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Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) to join our team. The Sr Manager I for Fraud, Waste and Abuse (FWA) will be responsible for leading the team of CalOptima Health investigators to detect, investigate and mitigate FWA issues. The incumbent will ensure investigations are handled effectively and in a timely manner and will engage with regulatory agencies. The incumbent will partner with the director in long-term strategy planning to accomplish the department's goals and mission to enhance the program and payment integrity of the organization. Position Information: 
<ul>
<li>Department: Office of Compliance </li>
<li>Salary Grade: 316 - $120,881 - $193,410 ($58.12 - $92.9856) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>45% - 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>Hires, manages, trains, supports, develops and evaluates direct reports.</li>
<li>Directs work assignments, measures results and initiates personnel actions.</li>
<li>Ensures that team members are trained and equipped with the necessary skills and resources.</li>
<li>Collaborates with the director in departmental budgeting activities.</li>
<li>Oversees the planning, scoping and execution of audits and the development of audit tools; ensures alignment with organizational goals and regulatory requirements.</li>
<li>Oversees the planning, scoping and execution of investigations and the development of investigative tools; ensures alignment with organizational goals and regulatory requirements.</li>
<li>Assists the director on development of the annual FWA risk assessment and Anti-Fraud, Waste and Abuse Plan.</li>
<li>Assists department leadership in the management of critical business risks by communicating best practices, promoting process improvement, and monitoring remediation activities. </li>
</ul>
</li>
<li>35% - Program Oversight
<ul>
<li>Provides expertise and guidance to staff, management and other department areas on sensitive and complicated program integrity concerns, oversight and referrals.</li>
<li>Creates and manages effective monitoring of ongoing investigations, including quality control, timeliness and business relations to continually evaluate FWA related activities.</li>
<li>Performs reviews of investigations for sufficiency of content and documentation and escalates where appropriate.</li>
<li>Prepares timely and accurate reporting on investigations, including scope, activities, methodologies, observations, deficiencies, recommendations and remediation activities.</li>
<li>Presents investigative reports including findings, risks and recommendations to senior management.</li>
<li>Collaborates with business areas to enhance systems, workflows and internal controls.</li>
<li>Identifies benchmarking standards (leading practices) for identifying potential control gaps and/or opportunities for improving efficiency and compliance.</li>
<li>Proposes recommendations for enhancing operational efficiency and identifying other areas of improvement.</li>
<li>Provides excellent customer service by addressing concerns promptly and delivering actionable, professional insights. </li>
</ul>
</li>
<li>15% - Investigative Activities
<ul>
<li>Performs investigation activities for complex cases.</li>
<li>Partners with staff in performing investigations of difficult cases. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, accounting, health information management, or another related field PLUS 5 years of relevant work experience in health care investigations 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 managerial experience within a managed care health plan in audits or investigations, or as an outside consultant engaged to perform audit work for a managed care health plan required. </li>
<li>Have access to means of transportation for work away from the primary office approximately 15% of the time.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) or similar certification completion, currently pursuing a related certification or has completed more than half of the requirements towards a certification.</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=6305723&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 June 30, 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/6305723" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-fraud-waste-and-abuse-investigations-sr-manager-i-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-7b45ba9efc4d8747a6f8e14e16e01d8e

Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I)

