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Sr. Program Manager, Public Policy (Program Manager Sr) CalOptima Sr. Program Manager, Public Policy Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Sr. Program Manager, Public Policy (Program Manager Sr) and help shape the future of healthcare where you'll be an integral part of our Government Affairs team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This role will play a vital role in the design, development, implementation and overall support of public policy priorities and initiatives to further the goals of CalOptima Health and will assist in the overall day-to-day activities, cross-functional projects and other assignments to support new program development and the re-design of existing programs in the Government Affairs department. You will also interact with CalOptima Health's leadership and staff to assess the potential impacts of proposed federal, state and local policies and recommend appropriate actions to advance CalOptima Health's legislative, regulatory and budgetary agenda and coordinate and communicate advocacy opportunities, policy positions, meetings and events related to CalOptima Health's industry associations. You will serve as subject matter expert on health care policy, acting as a critical resource to the Director of Public Policy. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>95% - Public Policy Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Tracks, evaluates concurrent initiatives ensuring all projects meet success parameters and targets.</li>
<li>Develops initial workplan for assigned projects and assignments, and manages the scope, schedule, and quality of the project.</li>
<li>Develops workflows, procedures and/or policies and recommends changes to ensure timely, efficient and effective results.</li>
<li>Researches various health care policy topics, providing strategic advice and analysis for department leadership, executives, board of directors and key external strategic partners.</li>
<li>Follows and analyzes key bills and budget developments throughout the federal and state legislative sessions.</li>
<li>Develops specific legislative advocacy strategies, official positions and materials to promote and preserve CalOptima's legislative priorities and serves as a subject matter expert in this area.</li>
<li>Compiles programmatic and policy updates and briefs for internal and external communication to CalOptima Health's Board of Directors, executives and elected officials.</li>
<li>Supports Government Affairs leadership in crafting and executing CalOptima Health's legislative and regulatory agenda.</li>
<li>Interacts with and assists in managing CalOptima Health's relationships with health care industry associations.</li>
<li>Recognizes the top challenges facing the organization, providers, members and community. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in political science, public policy, health administration or related field required PLUS 4 years of work experience in public policy, government affairs, legislative analysis, health care policy or managed care policy 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>Have access to means of transportation for work away from the primary office approximately 10% of the time.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>n/a</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>n/a</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this particular role:
<ul>
<li>Pay Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615) </li>
</ul>
</li>
<li>This position is approved for Partial Telework. (**If the position is Telework, it is eligible in California**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6559372&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmfu<a>Internal Website</a>l or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is September 22, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6559372" target="_blank">https://jobs.caloptima.org/jobs/sr-program-manager-public-policy-program-manager-sr-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-214f42c0c56f324d85508edd27f0dbea

Sr. Program Manager, Public Policy (Program Manager Sr)

Executive Assistant CalOptima CalOptima Health is seeking a highly motivated Executive Assistant to join our team. The Executive Assistant will provide multi-faceted administrative support and assistance to the Chief and/or Executive Director (Executive). The incumbent will handle a wide range of administrative tasks to execute all position responsibilities and act as a key liaison between executives, CalOptima Health staff, community partners, external stakeholders and county or state agencies as appropriate. The incumbent will act with integrity and maintain strict confidentiality in all tasks. Position Information: 
<ul>
<li>Department: Operations Management </li>
<li>Salary Grade: 307 - $60,533 - $93,826 ($29.10 - $45.1087) </li>
<li>Work Arrangement: Full Office </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>60% - Executive Support
<ul>
<li>Coordinates the calendar for Executive(s) and other staff as determined, including scheduling appointments, meetings and speaking engagements. Must exercise discretion in committing time and evaluate needs when making meeting arrangements.</li>
<li>Determines priority of matters of attention for the Executive(s), redirects matters to staff to handle or handles matters directly, as appropriate.</li>
<li>Provides administrative support for specific and/or ongoing projects, applying general business practices, as well as CalOptima Health policies and procedures under the direction of the Executive(s) and/or EASM. May follow-up on the progress of projects and activities assigned to the Executive(s)' subordinates or to other staff.</li>
<li>Supports Executive(s) at meetings as designated or requested, including but not limited to, material preparation, meeting notes/minutes and managing presentations.</li>
<li>Coordinates travel arrangements and completes registration for conferences and seminars.</li>
<li>Acts on behalf of Executive(s) for administrative items such as timekeeping and providing required signature/s.</li>
<li>Maintains chronological files for Executive(s).</li>
<li>Processes all incoming invoices and expense reports for Executive(s) and other management staff, as appropriate. </li>
</ul>
</li>
<li>35% - Program/Department Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out departmental responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Maintains and ensures appropriate follow-up of confidential and sensitive information and files regarding management projects, policies and personnel.</li>
<li>Coordinates work with other administrative support staff or plays a key role in the coordination of staff efforts within the departments, as supervised by the EASM.</li>
<li>Answers telephone calls and greets visitors, answering a variety of questions with tact and diplomacy; triages telephone calls to appropriate staff for resolution.</li>
<li>Handles all incoming correspondence and maintains all outgoing correspondence per administrative policy.</li>
<li>Maintains an inventory of supplies, including monitoring needs, ordering for the departments and submitting requisitions.</li>
<li>Supports budget process and tracking as needed and directed by Executive(s).</li>
<li>Supports legal services as directed by the EASM.</li>
<li>Supports the Clerk of the Board with production of meeting materials, set-up/break-down at the Board Meetings and other duties, as needed. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
<li>Job duties are subject to change with the growth of departmental functions of executive staff. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High school diploma or equivalent PLUS 5 years of executive administrative 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>Proficient in Microsoft Office required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Bachelor's degree in business administration or related field.</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 26 to 50 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=6515303&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 September 8, 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/6515303" target="_blank">https://jobs.caloptima.org/jobs/executive-assistant-505-city-parkway-west-california-united-states-a474bc84-ce11-462b-aae3-08772aae2f0e</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-fe7f047d3eee4f43a78eb3e14bfb271a

