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Executive Director of Operations Thank you for your interest in employment with Nevada System of Higher Education (NSHE), System Administration and System Computing Services. We want your application process to go smoothly and quickly. We ask that you keep in mind the following when completing your application: 
<ul>
<li>Draft applications are saved automatically and can be accessed through your candidate home account. </li>
<li>Final applications must be submitted prior to the close of the recruitment. Once a recruitment has closed, applications will no longer be accepted. </li>
</ul>
 If you need assistance or have questions regarding the application process, please contact our Human Resources department at (775) 784-4901. Job Description The Nevada System of Higher Education (NSHE) invites applications for the position of Executive Director of Operations. This is a renewable, full-time, non-tenured, administrative position and reports to the Chancellor. The position may be located in either Reno or Las Vegas, Nevada. The NSHE is comprised of eight institutions: two universities, a state university, four community colleges and a research institute. The public system of higher education in Nevada continues to experience growth with significant challenges and opportunities in serving over 110,500 students and 15,000 employees. The Executive Director of Operations provides strategic and administrative leadership for cross-functional operational services that support the mission and effectiveness of System Administration (SA). Reporting directly to the Chancellor, the Executive Director ensures the seamless coordination of enterprise services, administrative logistics, support mechanisms, and key operational initiatives. The Executive Director fosters continuous improvement, service innovation, and accountability in operational workflows and collaborates with institutional partners and internal divisions to ensure consistency and responsiveness in service delivery. SALARY GRADE: * This position offers a competitive compensation package commensurate with the candidate's education, experience, and certification/training. In addition to base salary, employees enjoy a comprehensive benefits package that includes: <a href="https://apptrkr.com/get_redirect.php?id=6658838&amp;targetURL=https://pebp.nv.gov/Plans/getting-to-know-your-plan/" target="_blank">Comprehensive Health Insurance</a>: includes health, dental, vision, and life insurance. Additionally, an employer paid long term disability plan is included. <a href="https://apptrkr.com/get_redirect.php?id=6658838&amp;targetURL=https://nshe.nevada.edu/system-administration/departments/finance/retirement/" target="_blank">Outstanding Retirement Plan</a>: professional employees are required to participate in the 401(a) Retirement Plan Alternative (RPA). Employee contributions of 19.25% are matched 100% by the employer and employees experience an immediate vesting in the plan. Employees who currently or previously participated in Public Employees Retirement System (PERS) of Nevada may be eligible to continue in the PERS plan. <a href="https://apptrkr.com/get_redirect.php?id=6658838&amp;targetURL=https://nshe.nevada.edu/wp-content/uploads/file/BoardOfRegents/Handbook/title4/T4-CH03%20Professional%20Staff.pdf" target="_blank">Paid Leave</a>: generous annual leave (accrual of 2 days per month), sick leave (granted 30 days at time of hire), 12 paid holidays, and paid family leave. <a href="https://apptrkr.com/get_redirect.php?id=6658838&amp;targetURL=https://nshe.nevada.edu/wp-content/uploads/file/BoardOfRegents/Handbook/title4/T4-CH03%20Professional%20Staff.pdf" target="_blank">Education Benefit</a>: employees and their qualified dependents may take advantage of a tuition savings benefit. Faculty may take up to six credits per semester at a reduced rate and their dependents may access an unlimited number of credits, if they meet specific criteria. Additional Perks: Employee assistance programs and professional development opportunities. *Pursuant <a href="https://apptrkr.com/get_redirect.php?id=6658838&amp;targetURL=https://nshe.nevada.edu/wp-content/uploads/file/BoardOfRegents/Handbook/title4/T4-CH03%20Professional%20Staff.pdf" target="_blank">NSHE Policy</a>: "Initial placement must fall between the minimum salary and Q2/median/mid-range on the applicable salary schedule." To view the salary range for this position, please visit: <a href="https://apptrkr.com/get_redirect.php?id=6658838&amp;targetURL=https://nshe.nevada.edu/wp-content/uploads/file/BoardOfRegents/PGManual/chapters/Chapter%2003%20-%20Salary%20Schedules.pdf" target="_blank">Salary Schedules</a> and select "Administrative Faculty, Grade E." APPROXIMATE STARTING DATE: December 1, 2025 MINIMUM QUALIFICATIONS: A Bachelor's degree from an accredited institution in public administration, business administration, higher education administration, or related field with a minimum of seven (7) years of progressively responsible leadership experience in operations, administration, or related areas. Experience coordinating high-level projects and managing internal processes across complex organizational structures. Preferred Qualifications: 
<ul>
<li>Master's degree in Public Administration, Organizational Leadership, or a related field preferred. </li>
