilities, education, licensure and certifications, and other business considerations. Salary offers at the top of the range are not common. Visit <a href="https://apptrkr.com/get_redirect.php?id=6751988&amp;targetURL=https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html" target="_blank">UC Benefit package</a> to discover benefits that start on day one, and <a href="https://apptrkr.com/get_redirect.php?id=6751988&amp;targetURL=https://ucnet.universityofcalifornia.edu/compensation-and-benefits/total-compensation-calculator.html" target="_blank">UC Total Compensation Estimator</a> to calculate the total compensation value with benefits. Qualifications 
<li> Minimum of 15 years of progressive management experience in advancement. (Required) </li>
<li> Experience managing the nuances of donor relations as well as stewardship processes and practices in a large, complex organization. (Required) </li>
<li> Experience overseeing an integrated prospect development unit. (Required) </li>
<li> Expertise using broad range of communication methods to shape and advance management initiatives, while building alliances and partnerships. (Required) </li>
<li> Experience leading effective strategic planning processes. (Required) </li>
<li> Experience leading, coordinating and implementing effective planning, budget and financial management processes in a large, complex organization. (Required) </li>
<li> Experience developing, coordinating and implementing metrics to measure performance of teams, processes, and services. (Required) </li>
<li> Demonstrated experience building an environment focused on client service. (Required) </li>
<li>Expertise in management of large, complex fundraising teams and operations. (Required)</li>
<li>Demonstrated strength in building effective relationships with internal and external partners. (Required)</li>
<li>Expertise in implementing and using AI tools in fundraising initiatives. (Required)</li>
<li>Ability to motivate and lead staff and partners to bring External Affairs vision to life. (Required)</li>
<li>Open and collaborative leadership style. (Required)</li>
<li>Expertise in communicating effectively. (Required)</li>
 Special Conditions for Employment 
<li>Background Check: Continued employment is contingent upon the completion of a satisfactory background investigation.</li>
<li>Ability to work evenings and/or weekends as needed. (Required)</li>
<li> Ability to travel as needed.</li>
 Schedule 8:00 a.m. to 5:00 p.m. Union/Policy Covered 99-Policy Covered To apply, please visit: <a href="https://apptrkr.com/6751988" target="_blank">https://jobs.ucla.edu/careers-home/jobs/9138</a> Application Deadline: 8:50 p.m. on 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-f59bdcb8b1007a4997017951ed7f9e61

Assistant Vice Chancellor, Donor Engagement

Salesforce / CRM Architect (ITS Architect III) 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 Salesforce / CRM Architect (ITS Architect III) and help shape the future of healthcare where you'll be an integral part of our IT - Applications Management 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, as the ITS Architect III (Salesforce/CRM), is a seasoned technologist and subject matter expert (SME) that will be responsible for architecting and delivering enterprise-grade Customer Relationship Management (CRM) solutions that drive digital transformation at CalOptima Health. You will focus on the strategic design, integration, and optimization of Salesforce and related CRM platforms to enhance member, provider, and staff engagement. Alos, you will lead the development of scalable, secure, and high-performing CRM architecture that aligns with business goals and regulatory requirements. You will collaborate with cross-functional teams to define CRM roadmaps, evaluate vendor solutions, and implement best practices for data integration, automation, and user experience; this includes working closely with internal teams and external partners to ensure seamless integration with other enterprise systems, including data platforms and cloud services. You will guide technical teams, influence stakeholders, and ensure alignment across strategic initiatives. Lastly, you will also support vendor management, solution governance, and continuous improvement efforts within the Information Technology (IT) organization. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>90% - Technical 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>Leads and designs scalable, secure, and high-performance Salesforce and CRM solutions that align with enterprise architecture standards and business goals.</li>
<li>Serves as a trusted advisor to business and IT stakeholders on CRM capabilities, limitations, and roadmap planning.</li>
<li>Defines and maintains the CRM architectural blueprint, including data models, integration patterns, and system interfaces. </li>
<li>Architects seamless integration between Salesforce and other enterprise systems (e.g., Data warehouses, Member/Provider Portals, Claims Payment Systems).</li>
<li>Defines data governance, synchronization, and migration strategies to ensure data quality and consistency across platforms. </li>
<li>Collaborates with Data Architects to align CRM data models with enterprise data architecture.</li>
<li>Serves as a technical lead to development teams, ensuring adherence to best practices in Apex, Lightning Web Components, and declarative tools.</li>
<li>Works with offshore and local vendor teams, offering Salesforce technical guidance and oversight as required.</li>
<li>Establishes and enforces CRM development standards and code reviews, and releases management processes.</li>
<li>Ensures CRM solutions comply with enterprise security policies, HIPAA, and other regulatory requirements.</li>
<li>Works directly with cross-functional IT teams and business partners on technology solutions to solve business challenges. </li>
<li>Defines and publishes cloud architecture guidelines and documentation to support the commitment to best practices. </li>
</ul>
</li>
</ul>
<ul>
<li>10% - 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 systems, computer science or related technical discipline PLUS 8 years of progressive, applicable, technical experience in information technology required, including cloud architecture; 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>5 years of experience specifically in Salesforce architecture and CRM solution design, with a proven track record of delivering successful end-to-end implementations from inception to deployment required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Salesforce certifications such as: 
<ul>
<li>Salesforce Certified Application Architect </li>
<li>Salesforce Certified System Architect </li>
<li>Salesforce Certified Technical Architect (CTA) - highly desirable </li>
</ul>
</li>
<li>Experience with cloud-native architecture and distributed systems, especially in the context of CRM platforms and customer data management. </li>
<li>Managed care/health care experience. </li>
<li>Strong vendor management experience. </li>
<li>Project management experience. </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: 316 - $120,881 - $193,410 ($58.12 - $92.9856). 
<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 Telework (**If the position is Telework, it is eligible in California only**) Position will be Partial Telework for the first 3 months for training purposes. </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6753408&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 December 8, 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/6753408" target="_blank">https://jobs.caloptima.org/jobs/salesforce-crm-architect-its-architect-iii-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-c6daf0c631ad8947b3f76f0747bbb037