Executive Assistant

Sr Manager, Operation and Business Configuration (Sr Manager I) CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Operation and Business Configuration (Sr Manager I) to join our team. The Sr Manager I for Operation and Business Configuration will function as a primary point of contact for the claims analytical support unit which consists of data analytics, process improvement and claims clearinghouse vendor oversight. The incumbent will collaborate with leadership on the development and implementation of analytical tools to identify department trends and will manage dedicated resources for the day-to-day operations to carry out the strategic and tactical execution of CalOptima Health business operations, ensuring compliance with business rules and government regulations. Position Information: 
<ul>
<li>Department: Claims Administration </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>40% - 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, reviews and sets goals for the department and staff.</li>
<li>Provides an environment that engages staff to fully participate in the overall department functions and workload balancing strategies.</li>
<li>Develops and implements corrective action plans and trains staff as needed.</li>
<li>Establishes and manages teams to a set of standards and governance to improve performance and support effective development and outputs.</li>
<li>Provides management oversight and direction to Data Analysts Business team and serves as a liaison with internal and external entities such as Clearinghouse and health networks to ensure claims and authorization data load integrity.</li>
<li>Provides management oversight and direction to the Clearinghouse Data Analyst team for intake requirements, analysis, conducting clearinghouse user acceptance testing and identifies impacts to systems and processes.</li>
<li>Tracks and trends teams performances by way of dashboards, monitoring day-to-day activities of each claim operational areas, claims operational vendors and all clearinghouses.</li>
<li>Represents Claims department and participates in regulatory audit presentations and demonstrations and conducts follow up remediation action items from the audit as needed.</li>
<li>Works collaboratively with the Office of Compliance, Information Technology (IT), claims vendors and internal business teams on regulatory changes impacting claims adjudication and data integrity.</li>
<li>Manages all claims vendor contract or scope of work (SOW) renewals and takes the lead for any request for proposal projects.</li>
<li>Participates in CalOptima Health's enterprise projects impacting claims or operational payments and procedures/policies.</li>
<li>Conducts claims presentation to staff, senior level leadership and CalOptima Health network providers.</li>
<li>Maintains quality goals and production level within the department by collaborating with Claims department leadership teams and ensures that performance goals are consistently met and/or exceeded.</li>
<li>Anticipates future demands of initiatives, strategic plans and regulatory updates and design/implement solutions to meet these needs. </li>
</ul>
</li>
<li>35% - Program Oversight
<ul>
<li>Ensures compliance with applicable internal policies and procedures and external state and federal regulations for multiple product lines (Medi-Cal, Medicare, Commercial (Covered California) and Program of All-Inclusive Care for the Elderly (PACE). Ensures overall claims adjudication is in accordance with the California Department of Managed Health Care (DMHC), California Department of Health Care Services (DHCS) and Centers for Medicare &amp; Medicaid Services (CMS) health plan regulatory requirements and guidelines.</li>
<li>Intakes and reviews All Plan Letters (APL), CMS bulletins and regulatory guidance; oversees the development, timely and accurate implementation and publication/posting of claims-related regulatory requirements and reporting.</li>
<li>Serves as the primary point of contact to answer questions related to system configuration business rules, various claim adjudication issues and resolves complex claims or benefit adjudication issues for department staff as well as other internal customers; responsible for the identification and resolution of provider claim issues including support of provider education and customer service staff in communications back to providers.</li>
<li>Reviews and maintains department policies and procedures, recommends changes for more efficient operations, drafts new policies and procedures for director's review, communicates changes and updates to staff when appropriate.</li>
<li>Stays current with regulatory guidelines impacting essential functions and data requirements. </li>
</ul>
</li>
<li>20% - Technical Operations
<ul>
<li>Develops the claims data standards and deploys automation tools to obtain and process claims data from different sources. Constructs datasets to analyze, inform, identify trends and support stakeholder decision-making.</li>
<li>Identifies claims transaction inconsistencies, as well as implementation of controls and changes to systems and policies that support claims adjudication, thereby minimizing incorrect claims payment.</li>
<li>Manages activities/service requests with Facets configuration, IT and EDI teams to scope, prioritize, and implement requirement changes.</li>
<li>Manages and intakes all program implementation impacting Facets and systems supporting the Claims, Grievance and Appeals Resolution Services (GARS)/Provider Dispute Resolution (PDR) and Customer Service operations. </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 information management, business administration, health administration or related field PLUS 5 years of experience in information technology business experience implementing claims adjudication programs and projects in a health plan setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>5 years of management/leadership experience that manages claims operation from intake to output of the claims payment required. </li>
<li>5 years of experience utilizing Microsoft technologies required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>N/A</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=6581261&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is July 22, 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/6581261" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-operation-and-business-configuration-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-db1ce4f6b297cc42b37b4c6342de152b