Supervisor Information Technology Services (Infrastructure) CalOptima CalOptima Health is seeking a highly motivated Supervisor Information Technology Services (Infrastructure) to join our team. The Supervisor Information Technology Services will assist the manager with overseeing technical assistance regarding hardware/software related requests through Information Technology Service Management (ITSM) elements such as incident management and request fulfillment. The incumbent will also assist with all requests for computer audits, disaster recovery planning and execution of such plans. The incumbent will assist management either directly or through the efforts provided by direct reports, which consist of assigned technical and operational personnel in the Information Technology (IT) group. The incumbent will provide oversight of assigned staff members in the day-to-day operations of the computer infrastructure and operations center units and will monitor and administer reviews for their staff. The incumbent will ensure that all policies and procedures of the organization and IT department are followed and executed in a professional manner. Position Information: 
<ul>
<li>Department: ITS- Infrastructure </li>
<li>Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) </li>
<li>Work Arrangement: Full Office **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Supervisory
<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>Responds to, updates and completes tickets generated by the Service Desk Ticket system and assigns them to other areas of the IT group accordingly.</li>
<li>Operates an efficient and trouble-free IT infrastructure environment in support of the company's day-to-day business operations.</li>
<li>Assists in recruitment, develops, mentors, supervises and appraises subordinates to provide an efficient and effective operation. Prepares and administers performance evaluations and recommends salary adjustments for staff when appropriate.</li>
<li>Supervises the daily activities of assigned staff to ensure timely and effective reporting, tracking, follow-up and communication of status to management and end-users. Develops and maintains subordinate team's work schedule to achieve optimal coverage and productivity. Performs daily time management and authorization for staff.</li>
<li>Ensures the physical safety of staff in the event of an emergency on premise and at remote sites.</li>
<li>Evaluates and recommends new technologies in desktop, mobility, server, network and storage technology to support business needs.</li>
<li>Collaborates with the team in creating new knowledge articles and updating and migrating existing knowledge articles to the ServiceNow Knowledge Base.</li>
<li>Monitors the Automatic Call Distribution (ACD) queue and ensure timely responses and resolutions within Service Level Agreements (SLAs) </li>
</ul>
</li>
<li>5% - Service Desk Support
<ul>
<li>Ensures that on-boarding tickets have been completed prior to the start date of a new hire, all equipment has been set up and tested and requested folder permissions granted.</li>
<li>Ensures that off-boarding tasks are completed timely, including the retrieval of assets and removal of credentials.</li>
<li>Advises and recommends improvements in organizational, operational, procedural and workflow plans.</li>
<li>Plays a key role in internal Outage processes, assigning tickets and promoting to Problems when necessary and assists in coordinating teams to troubleshoot to resolution.</li>
<li>Participates with on-call support for any production processing and/or infrastructure issues supported by the IT group.</li>
<li>Assists in managing the operation of a data center and its related infrastructure components, including coordinating the monitoring activities for data center server, storage and network communications.</li>
<li>Monitors communications on incident status to end-users and management and participates in more complex IT problem solving and advanced project work.</li>
<li>Aids in asset management and e-waste of IT infrastructure hardware.</li>
<li>Monitors and assigns tickets ensuring they are promptly distributed to the appropriate team members based on priority, complexity and skill set.</li>
<li>Provide and communicate daily and weekly ServiceNow metrics.</li>
<li>Assists with monthly server patching using Tanium. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, computer science or related field PLUS 3 years of senior level desktop, server, storage, network or telephony communications support experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>3 years of progressive experience in Microsoft Office 365, Windows PC systems, Active Directory, and/or Microsoft SharePoint Online required. </li>
<li>Experience deploying, troubleshooting and managing Windows 10/11 and macOS/iOS devices in a corporate environment required. </li>
</ul>
 Preferred Qualifications: 
<ul>
<li>ITSM/ Information Technology Infrastructure Library (ITIL) certifications related to the provisioning of services. </li>
<li>CompTIA Security+, CompTIA A+ or HDI Support Center Analyst (SCA) certification. </li>
<li>Microsoft Windows certification. </li>
<li>Apple Certified Support Professional (ACSP), Microsoft Office Specialist (MOS) or equivalent experience. </li>
<li>2 years of supervisory experience or entry level leadership role, scheduling, delegating tasks and assigning resources. </li>
<li>Experience using IT service management solutions. </li>
<li>Government and/or health care experience with general understanding of Protected Health Information (PHI) and Personally Identifiable Information (PII).</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=6296758&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 June 25, 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/6296758" target="_blank">https://jobs.caloptima.org/jobs/supervisor-information-technology-services-infrastructure-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-acefa7cc4dc431458ce3f79fb4eba29e

Supervisor Information Technology Services (Infrastructure)

Program/Policy Analyst Sr (Medi-Cal Compliance) CalOptima CalOptima Health is seeking a highly motivated Program/Policy Analyst Sr (Medi-Cal Compliance) to join our team. The Program/Policy Analyst Sr (Medi-Cal Compliance) will coordinate and maintain CalOptima Health's relationship with regulatory agencies and ensure CalOptima Health and its First Tier, Downstream and Related Entities (FDRs) comply with all appropriate standards, regulations, contractual provisions, federal waivers and laws. Specifically, the incumbent works to enhance and strengthen CalOptima Health's policy infrastructure, platform and strategies at the state level, including contract compliance, statutory and regulatory obligations with the Department of Health Care Services (DHCS). The incumbent requires the ability to complete a variety of independent detailed analyses, including the development, review and response to corrective action plans. The incumbent will be responsible implementing Corrective Action Plans (CAPs), supporting regulatory audits, validating regulatory guidance and developing regulatory communications for CalOptima Health stakeholders. The incumbent will interact with CalOptima Health's executives and department management, FDR's management, legal counsel and state and federal regulatory agencies. The incumbent will also support other key CalOptima Health staff on related projects. Position Information: 
<ul>
<li>Department: OOC - MediCal Regulatory Affairs &amp; Compliance </li>
<li>Salary Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>85% - 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>Works with all of CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message.</li>
<li>Assists in the management of CalOptima Health's daily relationship with the DHCS for CalOptima Health's Medi-Cal program.</li>
<li>Maintains open lines of communication to ensure the ongoing trust and confidence of regulators in the program and management.</li>
<li>Researches, analyzes and makes recommendations regarding the policy implications of major initiatives for CalOptima Health's Medi-Cal program, e.g., integration of new benefits and populations.</li>
<li>Works with business areas at all levels of leadership to validate regulatory communications from regulators impacting CalOptima Health's Medi-Cal program.</li>
<li>Supports process improvements for the Office of Compliance department.</li>
<li>Serves as a Medi-Cal regulatory subject matter expert and lead for CalOptima Health's compliance issues and investigations.</li>
<li>Supports management in the readiness, coordination, oversight and remediation of regulatory audits, including but not limited to validating business area submissions, additional audit requests and written daily reports.</li>
<li>Researches and responds in a professional manner to questions pertaining to the Medi-Cal program.</li>
<li>Works with the director and manager with interactions and responses to regulatory representatives on compliance-related issues as needed.</li>
<li>Reviews and retains working knowledge of Medi-Cal policies and procedures related to assigned programs and projects.</li>
<li>Assists in the creation of communications and strategic alliances with regulators.</li>
<li>Researches and keeps current on the local, state and federal health care environment and health policy, identifying issues that may impact CalOptima Health's Medi-Cal program.</li>
<li>Coordinates the maintenance of public program benefit updates for accurate and consistent application by CalOptima Health and its provider community.</li>
<li>Participates and represents CalOptima Health in meetings and calls with regulators and associations and summarizes key points and impact to CalOptima Health's Medi-Cal program as needed. </li>
<li>10% - Administrative Support</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>Initiates, facilitates and promotes activities to foster compliance awareness and encourages the reporting of compliance issues within the organization and related entities. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in health services administration, public health, public policy or a related field PLUS 4 years of experience in government, public or government affairs role in health care compliance or health plan requirements 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>Master's degree. </li>
<li>Experience working with regulatory agencies in California. </li>
<li>Experience with Medi-Cal regulatory requirements and/or compliance in the areas of Customer Service, Grievance &amp; Appeals, Quality Improvement, Case Management, Claims Administration and/or Utilization Management. </li>
<li>Certification in Healthcare Compliance (CHC) or other compliance related certifications such as Certified Compliance and Ethics Professional.</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=6296744&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 June 25, 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/6296744" target="_blank">https://jobs.caloptima.org/jobs/program-policy-analyst-sr-medi-cal-compliance-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-c10c0223e159b943b7243c210753f920