Salesforce / CRM Architect (ITS Architect III)

Program/Policy Analyst (Provider Data) 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/Policy Analyst (Provider Data) and help shape the future of healthcare where you'll be an integral part of our Provider Data Operations 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 identifying, consolidating and analyzing provider data integrity reports related to provider directories, terminations and attestations. You will ensure data accuracy, completeness and compliance with both regulatory and internal standards. You will collaborate closely with internal departments and health networks to identify and remediate data discrepancies and gaps. You will work within the Provider Data Operations department and play a key role in conducting research, performing data analysis and preparing documentation and reports to support provider data integrity. You will ensure all provider data aligns with CalOptima Health's policies, procedures and applicable regulatory requirements. You will also have analytical and administrative responsibilities specific to the Provider Data Operations department. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>70% - Program Analysis
<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>Analyzes reports related to provider data to ensure compliance with internal guidelines and external regulations, including but not limited to provider directories, onboarding, attestations, termination processes, health network data for network certification and adequacy and the 274 file.</li>
<li>Collaborates with internal teams and health networks to resolve data quality issues and remediate gaps.</li>
<li>Analyzes provider data for accuracy related to contract setup, directory requirements, Cover California network adequacy, fillings and claim processing.</li>
<li>Conducts data integrity activities to support CalOptima's goal of maintaining a high rate of accuracy.</li>
<li>Reviews and breaks down regulatory requirements to identify data impact for audit process updates and implementation.</li>
<li>Maintains ongoing knowledge of provider data requirements and set up within the organization's provider management systems. </li>
</ul>
</li>
<li>25% - Audit Analysis
<ul>
<li>Maintains ongoing reporting formats for use in data auditing and conducts independent analysis of audit results.</li>
<li>Documents audit findings and prepares detailed reports with recommendations for corrective actions.</li>
<li>Collaborates with health networks, providers and internal departments to obtain audit-related information, presents findings and recommendations as appropriate.</li>
<li>Assists with implementing, monitoring and maintaining a well-documented audit trail.</li>
<li>Analyzes regulatory audit requirements, develops workplans 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>Bachelor's degree PLUS 2 years of experience working with provider data in a health care or managed care environment 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>Experience working in utilization management, quality management, provider data management or related areas required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Experience with regulatory compliance and provider data management.</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: 309 - $68,015 - $108,824 ($32.70 - $52.3192). 
<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 Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6753496&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 December 2, 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/6753496" target="_blank">https://jobs.caloptima.org/jobs/program-policy-analyst-provider-data-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-edb207748d14b047b7263124e9d8fe2a

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