Sr Manager, Operation and Business Configuration (Sr Manager I)

Community Relations Specialist (Bilingual Spanish Required) CalOptima CalOptima Health is seeking a highly motivated Community Relations Specialist (Bilingual Spanish Required) to join our team. The Community Relations Specialist will represent CalOptima Health in the community and to community-based organizations. The incumbent will support in planning and coordinating community outreach activities, including quarterly networking forums, community town hall meetings, stakeholder meetings, educational seminars and health fairs. The incumbent will provide resources about CalOptima Health's programs and services, offering timely solutions for members and stakeholders. Position Information: 
<ul>
<li>Department: Community Relations </li>
<li>Salary Grade: 306 - $58,205 - $90,217 ($27.98 - $43.3736) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>80% - Program Support
<ul>
<li>Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Serves as a CalOptima Health representative for community organizations.</li>
<li>Plans, coordinates and evaluates community relations projects, activities and events. Specific activities include scheduling and facilitating planning meetings and coordinating logistics.</li>
<li>Participates as a representative of CalOptima Health in assigned community meetings, collaborative committees and coalitions to develop and enhance community partnerships.</li>
<li>Attends health and community fairs and health promotion events.</li>
<li>Assists in organizing and planning workshops and presentations and supports large/special events.</li>
<li>Collaborates with Strategic Development, Communications, Government Affairs and other internal departments to maintain positive stakeholder relationships.</li>
<li>Cultivates support for CalOptima Health's programs and generates leads for outreach and enrollment staff.</li>
<li>Ensures key messages related to CalOptima Health's programs and policy issues are clearly communicated to external stakeholders.</li>
<li>Conducts presentations for community-based organizations to raise awareness about CalOptima Health's programs and services.</li>
<li>Engenders cultural sensitivity and knowledge regarding the diversity of the populations CalOptima Health serves. </li>
</ul>
</li>
</ul>
<ul>
<li>15% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.</li>
<li>Communicates major community developments and issues to leadership and other internal departments. </li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in community health, public affairs, communications, public health or related field PLUS 3 years of experience in community health, public relations and/or community-based organizations, including supporting and organizing large-scale public events 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>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese) required. </li>
<li>Valid driver's license and vehicle, an acceptable driving record and current auto insurance or other approved means of transportation will be required for work away from the primary office 30% of the time or more.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree in public affairs, community health or related field.</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=6518101&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 September 9, 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/6518101" target="_blank">https://jobs.caloptima.org/jobs/community-relations-specialist-bilingual-spanish-required-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-7fc27cef3708054b82563fcee017a882

Community Relations Specialist (Bilingual Spanish Required)