<li>Experience in higher education operations at the system or campus level. </li>
<li>Demonstrated ability to manage executive-level logistics and implement cross-unit administrative systems. </li>
<li>Familiarity with strategic planning, continuous improvement methodologies, or enterprise administrative tools. </li>
</ul>
 Working Conditions and Travel Requirements 
<ul>
<li>Occasional travel to NSHE institutions and System Administration (SA) sites may be required. </li>
<li>Work is primarily performed in a standard office environment. </li>
<li>Extended hours may be necessary during project implementation phases or in support of events. </li>
</ul>
 KNOWLEDGE, SKILLS, AND ABILITIES: Successful candidates must possess the following knowledge, skills and abilities. It is recommended that applicants for this position address each of the following items in the letter of application: 
<ul>
<li>Knowledge of operational practices and service models in higher education or public organizations. </li>
<li>Skill in strategic planning, workflow coordination, and process improvement. </li>
<li>Ability to develop and implement operational systems that serve multiple stakeholders. </li>
<li>Strong communication, facilitation, and organizational skills. </li>
<li>Ability to exercise discretion, maintain confidentiality, and manage sensitive projects. </li>
<li>Capacity to work across functional areas and institutional lines with diplomacy and accountability. </li>
<li>Proficiency in technology platforms related to project management, scheduling, workflow tracking, and communication. </li>
<li>Understanding of logistical systems, workflows, and shared services in complex organizations. </li>
<li>Familiarity with administrative system tools and project management practices. </li>
<li>Excellent interpersonal and communication skills, including written reporting and executive briefings. </li>
<li>Ability to analyze operational problems and recommend data-informed solutions. </li>
<li>Strong time management, task coordination, and attention to detail. </li>
<li>Ability to work effectively across diverse stakeholders and institutional partners. </li>
</ul>
 RESPONSIBILITIES: The duties of this position will include, but not be limited to: 
<ul>
<li>Provide oversight for operational logistics, including internal communications processes (e.g., message routing, executive briefing flows, and cabinet-level information tracking), scheduling infrastructure, space coordination, and key project timelines to ensure consistent and efficient systemwide coordination. </li>
<li>Serve as a strategic project manager for Chancellor-level initiatives requiring multi-unit coordination and cross-functional input. </li>
<li>Coordinate the logistical planning and execution of executive-level meetings, retreats, and systemwide convenings. </li>
<li>Support strategic and operational planning cycles in collaboration with the Chancellor and executive team. </li>
<li>Act as a liaison between the Chancellor's Office and operational stakeholders across institutions to ensure consistency and responsiveness. </li>
<li>Coordinate special projects related to organizational planning, auxiliary service delivery, or external partnerships. </li>
<li>Contribute to risk management, business continuity, and emergency preparedness planning in alignment with institutional operations. </li>
<li>Execute and support daily logistical activities that enable the communication, scheduling, and coordination framework established by the Chancellor's Office, ensuring smooth day-to-day operations across the system. </li>
<li>Assists in the development of standardized operational processes to support administrative efficiency and collaboration. </li>
<li>Implementation of protocols and tools to improve scheduling, tracking, and task management across system office initiatives. </li>
<li>Maintains progress on key operational initiatives as directed by the Chancellor. </li>
<li>Facilitate communication, scheduling alignment, and system-level planning activities related to academic program reviews, accreditation reporting timelines, and academic master planning efforts, in coordination with institutional leadership. </li>
<li>Provides logistical support for Chancellor-initiated academic planning sessions, system-level academic forums, or special meetings involving institutional academic leadership, in coordination with the Vice Chancellor for Academic Affairs. </li>
<li>Supports the Chancellor's Office and the Vice Chancellor for Academic Affairs in tracking key academic planning timelines and reporting milestones to support system-level coordination and communication. </li>
<li>Implement and refine shared services that improve administrative support, operational tracking, and internal efficiency. </li>
<li>Facilitate workflow and documentation processes for high-level projects, ensuring milestones and deliverables are met. </li>
<li>Oversee administrative support teams responsible for document flow, scheduling, calendaring, distribution, and logistical support. </li>
<li>Monitor and enhance operational policies, identifying areas for procedural updates and system alignment. </li>
<li>Coordinating briefings and developing dashboards on operational metrics, status updates, and service outcomes. </li>