Program/Policy Analyst Sr (Medi-Cal Compliance)

Chief of Staff WittKieffer is proud to be supporting SUNY Cortland in the search for its next chief of staff (COS). Founded in 1868 as the Cortland Normal School, a teacher training institution authorized by the New York State Legislature, State University of New York (SUNY) at Cortland (SUNY Cortland) has grown since these beginnings into one of the state's top public institutions. Dedicated to offering diverse learning experiences that develop students as engaged, socially conscious citizens, SUNY Cortland has emerged as a regional powerhouse, offering academic strength across 68 majors and a high-quality experience to its students. To help the institution build on these strengths, SUNY Cortland seeks a thoughtful, diplomatic, and highly organized professional to serve as chief of staff to President Erik Bitterbaum. Reporting directly to the president, the next COS will serve as a trusted advisor on myriad projects and initiatives that will assist the college in maintaining its upward trajectory. Located on a 191-acre campus in the heart of New York's Finger Lakes region, SUNY Cortland serves approximately 7,000 undergraduate and graduate students and boasts more than 600 faculty. As a leading public comprehensive college, Cortland provides an outstanding and affordable education that empowers students to achieve their goals and make meaningful contributions to their communities. A strong track record in teacher education and health-related majors laid the foundation for exciting new programs related to business, natural sciences, the arts, and specialized professional fields, including sports management and criminology. SUNY Cortland is one of 64 campuses in the State University of New York system and is therefore part of a powerful collection of institutions serving every corner of the state and thousands of New York families every year. The chief of staff is a vital member of the President's Office and the executive leadership team. Apart from advising the president on strategic planning, decision-making, and problem-solving, the chief of staff also works closely with senior leadership and campus committees to advance the president's agenda, foster collaboration, and oversee high-level operations, projects, and special initiatives. The COS uses data to identify trends, opportunities, and risks in the competitive landscape; builds consensus around policy; coordinates projects and initiatives addressing priorities; communicates overall strategy to the broader community; and tracks performance. The COS also fields issues that come to the President's Office, advises on responses, and organizes solutions to ensure successful outcomes. In addition, the COS works closely with the strategic communications team to ensure consistent, high-quality messaging from the president and serves as a liaison to SUNY Cortland stakeholders to ensure accurate and consistent communication in a way that facilitates transparency. In its next chief of staff, SUNY Cortland seeks a professional with a deep knowledge of higher education and the ability to understand and connect with a wide range of constituents. The selected candidate will have a minimum of five years of higher education experience with a track record of problem solving, strategic planning, policy communication, and project management. The optimal candidate will have exceptional organizational and time-management skills; excellent communication skills including the ability to influence others; political savvy; a commitment to diversity, equity, and inclusion; the capability of analyzing complex situations and offering workable solutions to problems; and the utmost integrity. All applications, nominations, and inquiries are invited. Applications should include, as separate documents, a CV or resume and a letter of interest addressing the themes in the <a href="https://apptrkr.com/get_redirect.php?id=6286364&amp;targetURL=https://wittkieffer.com/positions/201088" target="_blank">leadership profile</a>. For fullest consideration, candidate materials should be received by August 8, 2025. Application materials should be submitted using WittKieffer's <a href="https://apptrkr.com/6286364" target="_blank">candidate portal</a>. Nominations and inquiries can be directed to: Senior Partner Greg Duyck and Associate Consultant Kim Migoya at <a href="https://apptrkr.com/get_redirect.php?id=6286364&amp;targetURL=mailto:SUNYCortlandChiefofStaff@wittkieffer.com" target="_blank">SUNYCortlandChiefofStaff@wittkieffer.com</a>. SUNY Cortland is dedicated to providing a comprehensive educational experience that prepares individuals to function in a diverse society and aims to create an environment where each person's individual dignity is valued. The College prohibits, and will not tolerate discrimination or harassment on the basis of race, color, national origin, religion, creed, age, disability, sex, gender, sexual orientation, self-identified or perceived sex, gender expression, status of being transgender, or gender identity, familial status, pregnancy, predisposing genetic characteristic or carrier status, military status, U.S. Veteran status, domestic violence victim status, prior criminal conviction unrelated to employee's job or, any other characteristic protected by applicable local, state or federal law. SUNY Cortland will comply with all applicable equal employment opportunity/nondiscrimination laws. Employees, students, applicants or other members of the College community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely based upon a protected characteristic. 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-aff6438c9a52884081ad043e4a51db46