Public Information Representative 1 Oregon State University Department: Chemistry (SCH) Appointment Type: Classified Staff Job Location: Corvallis Recommended Full-Time Salary Range: Job Summary: This recruitment will be used to fill one full-time Public Information Representative 1 position for the Department of Chemistry at Oregon State University (OSU). The purpose of this position is to carry out the public information program for the Department of Chemistry. This position works with administrative staff and faculty regarding public facing information, policy and procedural issues, and elevates issues as needed. In addition, the position serves as the primary media contact and events coordinator for the department. The OSU Department of Chemistry serves a central role to the educational, research and outreach missions of the University – delivering over 50,000 student credit hours of instruction each year while maintaining a vibrant graduate program with over 100 PhD students. The Department conducts cutting-edge research and scholarly activities focused on all areas of chemistry important to biology, materials and the environment – including analytical, biological, bio-organic, environmental, materials, nuclear and physical chemistry. This dynamic setting is ideally suited for nurturing and supporting instructional faculty in their efforts to support the Department’s educational mission which impacts over 4000 students each year. The College of Science provides a core instructional role at OSU, supporting the ideals of learning, discovery, and engagement that are the foundation of a land-grant university. The College embraces instruction and research, in disciplines ranging from the physical to the biological sciences, that are based in unbiased inquiry and a dedication to discovery and innovation. The College of Science is committed to partnering with industry and public agencies to address some of the most compelling challenges of today and tomorrow. Why OSU? Working for Oregon State University is so much more than a job! Oregon State University is a dynamic community of dreamers, doers, problem-solvers and change-makers. We don’t wait for challenges to present themselves — we seek them out and take them on. We welcome students, faculty and staff from every background and perspective into a community where everyone feels seen and heard. We have deep-rooted mindfulness for the natural world and all who depend on it, and together, we apply knowledge, tools and skills to build a better future for all. FACTS: • Top 1.4% university in the world • More research funding than all public universities in Oregon combined • 1 of 3 land, sea, space and sun grant universities in the U.S. • 2 campuses, 11 colleges, 12 experiment stations, and Extension programs in all 36 counties • 7 <a href="https://hr.oregonstate.edu/work-life/diversity-and-cultural-resources" target="_blank">cultural resource centers</a> that offer education, celebration and belonging for everyone • 100+ undergraduate degree programs, 80+ graduate degrees plus hundreds of minor options and certificates • 35k+ students including more than 2.3k international students and 10k students of color • 217k+ alumni worldwide • For more interesting facts about OSU visit: <a href="https://oregonstate.edu/about" target="_blank">https://oregonstate.edu/about</a> Locations: Oregon State has a statewide presence with campuses in Corvallis and Bend, the OSU Portland Center and the Hatfield Marine Science Center on the Pacific Coast in Newport. Oregon State’s beautiful, historic and state-of-the-art main campus is located in one of America’s best college towns. Corvallis is located close to the Pacific Ocean, the Cascade mountains and Oregon wine country. Nestled in the heart of the Willamette Valley, this beautiful city offers miles of mountain biking and hiking trails, a river perfect for boating or kayaking and an eclectic downtown featuring local cuisine, popular events and performances. Total Rewards Package: Oregon State University offers a <a href="https://hr.oregonstate.edu/benefits/prospective-employee" target="_blank">comprehensive benefits package</a> with benefits eligible positions that is designed to meet the needs of employees and their families including: • Medical, Dental, Vision and Basic Life. OSU pays 95% of premiums for you and your eligible dependents. • Free confidential mental health and emotional support services, and counseling resources. • Retirement savings paid by the university. • A generous paid leave package, including holidays, vacation and sick leave. • Tuition reduction benefits for you or your qualifying dependents at OSU or the additional six Oregon Public Universities. • Robust Work Life programs including Dual Career assistance resources, flexible work arrangements, a Family Resource Center, Affinity Groups and an Employee Assistance Program. • Optional lifestyle benefits such as pet, accident, and critical illness insurance, giving you peace of mind and the support you need to thrive in all aspects of your life. Future and current OSU employees can use the <a href="https://hr.oregonstate.edu/benefits/new-employees/benefits-calculator" target="_blank">Benefits Calculator</a> to learn more about the full value of the benefits provided at OSU. Key Responsibilities 60% PUBLIC RELATIONS and MEDIA:
<ul>
<li>Develop and maintain the Department of Chemistry marketing materials including policies and procedures for social media accounts, website management, and media. Reviews media marketing plan with supervisor. Maintain a digital archiving system for all footage.</li>
<li>Serve as primary news media contact for the department. Follow professional trends, keeping tools and practices current and accessible. Work with internal program areas to identify and serve unique needs and interests related to interactive media. Provides input to administration and faculty on planning and production of informational materials to ensure compliance with current and established laws, policy and protocol (specifically, OSU Branding Policy, ADA accessibility, Model Releases and Copyright Laws). Consult regularly with faculty and staff to keep all published content up-to-date and accurate. Set production deadlines and monitor progress to ensure completion of projects.</li>
<li>Create web announcements, feature stories, web pages and web forms. Post collected information on department blog to be used in publications.</li>
<li>Works with the dept. manager to design, write, edit and produce print publications such as newsletters, pamphlets, flyers, and news releases to promote departmental activities and programs. Publication would include but is not limited to articles on various lecture series, outreach activities, grants and awards given to faculty, and undergraduate and graduate students of the Quarter.</li>
<li>Design, create and maintain photographic departmental directory for public view. Work closely with subcontractors for implementation and creation of final product. Coordinate with OSU Printing and Mailing and public entities for media and event related purchases (Michael’s Craft Store, Fireline T’s, Imprint.com, etc.)</li>
<li>Collaborate with faculty to write scripts for department events such as Fall Gathering and Spring Awards celebration.</li>
<li>Serve as liaison with College of Science and campus marketing teams. Actively seek out department, college and university activities for possible publication and promotion.</li>
</ul>
 30% – EVENT COORDINATION:
<ul>
<li>Coordinate Department events including but not limited to meetings, seminars, celebrations, ceremonies and conferences. This would include travel/lodging, venue location and reservations, transportation, catering, and promotion. Obtain approvals as needed. Monitor Public Information budget to ensure compliance.</li>
<li>Coordinate faculty visits for recruitment, seminars, conferences etc. Including arranging lodging, visitation schedule, transportation and catering.</li>
<li>Assist with staff and faculty recruitment coordination; Work with search committee chair regarding application matrix use and process.</li>
</ul>
 5% – Provide leadwork to 2 student employees. 5% – Other Duties as Assigned.
<ul>
<li>Responsible for small purchases as needed for swag/ handouts at events</li>
</ul>
 What You Will Need . What We Would Like You to Have 
<ul>
<li>Excellent computer and video management skills.</li>
<li>Experience developing and maintaining web pages.</li>
<li>Three or more years of professional work experience in writing and producing marketing materials, presenting info to the public, or public relations experience.</li>
<li>Demonstrated ability to engage with diverse audiences and promote access and inclusion to public events and programs.</li>
</ul>
 Working Conditions / Work Schedule 
<ul>
<li>Work in Departmental Administrative office Monday -Friday 7:30 am – 4:30 pm with 1 hour lunch break and 2 15-minute breaks.</li>
<li>May require work outside the above hours to attend and record special events.</li>
</ul>
 Special Instructions to Applicants Applications will be reviewed based on the information submitted on the employment profile with education and work history along with any other requested documentation i.e. posting specific question responses, transcripts, etc. Your profile MUST clearly show how you meet the minimum/required qualifications for the position. Resumes are NOT accepted at the application stage for this position. Cover letters are optional for this position and will not be used for evaluating your qualifications. Equivalent required experience is based on full-time equivalent (40 hours per week). PLEASE NOTE: If you have volunteer experience relevant to this position, please include in the Employment History section and note length of time, average number of hours per week and major duties. Typically, the starting salary is at the lower end of the salary range. For additional information please contact: Paula Christie <a href="mailto:Paula.Christie@oregonstate.edu" target="_blank">Paula.Christie@oregonstate.edu</a> 5417371681 We are an Equal Opportunity Employer, including disability, protected veteran, and other protected status. OSU will conduct a review of the National Sex Offender Public website prior to hire. To apply, please visit: <a href="https://apptrkr.com/6566700" target="_blank">https://jobs.oregonstate.edu/postings/172575</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-54d6e86efa6853489fd4181bcbaa0708