<li>Coordinates implementation of administrative systems that enhance non-academic operations across System Administration offices. </li>
<li>Evaluates existing workflows and assists with process improvements to reduce inefficiencies. </li>
<li>Provides user support and documentation for system-level administrative platforms. </li>
<li>Serves as a liaison to institutional staff for administrative coordination of projects. </li>
<li>Serves as a liaison to the System Administration Academic Affairs unit to facilitate cross-functional planning, document tracking, and workflow improvement related to academic operations. </li>
<li>Provides logistical and formatting support for Board of Regents agenda submissions related to Chancellor initiatives and ensures materials meet required timelines and submission standards. </li>
<li>Supports academic calendaring, event logistics (e.g., commencement attendance coordination, etc.), and shared platforms. </li>
<li>Coordinate special projects related to auxiliary service delivery or external partnerships. </li>
<li>Foster a culture of service excellence, accountability, and collaboration across the SA operational teams. </li>
<li>Manages select auxiliary functions such as mail services, fleet operations, or central office support systems. </li>
<li>Monitors service-level quality, vendor performance, and operational compliance in auxiliary areas. </li>
<li>Identify, recommend, and implement improvements to enhance the user experience and ensure operational reliability. </li>
</ul>
 TO APPLY: The application process will be handled through the Workday on-line search process. Application materials must include a current resume, detailed cover letter, and names, email addresses and telephone numbers of four professional references willing to be contacted. Applicants should fully describe qualifications and experience, since the initial review will serve to evaluate applicants based on documented, relevant qualifications and professional work experience. Applications will be considered incomplete without all requested materials. References will only be contacted for those who advance to the final phase of the search and with prior consent of the applicant. The review of materials will begin immediately. Materials should be addressed to Sherry Olson, Human Resources, and are to be submitted via on-line application at <a href="https://apptrkr.com/get_redirect.php?id=6658838&amp;targetURL=https://nshe.nevada.edu/system-administration/departments/human-resources/careers/" target="_blank">https://nshe.nevada.edu/system-administration/departments/human-resources/careers/</a> For assistance with NSHE's on-line applicant portal, contact Sherry Olson at (775) 784-4901. INTERNAL APPLICANTS: Current employees within the Nevada System of Higher Education MUST use the "Find Jobs" process within Workday to find and apply for jobs at NSHE institutions. Once you log into Workday and type "Find Jobs" in the search box which will navigate to the internal job posting site. Locate the specific job posting by typing the requisition number (e.g. R0000000) in the search box. APPLICATION DEADLINE: Applications may be submitted until the position is filled. Application materials must include a current resume, detailed cover letter, and names, email addresses and telephone numbers of four professional references willing to be contacted. Applications will be considered incomplete without all requested materials. The review of materials will begin immediately, however, for full consideration applications should be submitted by Sunday, November 2, 2025. For more information about the Nevada System of Higher Education, please visit our website at <a href="http://www.nevada.edu" target="_blank">www.nevada.edu</a>. The Nevada System of Higher Education hires only United States citizens and non-citizens lawfully authorized to work in the U.S. The NSHE is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, age, creed, national origin, veteran status, physical or mental disability, genetic information, sexual orientation, gender identity or gender expression. Exempt Yes Full-Time Equivalent 100.0% Required Attachment(s) Application materials must include a current resume, detailed cover letter, and names, email addresses and telephone numbers of four professional references willing to be contacted. Posting Close Date Note to Applicant A background check will be conducted on the candidate(s) selected for hire. References will be contacted at the appropriate phase of the recruitment process. As part of the hiring process, applicants for positions in the Nevada System of Higher Education may be required to demonstrate the ability to perform job-related tasks. All document(s) must be received on or before the closing date of the job announcements. Schedules are subject to change based on organizational needs. HR will attempt to verify academic credentials upon receipt of hiring documents. To apply, visit <a href="https://apptrkr.com/6658838" target="_blank">https://nshe.wd1.myworkdayjobs.com/en-US/NSHE-external/job/System-Administration-Office---North/Executive-Director-of-Operations_R0149446?workerSubType=dddb2e55fbdf014cc806bd19c034ed08</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-9250fbc69b49a8458f13096a3295d759