Chief of Staff

Lead Sound Engineer University Job Title: Theatre Technician 3, Staff Sound Engineer Bargaining Unit: L34 - Local 34 (Yale Union Group) Time Type: Full time Duration Type: Regular Compensation Grade: Labor Grade D Wage Ranges: Click <a href="https://your.yale.edu/work-yale/careers/wage-ranges" target="_blank">here</a> to see our Wage Ranges Work Location: Central Campus Worksite Address: 222 York Street New Haven, CT 06511 Work Week: Standard (M-F equal number of hours per day) Searchable Job Family: Museum/Curatorial Total # of Hours to be Works: 37.5 Position Focus: Engineers, executes and maintains sound designs for theatrical productions. Carries out duties while exercising a high degree of autonomy and discretion, maintaining high standards for safety and craftsmanship. Handles, moves, and maintains sound equipment. Essential Duties: 1. Participates in load-in, notes sessions, technical rehearsals, and strike of productions. 2. Creates, interprets, and executes sound production paperwork. 3. Collaborates with and advises Sound Designers and Engineers to obtain the necessary information to execute Sound designs. 4. Serves as the Sound Engineer for productions, outside organizations or special events using the theatre's venues as assigned. 5. Substitute for FOH Mix Engineer as assigned. 6. Oversees and participates in the maintenance and repair of sound department facilities, tools, and equipment. Manages documentation of repairs and service of audio equipment. 7. Assists in providing continuity in the use of sound equipment among all performance venues. 8. Facilitates purchase or rental of equipment and materials and assist in maintenance of sound department financial paperwork. 9. Assists in maintaining the safety, organization, cleanliness and efficiency of all sound department storage and workspaces. 10. Trains crew in operation of sound software and equipment. Supervises appropriate personnel. 11. Participates in creation and implementation of overhead rigging for sound equipment. 12. Uses a variety of complex tools, processes, materials, and equipment in completing assigned projects. 13. Attends appropriate meetings. 14. Transports equipment. 15. Assists other departments in load-in, notes sessions, technical rehearsals, and strike of productions, as assigned. 16. Works occasional nights, weekends and holidays. 17. May perform other duties as assigned. Required Education and Experience: Six years of related work experience, four of them in the same job family at the next lower level, and high school level education; or four years of related work experience and an Associate's degree; or little or no work experience and a Bachelor's degree in a related field; or an equivalent combination of experience and education. Professional and/or college-level experience as a Sound engineer. Required Skill/Ability 1: Strongly demonstrated knowledge of theory and techniques in sound products and engineering, computerized sound playback systems, digital/analog mix consoles, sound reinforcement systems, and microphone techniques including wireless. Required Skill/Ability 2: Strongly demonstrated knowledge in operating and troubleshooting Mac and PC computers, QLab, drafting, audio control and prediction software. Demonstrated experience in front-of-house live mixing techniques. Knowledge of safe rigging practices. Required Skill/Ability 3: Skill in electronic and audio test equipment. Knowledge of job-related health/safety issues and ability to identify potential hazards. Ability to drive cargo van and departmental truck. Required Skill/Ability 4: Strongly demonstrated ability to collaborate effectively w/faculty, staff, students, interns, guest artists and other professionals representing a wide diversity of personalities. Strongly demonstrated ability to work independently and in a team setting. Required Skill/Ability 5: Calm and collected under pressure with a strongly demonstrated ability to meet deadlines and follow schedules and instructions. Demonstrated ability to guide, advise, mentor, and lead students and staff in a professional setting. Knowledge of budgeting and bookkeeping. Preferred Education, Experience and Skills: Drug Screen: No Health Screening: NoSelected incumbent must have successful completion of a DMV check and a valid driver’s license. Background Check Requirements: All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. COVID-19 Vaccine Requirement: Posting Disclaimer: The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position. Employees will be assigned specific job-related duties through their hiring departments. To apply, visit <a href="https://apptrkr.com/6251694" target="_blank">https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25053&amp;siteid=5248&amp;PageType=JobDetails&amp;jobid=1597625</a> Yale is a tobacco-free campus. 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-4b4972e141a28e408aab908eae28e664