Public Information Representative 1

President

Claims Examiner Sr CalOptima CalOptima Health is seeking a highly motivated Claims Examiner Sr to join our team. The Claims Examiner Sr will be responsible for analyzing and validating claims elements and claims processing. The incumbent will adhere to regulatory and internal guidelines in conjunction with CalOptima Health's policies and procedures related to claims adjudication. The incumbent will be responsible for adjudicating more complex claims which require additional research or problem-solving. Position Information: 
<ul>
<li>Department: CLA - Claims Production </li>
<li>Salary Grade: 303 - $51,744 - $72,441 ($24.88 - $34.8274) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Claims Support
<ul>
<li>Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.</li>
<li>Conducts research and problem solves the more complex claims.</li>
<li>Processes professional and institutional claim types.</li>
<li>Performs thorough review of pending claims for billing errors and questionable billing practices, including duplicate billing and unbundling of services.</li>
<li>Corrects system-generated errors manually prior to final claims adjudication.</li>
<li>Processes claims based upon CalOptima Health's contractual agreements or pricing agreements, applicable regulatory legislation, claims processing guidelines and CalOptima Health's policies and procedures.</li>
<li>Analyzes and validates Medi-Cal and/or Medicare claims pricing; researches, adjusts and adjudicates claims; reviews services for accurate charges, utilizing billing code sets and/or authorization guidelines as a reference.</li>
<li>Processes claim exception reports as assigned. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High school diploma or equivalent PLUS 2 years of related claims processing experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience processing online claims in a managed care environment. </li>
<li>Experience processing Medi-Cal and/or Medicare claims. </li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6571680&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 August 5, 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/6571680" target="_blank">https://jobs.caloptima.org/jobs/claims-examiner-sr-505-city-parkway-west-california-united-states-2831fc75-91d6-4a09-94d7-b98dc6f6d06c</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-55442cf9db910442b653cd7ba7314bf6

Claims Examiner Sr

Provider Relations Rep CalOptima CalOptima Health is seeking a highly motivated Provider Relations Rep to join our team. The Provider Relations Rep will be responsible for assisting with provider relations and service interactions, including but not limited to developing and training external provider education programs, identifying gaps in network composition and services and assisting the network contracting staff in prioritizing contracting needs. The incumbent will ensure that all provider orientations, site visits, access and availability studies are completed within compliance and established time frames. The incumbent provides support with identifying and remediating operational shortfalls as well as researching and resolving claims. Position Information: 
<ul>
<li>Department: Provider Relations </li>
<li>Salary Grade: 306 - $58,205 - $90,217 ($27.98 - $43.3736) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Builds and maintains relationships with all network providers.</li>
<li>Performs outreach, monitoring and resolution of operational and/or contractual issues.</li>
<li>Identifies network gaps and performs recruitment to address community network needs.</li>
<li>Completes new provider orientation for all applicable product lines within the CalOptima Health community network.</li>
<li>Conducts site visits to service providers with training and education, resolves issues, educates and interprets staff/providers on policies and procedures, collects credentialing information and reviews Healthcare Effectiveness Data and Information Set (HEDIS) information.</li>
<li>Works with providers to ensure adherence to contract regulatory requirements and to communicate and meet the established CalOptima Health's strategic goals.</li>
<li>Represents CalOptima Health at community and health plan-sponsored events.</li>
<li>Creates and delivers presentations on various CalOptima Health topics to the provider community. </li>
</ul>
</li>
<li>5% Completes other projects or duties as assigned.</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, health care administration or related field PLUS 2 years of experience in a health care or managed care setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Valid driver's license and vehicle, an acceptable driving record and current auto insurance or other approved means of transportation, will be required for work away from the primary office 30% of the time or more.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>N/A</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=6515281&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 September 9, 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/6515281" target="_blank">https://jobs.caloptima.org/jobs/provider-relations-rep-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-aa7d5db0ec4de34a8dc997c63eb73527