Executive Director of Operations

College of Arts and Sciences Support Services CoordinatorClosing Date: Job Duties: The COAS Support Services Coordinator is responsible for coordinating academic, administrative, safety, and event-related functions across multiple departments and divisions within the college, while also providing direct support to the College’s Assistant Dean and faculty. ESSENTIAL FUNCTIONS: Faculty, Staff, &amp; Academic Division Support
<ul>
<li>Serve as the primary administrative support for all full-time and adjunct faculty across the College Provide direct support to the COAS Assistant Dean, including managing calendars, coordinating meetings, preparing agendas, and handling communications</li>
<li>Maintain curriculum records and assist with updates to plans of study, catalog entries, and syllabi collections</li>
<li>Compile semester course schedules for COAS based on submissions by Faculty Support Services Coordinators and coordinate with the Registrar’s Office to address initial room assignments and schedule changes</li>
<li>Collect, organize, and distribute faculty office hours in a matrix format for student reference and placement on the COAS website</li>
<li>Process forms including leave requests, course substitutions, grade changes, directed study approvals, and reimbursements using digital workflows (e.g., Box)</li>
<li>Maintain digital and physical records in accordance with institutional retention policies</li>
</ul>
 Event Coordination, Recruiting, &amp; Student-Facing Services
<ul>
<li>Coordinate logistics and provide administrative support for recruiting events, outreach activities, and academic ceremonies (e.g., Honors &amp; Awards)</li>
<li>Support faculty and students with communication related to class changes, cancellations, or academic updates</li>
<li>Maintain a welcoming and professional office presence for all students, visitors, and faculty</li>
</ul>
 Administrative Operations &amp; Systems Coordination
<ul>
<li>Maintain the COAS data management systems, including tracking, compiling, and analyzing data to support strategic planning and reporting</li>
<li>Monitor inventory and coordinate ordering of office and instructional supplies for COAS faculty and staff</li>
<li>Manage purchase order requests, vendor communication, and travel reimbursements in compliance with university procedures</li>
<li>Oversee shared equipment (copiers, printers, scantrons) and coordinate technical support or supply orders as needed</li>
<li>Submit and track work orders using eSpace for facilities, maintenance, custodial, and IT requests</li>
<li>Assist with budget-related tracking, planning documentation, and preparation of internal or external reports</li>
<li>Schedule classrooms and meeting rooms using eSpace and Zoom</li>
<li>Provide minute-taking recording for meetings in person and virtual meetings as needed</li>
<li>Use Banner 9 and other institutional systems for academic and procurement processes</li>
</ul>
 Lab Safety &amp; Risk Management Support
<ul>
<li>Support the Assistant Dean and Health and Life Sciences Division Head with safety and risk management initiatives across all COAS academic labs</li>
<li>Assist in tracking and maintaining documentation for Chemical Hygiene Plans and other safety protocols relevant to Natural Science Wet Labs and other lab environments</li>
<li>Submit and track safety-related work orders, equipment maintenance requests, and procurement of safety supplies or services</li>
<li>Serve as an administrative liaison to university safety/risk management offices and ensure lab documentation aligns with compliance requirements</li>
</ul>
 Cross-College Collaboration &amp; Continuous Improvement
<ul>
<li>Collaborate with other COAS administrative staff to ensure seamless communication, mutual support, and operational continuity</li>
<li>Provide coverage and administrative support for other divisions within the college as requested by the Assistant Dean</li>
<li>Participate in regular COAS administrative support meetings, contributing to shared knowledge and consistent practices</li>
<li>Engage in cross-training, onboarding, and mentoring of new administrative team members</li>
<li>Continuously assess and recommend improvements to workflows, systems, and processes that enhance efficiency, service quality, and compliance</li>
<li>Demonstrate professionalism, flexibility, and responsiveness in a dynamic academic environment</li>
<li>Complete other duties as assigned</li>
</ul>
 Required Qualifications: QUALIFICATIONS REQUIRED:
<ul>
<li>High school diploma or its equivalent required.</li>
<li>Ability to understand oral and written instructions required</li>
<li>Basic computer knowledge and experience required</li>
<li>Ability to organize and work independently required</li>