Lead Sound Engineer

Senior House Electrician University Job Title: Theatre Technician 3, Lighting Bargaining Unit: L34 - Local 34 (Yale Union Group) Time Type: Full time Duration Type: Regular Compensation Grade: Labor Grade D Wage Ranges: Click <a href="https://your.yale.edu/work-yale/careers/wage-ranges" target="_blank">here</a> to see our Wage Ranges Work Location: Central Campus Worksite Address: 222 York Street New Haven, CT 06511 Work Week: Standard (M-F equal number of hours per day) Searchable Job Family: Museum/Curatorial Total # of Hours to be Works: 37.5 Position Focus: Executes lighting design for theatre productions. Carries out duties while exercising a high degree of autonomy and discretion, maintaining high standards for safety and craftsmanship. Handles and moves lighting equipment. Essential Duties: 1. Serves as liaison between Master Electrician, Designer and electrics department to provide and obtain information necessary to execute designs. 2. Oversees Light Board Operator and/or programmer for productions. Trains crew in operation of light board, follow spot, and special effects. Supervises appropriate personnel. 3. Reads, interprets, and executes light plots. Reviews light plots with appropriate personnel. 4. Uses a variety of complex tools, processes, materials, and equipment in completing assigned projects. 5. Assists at load-in, notes sessions, technical rehearsals, and strike of productions. 6. Participates in provision and implementation of overhead rigging for lighting equipment. 7. Develops and assists with implementation of special lighting effects. 8. Serves as Senior Head Electrician for outside organizations or special events using theater's venues, as assigned. 9. Oversees and participates in the maintenance and repair of electrics shop, tools, equipment, and associated financial paperwork. 10. Transports equipment. 11. In conjunction with appropriate personnel, maintains the safety and efficiency of lighting storage and workspaces. 12. Attends appropriate meetings. 13. Assists related departments in load-in, notes sessions, technical rehearsals, and strike of productions. 14. Works occasional nights, weekends and holidays. 15. May perform other duties as assigned. Required Education and Experience: 1. Six years of related work experience, four of them in the same job family at the next lower level, and high school level education; or four years of related work experience and an Associate's degree; or little or no work experience and a Bachelor's degree in a related field; or an equivalent combination of experience and education. 2. Professional or graduate-level experience as a theatrical lighting electrician. Required Skill/Ability 1: Mastery of Electronic Theatre Control (ETC) control platforms and equipment. Strongly demonstrated knowledge of current Light wright system. Working knowledge of Vectorworks software. Required Skill/Ability 2: Strongly demonstrated knowledge of theory and techniques in theatrical lighting products, design, special effects, and programming, maintenance and repair of moving lights and LED units. Demonstrated knowledge of national/local electric codes, electrical theory and application. Required Skill/Ability 3: Strongly demonstrated ability to collaborate effectively w/faculty, staff, students, interns, guest artists and other professionals representing a wide diversity of personalities. Required Skill/Ability 4: Demonstrated ability to guide, advise, mentor, and lead students and staff in a professional setting, to work independently and in a team setting; to multi-task and prioritize. Required Skill/Ability 5: Knowledge of job-related health/safety issues and ability to identify potential hazards. Preferred: Working knowledge of AutoCAD. Current ESTA electrics certification. Valid drivers' license and ability to drive cargo van and departmental truck. Knowledge of Strand Lighting control platforms. Preferred Education, Experience and Skills: Drug Screen: No Health Screening: NoSelected incumbent must have successful completion of a DMV check and a valid driver’s license. Background Check Requirements: All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. COVID-19 Vaccine Requirement: Posting Disclaimer: The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position. Employees will be assigned specific job-related duties through their hiring departments. To apply, visit <a href="https://apptrkr.com/6251587" target="_blank">https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25053&amp;siteid=5248&amp;PageType=JobDetails&amp;jobid=1597553</a> Yale is a tobacco-free campus. 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-ba4ef8ccfd09844dbeceb5d04f5f68b2

Senior House Electrician

<h3>The Deerfield Fair is New England’s premier Agricultural Fair. We currently have an opening for a year-round, full-time Buildings and Grounds Manager.</h3>
Must be able to work without supervision and assist vendors, subcontractors, and patrons as well as manage seasonal employees. Duties include mowing, trash management, maintenance of buildings, barns, bathrooms and set up of grounds for the annual Fair and seasonal weekend events.
Salary is commensurate with experience.
Please send letter of intent and resume to the Deerfield Fair Association at <a href="mailto:deerfieldfair@deerfieldfair.com" target="_blank">deerfieldfair@deerfieldfair.com</a>.