Provider Relations Rep

Sr. Program Manager, Strategic Initiatives CalOptima Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Sr. Program Manager, Strategic Initiatives and help shape the future of healthcare where you'll be an integral part of our Strategic Development team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will play a vital role in the program design, development, implementation and overall support of strategic initiatives, pilots and programs related to the department's priorities. You will also be responsible for leading the coordination, implementation, execution and completion of tasks supporting new program development. In addition, you will lead the overall day-to-day activities, cross-functional projects and other assignments in the department related to strategic initiatives. Lastly, you will also track, develop and maintain reporting tools for executive leaders and the Board of Directors. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<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>Manages program design and implementation for assigned strategic initiatives under the purview of the Strategic Development department.</li>
<li>Tracks and evaluates concurrent initiatives, including developing and maintaining reports, monitoring of outcomes, financial tracking and reconciliation and program performance reporting.</li>
<li>Develops initial workplan for assigned projects and assignments and manages the scope, schedule, budget and quality of the project.</li>
<li>Develops workflows, key performance indicator (KPI) dashboards, procedures and/or policies and recommends changes to ensure timely, efficient and effective outputs.</li>
<li>Develops specifications and/or scopes of work for request for proposal (RFP), request for quotes (RFQ) or request for inquiry (RFIs) to support new program development.</li>
<li>Tracks program spending and outcomes related to Intergovernmental Transfer-funded initiatives in partnership with initiative owners and Finance.</li>
<li>Plans and implements multiple and complex projects/programs spanning across business areas.</li>
<li>Ensures the strategic direction of projects/programs aligns with department goals and CalOptima Health's strategic priorities.</li>
<li>Provides subject matter expertise, guides and mentors CalOptima Health staff regarding standards, organizational understanding and relationship building to promote successful delivery of projects.</li>
<li>Makes moderate to significant improvements in processes, systems or products to enhance the performance of the job area.</li>
<li>Conducts analysis and assesses information from different sources focused on health care initiatives, new programs or focus areas as assigned.</li>
<li>Partners with CalOptima Health departments (Information Technology, Enterprise Analytics, Finance, Government Affairs, Operations Management, Provider Data Operations, etc.) and subject matter experts to review data sources, evaluate new health care initiatives, develop summary reports, formulate conclusions and recommendations for leadership consideration.</li>
<li>Creates detailed reports for internal departments, external stakeholders, state agencies and community-based organizations.</li>
<li>Supports strategic and business planning, including workgroup participation and presentations.</li>
</ul>
</li>
<li>10% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Assists management with vendor support and purchasing activities related to strategic programs and pilots for the department.</li>
<li>Drafts presentations, board reports and memos to support senior management.</li>
<li> Leads the day-to-day administrative activities specific to assigned strategic programs and initiatives and related projects. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in public health, business, health care administration or related field PLUS 4 years of experience in program and project management and implementation or related 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>Experience at a health plan, health system, health provider, public agency, hospital setting or other health care related field required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in healthcare administration, health policy or related field. </li>
<li>2 years of experience and aptitude for working in a highly matrixed, mission-driven organization. </li>
<li>Client service or management consultant experience.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615). 
<ul>
<li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6581553&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 1, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6581553" target="_blank">https://jobs.caloptima.org/jobs/sr-program-manager-strategic-initiatives-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-54d0f0dcf79eeb4c99cfa94af7374d71