<li>Ability to communicate effectively and establish and maintain positive working relationships required</li>
</ul>
 OTHER QUALIFICATIONS AND JOB REQUIREMENTS: Preferred:
<ul>
<li>Bachelor’s degree with courses or experience in statistics, finance, information systems management, accounting, and/or math preferred</li>
<li>Experience in using Banner and Excel preferred</li>
<li>Experience with database software and Argos preferred</li>
</ul>
 WORKING CONDITIONS:
<ul>
<li>Must be able to remain in a stationary position, such as standing and/or sitting, for up to 75% of the time</li>
<li>Occasionally tasked with duties that require low postures such as crouching, kneeling, and/or stooping</li>
<li>Must be able to occasionally adjust or move objects up to 20 pounds in all directions.</li>
<li>Job frequently requires communication with others to exchange information</li>
<li>Frequently uses hands/fingers to operate a computer and other office productivity machinery, such as copier, printer, etc.</li>
<li>Frequently uses near vision for the use of computers and reading small print</li>
</ul>
 Salary Schedule: Salary Band: N290To view salary schedules, visit: <a href="https://www.athens.edu/about/offices/human-%20resources/salary-schedule-tables/" target="_blank">https://www.athens.edu/about/offices/human- resources/salary-schedule-tables/</a>Salary will be commensurate with experience and qualifications Special Instructions to Applicants Unofficial transcripts should be from the college or university which verifies qualifications for the position. Note: Credential evaluations are needed for all transcripts obtained outside the U.S. before uploading and submitting an application. (Credential evaluators should provide course-by-course evaluations and transcribed in English.) Upon an offer of employment, official transcripts from all colleges and universities attended must be submitted. Continued employment is contingent upon receipt of transcripts from all colleges and universities attended. To be considered for this position please visit our web site and apply on line at the following link: <a href="https://apptrkr.com/6659247" target="_blank">https://jobs.athens.edu/postings/search</a> About Athens State University Located in historic Athens, Alabama, Athens State University offers junior and senior-level coursework to community college graduates and transfer students holding sufficient credits from other institutions. Presently, over 3,100 students have selected Athens State because of its neighborly environment where 50 majors and degree programs are offered, with courses taught by a supportive and exceptional faculty. Approximately 80% of the students are enrolled in at least one online course. The typical student is a working adult who commutes. Recently, the University was featured in the 2015 Best Value Online College Rankings by OnlineU.org for four online programs including computer science, accounting, education and human resources. The University offers undergraduate degree programs in Liberal Arts, Teacher Preparation, and Business. The University employs more than 350 full and part-time employees with approximately 90 full-time faculty members in three colleges: College of Arts and Sciences, College of Business, and College of Education. Seventy-five percent of the full-time faculty members hold a terminal degree. The University is accredited by the Southern Association of Colleges and Schools Commission on Colleges. Athens, Alabama is located in north Alabama equidistant between Nashville, TN and Birmingham, AL. Athens is home to several events and festivals that have been featured as the Southeast Tourism Society’s “Top 20 Events in the Southeast” including the Athens Storytelling Festival and the Tennessee Valley Old Time Fiddlers Convention. In accordance with Athens State University Policy and guidelines, the applicant chosen for employment will be required to sign a consent form for a criminal background check. Employment will be contingent upon the receipt of a clearance notification from that criminal background check. Non-Discrimination Policy Statement Athens State University, as an equal opportunity/affirmative action institution, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. Athens State University does not discriminate on the basis of race, color, national origin, age, marital status, gender, gender identity, gender expression, pregnancy, sexual orientation, disability, religion, genetic information, or veteran status in employment, or admissions to or participation in educational programs and activities. Inquiries or concerns may be addressed to the Office of the Vice President of Enrollment and Student Support Services, 300 N. Beaty St., Athens, AL 35611, 256- 233-8175. 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-acd743e4cef27a40812f35e32df15cc2