MAINTENANCE MANAGER

Director, Sales and Marketing (Director I) CalOptima CalOptima Health is seeking a highly motivvresponsible for overseeing the execution and leading the implementation of member outreach, acquisition and retention strategies and tactics. The incumbent will develop and maintain strong relationships between CalOptima Health, current and potential members, employed sales and marketing team, PACE marketing and enrollment team, external Field Marketing Organizations (FMO) or external broker agencies including their independent brokers and contracted health networks and providers throughout CalOptima Health's service area. The incumbent will function as the business over for operations and systems implementation related to sales channels, including broker portals and interfaces. The incumbent will be responsible for increasing the visibility of CalOptima Health's competitive lines of business through marketing, outreach and education. The incumbent will be responsible for driving membership growth through employed and independent agents to increase enrollment into CalOptima Health's competitive lines of business. Position Information: 
<ul>
<li>Department: OneCare Sales &amp; Marketing </li>
<li>Salary Grade: 320 - $170,772 - $273,234 ($82.10 - $131.3625) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>45% - 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 marketing and sales department.</li>
<li>Provides direction and accountability, in a dotted line capacity, to the Manager, PACE Outreach and Education and the Senior Director of Strategic Development overseeing Covered California.</li>
<li>Hires and trains department managers and staff, sets monthly or quarterly goals based on direction from the executive director and leadership.</li>
<li>Directs and oversee the participation of the OneCare, PACE and Covered California sales agents at outreach and retention events and activities conducted by the respective outreach and education program managers and staff.</li>
<li>Onboards and manages relationships and production of new enrollment by FMO and/or broker agencies.</li>
<li>Collaborates with executive director, senior director, strategic development and other lines of business leadership and staff in all relevant internal departments to share information and promote a positive and collaborative business relationships with vendors and providers.</li>
<li>Partners with the Provider Relations department to develop and conduct provider communications and updates.</li>
<li>Partners with Health Network Provider Relations department on outreach and updates the contracted networks regarding enrollment strategies and tactics.</li>
<li>Provides subject matter expertise and strategic advice regarding the development of competitive benefit plans for all CalOptima Health competitive lines of business. </li>
</ul>
</li>
<li>50% - Program Oversight
<ul>
<li>Sets monthly and/or quarterly goals from each FMO or broker agency aligned with direction from the executive director, senior director, strategic development and CalOptima Health leadership.</li>
<li>Plans and hosts weekly, monthly and/or quarterly joint operation meetings with each contracted FMO and/or broker agencies.</li>
<li>Oversees the development and content for annual training, certification or re-certification of employed and independent agents.</li>
<li>Develops and oversees an agent/broker customer service support function.</li>
<li>Manages the updates of content for CalOptima Health's Agency and Agent Manuals.</li>
<li>Directs and collaborates closely with internal departments to maintain CalOptima Health's sales agent portal, including maximizing automation of broker support systems and services.</li>
<li>Collaborates with the Communications department and competitive line of business leaders in the development of marketing and advertising campaigns.</li>
<li>Monitors OneCare, PACE and Covered California programs member/participant retention rates, identifies root causes of voluntary disenrollment trends and develops strategies and tactics for maximizing retention and positive member/participant experience and satisfaction.</li>
<li>Ensures compliance with all Center for Medicare &amp; Medicaid Services (CMS), state Medi-Cal and Department of Managed Health Care (DMHC) marketing, sales and enrollment regulations.</li>
<li>Develops and manages the annual departmental budget.</li>
<li>Develop policies, procedures and standards for all department activities and member enrollment processes.</li>
<li>Oversee the maintenance of all department records and reports. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree PLUS 7 years of experience in management position working with the needs of seniors and persons with disabilities in marketing, sales, outreach or enrollment 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>4 years of progressive leadership experience, including direct supervision of staff required. </li>
<li>Health maintenance organization (HMO), Medi-Cal/Medicaid, Medicare and individual market insurance products or Covered California experience required. </li>
<li>Driver's license and vehicle or other approved means of transportation and an acceptable driving record will be required for work away from the primary office 50% of the time or more. </li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree.</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=6281715&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 June 20, 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/6281715" target="_blank">https://jobs.caloptima.org/jobs/director-sales-and-marketing-director-i-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-44d9784a7be71b4ea5b8439a9db16b3b

Director, Sales and Marketing (Director I)