Sr. Program Manager, Strategic Initiatives

Monterey Peninsula College Senior Executive Assistant Salary: $7,004.00 - $8,964.00 Monthly Job Type: Full Time Job Number: 2025-00012 Closing: 9/28/2025 11:59 PM Pacific Location: Monterey, CA Division: President, Office of the Description Monterey Peninsula Community College District is committed to educational equity for all students, as outlined in the <a href="https://apptrkr.com/get_redirect.php?id=6552424&amp;targetURL=https://www.mpc.edu/about-mpc/leadership/board-of-trustees" target="_blank">District's Governing Board Goals</a>, <a href="https://apptrkr.com/get_redirect.php?id=6552424&amp;targetURL=https://go.boarddocs.com/ca/mpc/Board.nsf/files/BJLSXW74D733/$file/12-11-19%20EDMasterPlan%20Board%201st%20Read.pdf" target="_blank">Educational Master Plan</a> <a href="https://apptrkr.com/get_redirect.php?id=6552424&amp;targetURL=https://get.adobe.com/reader/" target="_blank">(Download PDF reader)</a>, <a href="https://apptrkr.com/get_redirect.php?id=6552424&amp;targetURL=http://chrome-extension//efaidnbmnnnibpcajpcglclefindmkaj/https://www.mpc.edu/home/showpublisheddocument/43461/638417984874070000" target="_blank">Equal Employment Opportunity Plan</a>, and <a href="https://apptrkr.com/get_redirect.php?id=6552424&amp;targetURL=http://chrome-extension//efaidnbmnnnibpcajpcglclefindmkaj/https://go.boarddocs.com/ca/mpc/Board.nsf/files/BG7ME45A5A6E/$file/09-25-19%20Student%20Equity%20Plan%20Board%20Presentation.pdf" target="_blank">Student Equity Plan</a> <a href="https://apptrkr.com/get_redirect.php?id=6552424&amp;targetURL=https://get.adobe.com/reader/" target="_blank">(Download PDF reader)</a>. We provide students with a rich and dynamic learning experience that embraces differences-emphasizing collaboration, engaging students in and out of the classroom, and encouraging them to realize their goals and become global citizens and socially responsible leaders. When you join our team at Monterey Peninsula College, you can expect to be part of an inclusive, innovative, and equity-focused community that approaches higher education as a matter of social justice requiring broad collaboration among faculty, classified staff, administration, students, and community partners. Monterey Peninsula College is designated as a Hispanic Serving Institution (HSI) and is an affiliate of the statewide Umoja Community of California Community Colleges. Monterey Peninsula College has a diverse student population that is a reflection of the communities it serves. We value the ability to serve students from a broad range of cultural heritages, socioeconomic backgrounds, genders, abilities, orientations, and intersections of these identities, and others not yet identified. Therefore, we prioritize applicants who demonstrate they understand the benefits diversity brings to a professional educational community. The successful candidate will be an equity-minded individual dedicated to collaborating with faculty, classified staff, administration, students, and community partners who are also committed to closing equity gaps. An equity-minded individual is a person who already does or has demonstrated the desire to: Hold ourselves accountable as educators for closing equity gaps and engaging in equitable practices; Reframe inequities as a problem of practice and view the elimination of inequities as an individual and collective responsibility; Implement positive race-consciousness and embrace human difference; Reflect on institutional and teaching practices and make them more culturally responsive; and Collaborate with colleagues on equity-related initiatives. Monterey Peninsula College seeks employees who value mentorship and working in a collegial, collaborative environment, guided by a commitment to helping all students achieve their educational or career goals. All departments value collaboration across disciplines to create inclusive, integrated, and interdisciplinary learning experiences. JOB SUMMARY Under general supervision, provides assistance and administrative support to the Superintendent/President and Governing Board by performing a wide variety of complex, technical and responsible duties related to the day-to-day functions of the President's office; serves as recording secretary to the Governing Board of Trustees; serves as the liaison for staff and the outside community with the Executive Team and the Governing Board, regularly requiring a high level of tact, confidentiality, independent judgment and discretion; assists in maintaining a positive image of the District; initiates and exercises independent analysis and judgment in the application and follow through of administrative decisions; and performs related duties as assigned. DISTINGUISHING CHARACTERISTICS A Senior Executive Assistant is distinguished from an Executive Assistant in that an incumbent in the latter class primarily performs confidential administrative support to a Vice President or Assistant Superintendent. This class is designated as Confidential in accordance with the provisions of Government Code Section 3540.1. The term "Confidential" refers to an employee who is required to develop and present management positions with respect to employer-employee relations or whose duties normally require access to confidential information that is used to contribute significantly to the development of management positions as communicated in Government Code Section 3540.1. Example of Duties DUTIES AND RESPONSIBILITIES The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to this class. 
<ol>
<li>Organizes and manages the day-to-day operations of the Superintendent/President's Office to ensure efficient and effective office operations, setting priorities and meeting critical deadlines; processes administrative details not requiring the immediate attention of the Superintendent/ President; performs a variety of technical and confidential duties independently in support of the administration; interprets and applies rules and regulations as appropriate. </li>
<li>Acts as liaison in coordinating calendar and administrative matters between the Superintendent/ President and other departments, divisions, students and other constituents; represents the Superintendent/President' Office over the phone, in person, and online; screens and responds to all requests for appointments, services and information; keeps updated on sensitive, important or special interest issues of the Superintendent, the Governing Board, the District and community; exercises independent judgment in matters requiring the attention of the Superintendent or the Governing Board; works independently and anticipates and resolves conflicts as appropriate. </li>
<li>Coordinates the preparation of Governing Board and Committee agendas, agenda packets, presentations, and supplemental materials; attends Board and other meetings and records proceedings; assists in ensuring compliance with Brown Act requirements including distributing agenda and Board packets and posting electronic materials to web page; takes, prepares and posts official meeting minutes. </li>
<li>Plans, organizes, and maintains official records of the Governing Board including historical and official records, agendas, minutes, Board packets, resolutions, election information, Form 700s, voting regulations, Board policies and procedures, legal opinion,s and required training; indexes Governing Board actions for historical and reference purposes; maintains the Governing Board Policy Handbook. </li>
<li>Assists in updating policies and administrative procedures in accordance with legal mandates and changes in law, following governance approval processes; keeps Governing Board Policy and Administrative Procedure web pages current; informs District community of changes in policy/procedures. </li>
<li>Researches and gathers documents, materials, and background information needed to prepare Superintendent/President and/or Governing Board for meetings, events, and appearances; drafts a variety of reports, positioning statements, timelines, speeches, and presentations; reviews and responds to Public Records Act requests within prescribed timeline. </li>
<li>Drafts for review, types or transcribes highly confidential information regarding personnel matters, labor relations, and controversial issues, individuals or projects with District-wide implications; renders confidential assistance to other executives as necessary. </li>
<li>Acts as an information source regarding the District's policies and procedures; provides information where judgment, knowledge and interpretations are required, especially in the proper handling of confidential information; maintains currency in District rules, regulations, policies and procedures. </li>