College of Arts and Sciences Support Services Coordinator

Social Worker (PACE) CalOptima CalOptima Health is seeking a highly motivated Social Worker (PACE) to join our team. The Social Worker for the Program for All-Inclusive Care for the Elderly (PACE) will be responsible for direct social work care management services, such as participant screening, case management, counseling and referrals of participants to PACE. Position Information: 
<ul>
<li>Department: PACEC - Social Work </li>
<li>Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) </li>
<li>Work Arrangement: Full Office </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>70% - Care Management
<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>Participates in the Interdisciplinary Team's (IDT) initial, six (6) month and annual assessments, as well as care planning of the participant's case in accordance with industry and departmental standards.</li>
<li>Documents participant changes appropriately in the medical record in accordance with industry and departmental standards.</li>
<li>Communicates effectively and openly with other IDT members on participant status and needs.</li>
<li>Assesses patients for high-risk situations such as suicidal/homicidal ideation and abuse. Reports appropriately in accordance with legal and ethical standards of practice and engages in safety planning with participants and/or family.</li>
<li>Develops and leads group counseling and participant support group activities.</li>
<li>Refers participants and families to appropriate community agencies or facilities, serves as a liaison with such organizations and as an advocate for participants.</li>
<li>Assists in the completion of advance directives, mortuary arrangements, funeral planning and/or facility placement.</li>
<li>Aids patients/representatives in ascertaining third-party and financial resources and planning for financial coverage for services as necessary.</li>
<li>Addresses any psychosocial needs that may require social work support and intervention (e.g., anxiety, depression and other behaviors), both at the center and at home.</li>
<li>Works with PACE participants and the IDT to develop an appropriate discharge plan for disenrolling from PACE services.</li>
<li>May be required to perform home visits to private homes of CalOptima Health's PACE participants; frequent travel in Orange County.</li>
<li>Support PACE participants with care coordination needs, such as transportation, family communication, scheduling visits to the center, supporting with warm handoff process to our community partners.</li>
<li>Represents and supports the participant's care management needs by being an advocate for their care, supporting clinical needs such as supportive counseling, developing care plans to manage all psychosocial needs (i.e., establishing support systems, coping mechanisms, assessing depression, anxiety, cognition) and developing interventions. </li>
</ul>
</li>
</ul>
<ul>
<li>25% - Support Services
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.</li>
<li>Consults with and advises staff members regarding the relationship of social, emotional and cultural factors to health and medical care and the availability of social services in the community.</li>
<li>Attends and participates in in-services, staff meetings and case conferences.</li>
<li>Helps support the new enrollee process of enrollment into the PACE program (e.g., communicates to IDT and ensures all service gaps are covered prior to enrollment).</li>
<li>Participates in program improvement for the Social Work department.</li>
<li>Works with the Quality Improvement (QI) department to support grievances, appeals and advocacy consistent with participant's rights.</li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Master's degree in social work from an accredited college or university PLUS 2 years of experience in a health-related field 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>1 year of experience working with the elderly population with relevant experience within the last 3 years required. </li>
<li>CPR and First-Aid Certification required or must be obtained within six (6) months of the date of hire. </li>
<li>Valid driver's license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office 30% of the time or more.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>1 year of case management experience with the elderly population. </li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese).</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6652797&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is October 28, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6652797" target="_blank">https://jobs.caloptima.org/jobs/social-worker-pace-pace-garden-grove-california-united-states-58da0142-6a85-4436-b766-3262bc0eebfd</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-a11aa92bce284647bad31fc069921fed

Social Worker (PACE)

Essential Functions: Reporting to the Chief Executive Officer (CEO), the Development Fundraising Manager (DFM) holds a crucial role in developing and implementing effective fundraising strategies to support our organization's mission. This position involves managing relationships with donors, planning and executing fundraising events, and utilizing various marketing tools to maximize outreach and engagement. The ideal candidate will possess strong leadership skills, a passion for nonprofit work, and a proven track record in fundraising.
Responsibilities
Develop and execute comprehensive fundraising plans that align with the organization’s goals. Plan, organize, and manage fundraising events from concept to completion. Cultivate and maintain relationships with donors, sponsors, and volunteers to enhance engagement and support. Utilize and/or implement CRM software for data collection, relationship management, and tracking donor interactions. Write compelling grant proposals and funding requests to secure financial support from foundations and government entities. Conduct research on potential funding sources and maintain databases of prospects. Implement digital marketing strategies including email marketing campaigns using platforms like Mailchimp or similar to reach potential donors. Oversee budgeting for fundraising initiatives ensuring efficient allocation of resources. Collaborate with the marketing team to enhance public relations efforts through social media management and other communication channels. Provide leadership in volunteer management, ensuring effective training and engagement of volunteers during events. Skills
Strong event planning capabilities with experience in events management. Proficient in digital marketing tools. Excellent negotiation skills with the ability to secure sponsorships and partnerships. Experience in proposal writing for grants and funding opportunities. Knowledge of nonprofit management principles including 501(c) (3&amp;4) laws is a plus. Strong analytical skills for data collection and research related to fundraising efforts. Proven ability in strategic planning to align fundraising activities with organizational objectives. Familiarity with budgeting processes within a nonprofit context. Fundraiser experience or background in fundraising is required. This position offers an exciting opportunity for individuals passionate about making a difference through effective fundraising initiatives while working within a dynamic team environment dedicated to advancing our mission.
Required Education and Experience:
<ul>
<li>Bachelor’s degree plus 5+ years minimum fundraising experience Proven success in securing foundation and individual and donor support Well-developed writing, interpersonal and organizational skills.</li>
</ul>
Work Environment: This job operates in a typical office setting. This position routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.&nbsp;
Position Type/Expected Hours of Work: This is a permanent full-time position.&nbsp; This position regularly requires long hours and frequent weekend work.
Travel Requirements: This position may at times require frequent travel throughout the United States and Puerto Rico.
Salary Range: $75,000-$90,000/year&nbsp;Commensurate according to years of experience. All employees must meet a 6-month probationary period. Continuation of this position after one year is dependent on the successful candidate meeting jointly determined performance goals.