Director, Medicare Program Development (Director III) CalOptima CalOptima Health is seeking a highly motivated Director, Medicare Program Development (Director III) to join our team. The Director III (Medicare Program Development) will be responsible for leadership, plan management and operations of CalOptima Health's Medicare lines of business, including the Program of All Inclusive Care for the Elderly (PACE) health plan operations. The incumbent will provide direction to CalOptima Health's departments to ensure compliance with regulatory agencies such as the Centers for Medicare and Medicaid (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC). The incumbent will collaborate with the Operations Management, Clinical Operations, Regulatory Relations and Finance departments, including but not limited to Customer Service, Grievance and Appeals, Medical Management, Provider Network Operations, Strategic Development, Compliance and Regulatory Affairs and subcontracted providers and health networks. The Director III will interact with all levels of CalOptima Health's staff, members, providers, regulatory agencies, advisory committees and representatives of other agencies as needed. Position Information: 
<ul>
<li>Department: Operations Management </li>
<li>Salary Grade: 322 - $192,386 - $307,817 ($92.49 - $147.9891) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<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>Hires, supervises, develops, counsels and reviews the performance of department staff.</li>
<li>Supports the development of reports and presentations to CalOptima Health's Board of Directors, as needed.</li>
<li>Utilizes matrix management, directs and coordinates staff throughout the organization in the implementation of strategic work plans, development and implementation of new benefits or other initiatives for health plan operations, including but not limited to CMS Five Star Program operational initiatives and improvement activities.</li>
<li>Ensures implementation of Medicare and PACE program changes to comply with CMS regulatory requirements and is responsible for communication with stakeholders to implement such changes.</li>
<li>Ensures timely filing and compliance with CMS reports and data submissions.</li>
<li>Reviews and recommends approval of OneCare program and PACE health plan operations policies and procedures by the Executive Director and executive leadership. </li>
</ul>
</li>
<li>45% - Program Oversight
<ul>
<li>Directs and leads all business operations associated with the Medicare lines of business operations and supports certain PACE health plan operations, including coordination with and oversight of delegated health networks, contracted providers and contracted vendors.</li>
<li>Directly leads Medicare Programs outreach and retention function including developing strategies designed to expand community outreach and retention of current OneCare members.</li>
<li>Reviews and monitors Medicare programs and PACE program financial performance, provides recommendations and develops action plans.</li>
<li>Develops and monitors strategies and tactics for business development, new member enrollment and member retention in Medicare and PACE programs.</li>
<li>Supports Medicare annual bid submissions, including project management, supplemental benefit development and coordination with external actuary firm(s) and internal departments to complete and submit bids on time for Medicare and PACE programs.</li>
<li>Oversees the development of strategic plans, work plans and other initiatives for the OneCare and PACE program health plan operations.</li>
<li>Collaborates with Finance and other departments to improve activities for Medicare Risk Adjustment Factor (RAF) improvement activities for applicable programs.</li>
<li>Collaborates with internal departments in the implementation and oversight of community and member outreach activities designed to maximize visibility of Medicare programs including OneCare and PACE.</li>
<li>Partners with staff from across the organization to research specific issues as necessary to develop and analyze solutions and make policy or programmatic recommendations to address operational issues.</li>
<li>Reviews reports for submission to CMS, CalOptima Health's Board of Directors, executive leadership and others, as needed.</li>
<li>Facilitates monthly operations meetings to review Medicare and PACE program medical, financial and administrative operations.</li>
<li>Communicates the plan's operational issues, ensures adherence to work plans, identifies problem areas and develops solutions to issues or problems.</li>
<li>Collaborates with Medicare Programs Sales and Marketing and Communications departments in the development of marketing and enrollment strategies and tactics for increasing Medicare and PACE program enrollment and retention. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration or related field PLUS 7 years of experience in a management position of a health insurance plan, Independent Physician Association (IPA), managed care organization or public agency serving Medicare and Medicaid (Medi-Cal) populations 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 progressive leadership experience, including direct supervision of staff required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree. </li>
<li>Medicare Advantage health plan operations, Medicare Advantage health maintenance organization (HMO) special needs plans (SNP), Medicaid or Medi-Cal and PACE program operations experience. </li>
<li>Project management 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=6281703&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 June 20, 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/6281703" target="_blank">https://jobs.caloptima.org/jobs/director-medicare-program-development-director-iii-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-7afb9ea777e68d4fab491cabeb4bb238