<li>Plans, organizes and maintains confidential electronic and manual files and documentation; researches, composes and compiles correspondence, resolutions, manuals, statistical reports and final reports and other information using a variety of computer software and internet resources; maintains and updates web pages; uses presentation software for public speaking activities; transmits orders, decisions and memoranda from the Superintendent/President and the Governing Board. </li>
<li>Schedules and coordinates the work of clerical and other staff for office support services and special projects as assigned. </li>
<li>Oversees the budget for the Superintendent/President's office; processes electronic requisitions, purchase orders and budget transfers; makes travel arrangements and processes travel expense claims for the Superintendent/President and the Governing Board; orders office supplies, cards, food and materials. </li>
<li>Leads, provides work guidance, and participates in scheduling, assigning and monitoring work of other employees for completeness, accuracy and conformance with District standards; provides information, instruction and training on work processes, proper uses of equipment and safe work practices; may provide input to supervisor on employee work performance and behaviors; assists in ensuring a fair and open work environment in accordance with the District's commitment to equal employment opportunity. </li>
<li>Demonstrates an understanding of, sensitivity to, and appreciation for the diverse academic, socio-economic, cultural, disability, gender identity, religious, sexual orientation, and ethnic backgrounds of students and staff attending or working on a community college campus. OTHER DUTIES 
<ol>
<li>Coordinates logistics for Governing Board Meetings and a variety of committee meetings and events including audio-visual support and coordination of facilities and vendors. </li>
<li>Performs related duties as assigned. </li>
</ol>
</li>
</ol>
 Qualifications QUALIFICATIONS Minimum Qualifications Any combination of experience and training that would likely provide the required knowledge and abilities is qualifying. A typical way to obtain the knowledge and abilities would be: Completion of two years of college-level course work in office administration or a related field, and four years of experience performing complex and challenging administrative support for a high-level administrator involving analytical and technical skills, extensive public contact, and the coordination of office projects and activities; or an equivalent combination of experience and training. Desirable Qualifications (Not Required) 
<ul>
<li>A valid California driver's license and the ability to maintain insurability under the District's vehicle insurance program or the ability to travel to other District campuses and locations. </li>
<li>Graduation from an associate degree program. </li>
<li>Experience in a community college or higher education. </li>
<li>Fluent in English and Spanish. </li>
</ul>
 Knowledge of: 
<ul>
<li>Modern office administration practices, procedures and techniques. </li>
<li>Interpersonal skills including tact, patience and courtesy; basic public relations techniques. </li>
<li>The role and responsibilities of the Governing Board and committees. </li>
<li>District payroll and general accounting systems operations, practices and procedures. </li>
<li>District policies, procedures and rules regarding budgeting, purchasing, and travel/training and expense reporting. </li>
<li>Federal, state, local and laws, regulations and policies governing community colleges and educational institutions applicable to the work including provisions of the Brown Act and the Public Records Act. </li>
<li>Principles and practices of sound business communication. </li>
<li>Safety policies and safe work practices applicable to the work. </li>
</ul>
 Ability to: 
<ul>
<li>Represent the District and the Superintendent/President effectively with students, staff, educational and governmental officials, community groups, and business and professional organizations in a variety of forums within limits of authority. </li>
<li>Effectively communicate, listen, understand and be sensitive to issues and concerns. </li>
<li>Identify, address and assist in resolving problems and conflict among individuals and groups with diverse and varied opinions and concerns. </li>
<li>Research and collect accurate and relevant data from multiple sources. </li>
<li>Maintain security and confidentiality of records and information. </li>
<li>Work efficiently on several tasks simultaneously; prioritize and schedule work to meet schedules and deadlines. </li>
<li>Learn new software programs as required. </li>
<li>Interpret, apply and explain rules, regulations, policies and procedures. </li>
<li>Apply the Brown Act; accurately take and transcribe minutes of meetings. </li>
<li>Prepare clear and comprehensive reports, correspondence and budget estimates. </li>
<li>Operate a computer and use standard business software including BoardDocs. </li>
<li>Establish and maintain cooperative and effective working relationships with others. </li>
<li>Use tact and diplomacy in dealing with sensitive and complex issues, situations and concerned people. </li>
<li>Demonstrate an understanding of, sensitivity to and appreciation for, the academic, ethnic, socio-economic, disability and gender diversity of students and staff attending or working on a community college campus. Physical Effort/Work Environment 
<ul>
<li>Light to moderate physical effort in a primarily office working environment. </li>
<li>Moderate periods of sitting. </li>
<li>Occasional standing, walking, stooping, bending and kneeling. </li>
<li>Periodic handling and lifting of up to 20 pounds unassisted. </li>
<li>May be required to operate a vehicle or travel to locations other than primary worksite. </li>
</ul>
</li>
</ul>
 Work Schedule / Supplemental Information Work Schedule 40 hours per week/ 12 months per year Assigned Shift Monday - Friday, 8:00 AM - 5:00 PM Hours may vary, some weekend and evening hours are required. Management reserves the right to change schedules as needed Salary Range: $7,004 (Step A) - $8,964 (Step F) + GREAT BENEFITS PACKAGE How to Apply Visit <a href="http://www.mpc.edu/employment" target="_blank">www.mpc.edu/employment</a> and select "classified and other positions." Here you will find the announcement and the "apply" button in the upper right-hand corner. You will be asked to log-in or create a new user account. Complete all required fields of the application and: 
<ul>
<li>Attach a .pdf of your cover letter that describes why you are interested in the position and how your background applies to the major duties of the position, and please address each of the desirable qualifications listed in this job announcement (2 pages maximum). </li>
<li>Attach a .pdf of your resume </li>
</ul>
 Only items listed above will be reviewed by the screening committee. Human Resources does not accept additional materials such as: letters of reference, test scores from other institutions, certificates of courses/programs completed, letters of commendation from schools, or transcripts with your application. Such items, if included, will not be forwarded to the selection committee. If you are a finalist, HR will request any reference information that is required. Monterey Peninsula College reserves the right to close or continue the recruitment at any time. Conditions of Employment Offers of employment are contingent upon Governing Board's approval. Employment with Monterey Peninsula College is not complete or official until applicants meet all pre-employment requirements. All new employees are required to submit proof of freedom from tuberculosis and proof of eligibility to work in the United States. Employees must sign the Oath of Affirmation of Allegiance, and submit fingerprints. For additional information regarding the recruitment please contact Jennifer Baughn Human Resources Manager &amp; Title IX Officer <a href="https://apptrkr.com/get_redirect.php?id=6552424&amp;targetURL=mailto:jbaughn@mpc.edu" target="_blank">jbaughn@mpc.edu</a> 831-646-3038 To apply, visit <a href="https://apptrkr.com/6552424" target="_blank">https://www.schooljobs.com/careers/mpc/jobs/5063768/senior-executive-assistant</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-5c282e7ade0b5340ae2e0d2a294c95a5

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