Development Fundraiser Manager

Director, Information Technology Clinical, (Utilization Management, Care Management, and Grievance &amp; Appeals) (Director IV) CalOptima Director, Information Technology - Clinical, (Utilization Management, Care Management, and Grievance &amp; Appeals) 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 Director, Information Technology - Clinical, (Utilization Management, Care Management, and Grievance &amp; Appeals) (Director IV) 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. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>50% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Leads the development of IT strategy and technical roadmap and ensures its integration with overall IT and CalOptima Health strategies.</li>
<li>Works with the department's leadership team on the project portfolio and governance required to prioritize resources, including budget.</li>
<li>Acts as a trusted advisor and builds and maintains relationships with other internal and external IT and business leaders to develop a clear understanding of business needs. Ensures cost-effective delivery of IT services to meet those needs and can respond with the agility required to address changing business priorities.</li>
<li>Develops and adheres to the annual operating and capital budgets and expenditures for infrastructure to ensure consistency with the departmental and organizational strategic objectives and remain within budget. Manages labor forecasting in support of project cost accounting.</li>
<li>Champions innovative efforts in experimenting with new solutions to take advantage of business opportunities.</li>
<li>Stays abreast of leading-edge and innovative solutions to the recruitment, development and retention of the IT workforce. </li>
<li>Drives the adoption and commitment to continual service improvement. </li>
</ul>
</li>
</ul>
<ul>
<li>45% - Program Oversight
<ul>
<li>Provides strategic direction and oversight for the design, development, operation and support of systems that fulfill the needs of the business, including a deep understanding of the marketplace and technology's role in supporting the assigned systems.</li>
<li>Defines, develops, and manages a comprehensive and integrated architecture for assigned systems based on best-practice processes, disciplines and toolsets.</li>
<li>Operates within the established governance process to ensure that services can continue to be delivered in line with the agreed-upon business outcomes and timelines.</li>
<li>Delivers effective service management through the definition and adoption of a governance practice that uses key performance indicators (KPIs) and metrics to track and measure the quality of service. Continually monitors metrics and the integration of them with key accountabilities to ensure consistency of approach and continual service improvement.</li>
<li>Participates in the assessment of external and internal technology capabilities required to achieve desired competitive positioning.</li>
<li>Maintains knowledge of new technologies and platforms and provides direction on what emerging technologies should be assimilated, integrated, and introduced, ensuring that technology capabilities respond to and support the needs of the business.</li>
<li>Negotiates with vendor and supplier partners to enable cost-effective and innovative contracts and solutions to achieve business goals and ensure receipt of full support in line with service agreements.</li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in computer science, information systems or other related field PLUS 7 years of experience within information technology leadership 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>7 years of experience in an IT leader role at multiple health plans required. </li>
<li>7 years of experience influencing clinical business management and key stakeholders effectively across the organization required. </li>
<li>Experience with technology and business processes required to support Utilization Management, Care Management, EMR, and other clinical tools are required. </li>
<li>Experience in leading IT transformational initiatives in dynamic environments required. </li>
<li>Experience managing staff of 20+ required. </li>
<li>Experience managing large-scale consulting/contracting engagements required. </li>
<li>Experience managing operational and project budgets (including project cost accounting) required. </li>
<li>Experience with the technology implications of a delegated provider model required. </li>
<li>Experience leading the implementation of Utilization and Care Management vendor systems and an extensive knowledge of best-in-class integrations required and optimal reporting/analytics. </li>
<li>Comprehensive knowledge of the Utilization and Care Management technology vendor marketplace and the ability to compare and contrast vendors and benefits delivered. </li>
<li>Experience crafting business cases including meticulous cost estimates and quantifiable benefits.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Experience leading a team responsible for ZeOmega's Jiva (Utilization Management and Care Management). </li>
<li>Clinical credentials.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this particular role:
<ul>
<li>Pay Grade: 323 - $204,199 - $326,717 ($98.17 - $157.0756) </li>
</ul>
</li>
<li>This position is approved for Partial Telework. (If the position is listed as Telework, it is eligible within California)</li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6642622&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is September 25, 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/6642622" target="_blank">https://jobs.caloptima.org/jobs/director-information-technology-clinical-utilization-management-care-management-and-grievance-appeals-director-iv-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-4e4e0ade0073cc41b12e7551a09c74b4

Director, Information Technology  Clinical, (Utilization Management, Care Management, and Grievance & Appeals) (Director IV)

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

Utilization Review Coordinator  Supervisory Role - Behavioral Health.