Director, Medicare Program Development (Director III)

CHIEF PROGRAM OFFICER HORIZON SERVICES, INC. (Hayward, CA) THE ORGANIZATION: Horizon Services, Inc. (HSI) provides alcohol, drug, and mental health related services to adults and adolescents. All programs are evidence-based and provide a safe environment for understanding and addressing substance use disorder (SUD) and mental health-related issues that keep people from their full potential. HSI's prevention programs help youth develop healthy relationships and live substance-free lives. In addition, HSI works in the community helping families, businesses, and public agencies recognize and develop responses to SUD which create safer and healthier neighborhoods. For nearly 50 years, HSI has been a steadfast refuge for community members with substance use and mental health disorders. HSI began in 1974 with sober-living support services for men re-entering the workforce. Today, HSI has multiple recovery and prevention programs serving a racially diverse mix of community members across Alameda, Butte, San Mateo, and Santa Clara Counties in California, while also expanding its reach nationally mid-2025. HSI uses leading evidence-based practices in programs, from EMDR to measurement-based-care practices which have been demonstrated to improve client outcomes. Working in partnership with clients, HSI's goal is not simply recovery, but also rebuilding of clients' dignity. HSI has an annual operating budget of $25 million and employs over 180 staff throughout its eleven programs. For more about Horizon Services, <a href="https://apptrkr.com/get_redirect.php?id=6246921&amp;targetURL=https://www.horizonservices.org/" target="_blank">click here</a>. THE OPPORTUNITY: Reporting to the Chief Executive Officer (CEO), the Chief Program Officer (CPO) is responsible for the efficient and effective day-to-day operation of the organization, with a strong emphasis on the implementation and management of the organization's strategic plan and integration of Clinical and Operational functional areas. The CPO thoughtfully collaborates with fellow members of the executive leadership team (ELT) to ensure that projects are executed cross-functionally and across various service lines. Under the leadership of the CPO, each program is expected to operate efficiently and at optimal capacity while delivering excellent client outcomes, which are monitored and continuously improved in partnership with the Chief Compliance Officer (CCO). The CPO ensures this by mobilizing and coordinating a diverse team of internal experts across the organization. To support high-quality service delivery across multiple regions and service lines, the CPO effectively leverages mid-level extenders to provide focused oversight and implement strategic improvements. The CPO directly supervises the Clinical Director and Director of Program Operations. RESPONSIBILITIES: Strategic Leadership • Partner with the CEO and ELT to guide strategic planning and make key operational decisions. • Lead the development, implementation, and improvement of programs in collaboration with the ELT. Ensure operational efficiency, leverage mid-level staff for execution, and establish systems to monitor performance and daily census. • Plan and execute special projects related to program expansion in new regions or new market segments, including launching or closing programs and securing new locations. • Pilot innovative clinical improvement projects, scaling them throughout the organization upon demonstration of efficacy. • In partnership with the CEO and grant writer, conceptualize and design innovative programs which meet the needs of various stakeholders. Management • Supervise and manage mid-level leaders (Clinical Director &amp; Director of Program Operations) who serve as operational extenders for the Chief Program Officer. • Collaborate with the Director of Outreach &amp; Talent Development (DOTD) to deliver consistent staff training. • Oversee program operations, including fiscal performance, and utilization, by partnering with Program Managers and leveraging mid-level leadership to ensure smooth, high-quality service delivery across sites and levels of care in alignment with the strategic plan. • Lead talent management efforts across clinical and program teams, including recruitment, onboarding, training, performance evaluation, engagement, retention, and ongoing professional development in partnership with Human Resources and DOTD. • Partner with staff to develop systems that measure progress on operational projects and support continuous improvement across programs and departments. • Strengthen organizational communication and coordination by leading cross-functional management meetings and maintaining clear internal and external communication channels. • Drive the execution of newly funded initiatives through disciplined project and change management practices. Mobilize and guide change teams to implement projects effectively, ensuring objectives are met and organizational readiness is achieved. • Implement a regular site visit schedule with the goal of maintaining an in-person presence at program locations 2-3 days per week. Fiscal Management • Ensure programs operate within budget parameters by managing resources effectively and in alignment with contract requirements and organizational financial guidelines, in close collaboration with the CFO. • Maintain oversight of agency financial operations, monitoring agency credit cards, and managing bank accounts in partnership with the CEO and CFO. Clinical Strategy &amp; Practice • Provide strategic leadership in clinical programming, long-term planning, and policy development to ensure services are evidence-based, culturally responsive, and medically necessary. • Ensure all clinical and programmatic services align with best practices, organizational guidelines, regulatory standards, CARF standards and ASAM Level of Care principles, with treatment intensities matching client needs across service levels. • Lead the development and maintenance of sound clinical practices, policies, and procedures, including quality assurance frameworks and clinical supervision for registered, certified, and/or licensed staff. • Establish and oversee fidelity monitoring systems throughout the organization by leveraging clinical extenders to ensure consistency and adherence to evidence-based practices. • Analyze and apply client outcomes and patient experience data in collaboration with the CCO to improve service effectiveness and inform strategic planning. Compliance &amp; Risk Management • Partner with the CCO to implement policies, procedures, and program structures that support licensing, accreditation, certification, and continuous quality improvement. • Collaborate with the CCO and program leadership to analyze audits, using information strategically in a continuous improvement fashion. • Executes a structured and disciplined incident reporting process in collaboration with the CCO to support organizational transparency and accountability, using results to inform continuous operational improvements. • Coordinate and participate in regulatory audit processes, liaise with external auditors and the Board of Directors, and implement necessary changes based on audit outcomes. • In partnership with the IT Director, ensure HIPAA compliance and support the effective implementation of Electronic Health Record (EHR) systems and required county-level reporting. TRAITS AND CHARACTERISTICS DESIRED: The CPO will be a mission-driven, emotionally intelligent leader with a deep passion for serving others and a strong sense of humility. The ideal candidate will bring a proven ability to build and develop high-functioning teams, coach and mentor staff, and lead with influence rather than authority. Adept in fast-paced and dynamic environments, the CPO will possess exceptional planning, forecasting, and project management skills, along with a demonstrated ability to scale operations effectively while maintaining service quality. This individual is a skilled communicator, both oral and written, with the ability to resolve conflicts, analyze complex situations, and make data-informed decisions. The CPO will demonstrate the ability to manage at scale, knowing when to zoom out and trust leadership and frontline teams to carry the work forward based on clear indicators of operational health, and when to roll up their sleeves and dive in to diagnose and resolve early warning signs. In doing so, they will model problem-solving and continuous improvement, using these moments as opportunities to teach by showing. The CPO will be collaborative, adaptable, and deeply clinically knowledgeable in behavioral health, including ASAM guidelines, complex mental health and substance use populations, and the interplay between mental health and SUD, along with applicable federal and state laws around safety, confidentiality, and personnel. CAREER TRACK LEADING TO THIS POSITION: The ideal candidate will have a progressive career in behavioral health or related fields, with at least six years of experience in substance use, mental health, or similar program operations. They will have spent five or more years in increasingly responsible management roles, with direct experience in staff supervision, training, and professional development. Experience overseeing program budgets, navigating risk management issues, organizational growth, and ensuring compliance with state and federal laws related to personnel, safety, and confidentiality are essential. The ideal candidate will have a successful track record demonstrating ability to lead operational functions in complex, high-demand environments while building cohesive teams, scaling programs effectively, and maintaining a focus on quality and compliance. EDUCATION AND CERTIFICATIONS: A master's degree is required, coupled with BBS Licensure (LMFT, LCSW, LPCC, or LEP) and applicable Clinical Supervision designation. COMPENSATION: The annual salary range for this position is $185,000 to $200,000. Relocation assistance, if needed, is negotiable. A comprehensive benefits package will be provided. TO APPLY: Please direct inquiries, nominations, and applications, including resume and a compelling letter of interest in confidence to: Karin Berger Stellar <a href="https://apptrkr.com/get_redirect.php?id=6246921&amp;targetURL=mailto:kstellar@morrisberger.com" target="_blank">kstellar@morrisberger.com</a> Managing Partner, Morris &amp; Berger Telephone 818-507-1234 Electronic submission is required. To apply, visit: <a href="https://apptrkr.com/6246921" target="_blank">https://morrisberger.com/position/?id=2267</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-7dc0d8df49c2cc4e8003a8c58e5a10aa

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