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

Program Assistant (Quality Initiatives)

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

Sr Manager, Individual and Family Plans (Sr Manager II)

Financial Analyst II (Accounting) 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 Financial Analyst II (Accounting) and help shape the future of healthcare where you'll be an integral part of our Accounting 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. As the Financial Analyst II (Accounting) you'll be responsible for supporting teams and completing specialized duties related to financial reconciliation of membership, premium invoicing, and payments from various sources. Additionally, you'll monitor the Business Process Outsourcing (BPO) vendor and/or within internal teams, collaborating with cross-departmental teams to resolve payment and membership issues and conduct ad-hoc analysis.Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>80% - Financial Support
<ul>
<li>Monitors and responds to internal and external inquiries regarding premium invoicing.</li>
<li>Analyzes over- or under-premium payments and submits findings for leadership review.</li>
<li>Performs research into member premium issues and discrepancies and provides recommendations on solutions.</li>
<li>Resolves payment disputes received from the merchant services vendor and lockbox decisioning items received from bank lockbox to ensure funds are accurately applied to member accounts in a timely manner.</li>
<li>Conducts detailed analysis of refund requests and/or overpayments and processes member refunds.</li>
<li>Collaborates closely with Customer Service on enrollment discrepancies.</li>
<li>Performs verification of internal and external broker commission payments to ensure accuracy of payments.</li>
<li>Prepares month-end reports and/or journal entries for monthly financial and management reporting requirements.</li>
<li>Works with print vendors to create/update premium billing notifications and member notices related to premium payments and ensures accurate interpretation of regulatory requirements.</li>
<li>Collaborates with other departments and external vendors and consistently demonstrates CalOptima Health's organizational values. </li>
</ul>
</li>
<li>15% - Administrative Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in business administration, finance, accounting or related field PLUS 3 years of experience in medical group, hospital or health plan setting 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>Experience with premium billings and collections. </li>
<li>Experience working with large data sets and/or SQL.</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=6635674&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/6635674" target="_blank">https://jobs.caloptima.org/jobs/financial-analyst-ii-accounting-505-city-parkway-west-california-united-states-88d8758a-c5fd-49cf-9ce4-3dbfe50b4467</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-9b6fbb7cb385a2419cd29f1a524ce3b0

Financial Analyst II (Accounting)

Sr ServiceNow Analyst, Corporate Applications (ITS 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 Sr ServiceNow Analyst, Corporate Applications (ITS Analyst Sr) and help shape the future of healthcare where you'll be an integral part of our IT - Infrastructure 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 facilitate the development, coordination and integration of program related activities through vendor-supported corporate applications. You will also define system scope, objectives and business requirements to meet user needs. Included with that, you will assist business customers in making informed decisions regarding the development, configuration and functionality of various applications and provide technical consulting to end users on projects. Also, you will provide coordination and services relevant to key functions of software supported by the Information Technology (IT) department, which supports a variety of end users and software, usually provided by a third-party vendor. Lastly, you will contribute to the support and maintenance of assigned applications and serve as a technical point-of-contact. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>70% - 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>Develops and maintains workflows, business rules, user interface policies, client scripts and integrations.</li>
<li>Optimizes existing and develops new service catalog offerings and associated flows with a focus on continual improvement and automation.</li>
<li>Supports the design of custom catalog items; works with business partners and the Service Catalog manager and application owner for implementation.</li>
<li>Configure ServiceNow modules such as ITSM, ITOM, ITAM, SPM or others as required.</li>
<li>Maintains an ongoing knowledge of the ServiceNow product, version upgrades, enhancements, new features, etc. </li>
</ul>
</li>
<li>25% - Technical Support
<ul>
<li>Processes core system configuration as well as day-to-day user requests and incidents.</li>
<li>Creates technical design, ServiceNow code and architecture and works with key business units to build solutions and processes, supporting maintenance, continual service improvement and new capabilities on the ServiceNow platform.</li>
<li>Provides technical guidance on existing workflows for streamlining and improved efficiency.</li>
<li>Provides production support to resolve problems with production processing. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in information services or related field PLUS 5 years of direct experience as a ServiceNow admin or application owner 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>5 years of IT technical application support experience required. </li>
<li>5 years of computer hardware and/or software troubleshooting techniques and system support required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>ServiceNow Certified Implementation Specialist. </li>
<li>ServiceNow Certified Application Developer. </li>
<li>Information Technology Infrastructure Library certification. </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 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 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=6635684&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 22, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6635684" target="_blank">https://jobs.caloptima.org/jobs/sr-servicenow-analyst-corporate-applications-its-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-59ee343dbcbd4147a2fd5b16aef95707

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