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Program/Policy Analyst Sr (Medi-Cal Compliance) CalOptima CalOptima Health is seeking a highly motivated Program/Policy Analyst Sr (Medi-Cal Compliance) to join our team. The Program/Policy Analyst Sr (Medi-Cal Compliance) will coordinate and maintain CalOptima Health's relationship with regulatory agencies and ensure CalOptima Health and its First Tier, Downstream and Related Entities (FDRs) comply with all appropriate standards, regulations, contractual provisions, federal waivers and laws. Specifically, the incumbent works to enhance and strengthen CalOptima Health's policy infrastructure, platform and strategies at the state level, including contract compliance, statutory and regulatory obligations with the Department of Health Care Services (DHCS). The incumbent requires the ability to complete a variety of independent detailed analyses, including the development, review and response to corrective action plans. The incumbent will be responsible implementing Corrective Action Plans (CAPs), supporting regulatory audits, validating regulatory guidance and developing regulatory communications for CalOptima Health stakeholders. The incumbent will interact with CalOptima Health's executives and department management, FDR's management, legal counsel and state and federal regulatory agencies. The incumbent will also support other key CalOptima Health staff on related projects. Position Information: 
<ul>
<li>Department: OOC - MediCal Regulatory Affairs &amp; Compliance </li>
<li>Salary Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>85% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Works with all of CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message.</li>
<li>Assists in the management of CalOptima Health's daily relationship with the DHCS for CalOptima Health's Medi-Cal program.</li>
<li>Maintains open lines of communication to ensure the ongoing trust and confidence of regulators in the program and management.</li>
<li>Researches, analyzes and makes recommendations regarding the policy implications of major initiatives for CalOptima Health's Medi-Cal program, e.g., integration of new benefits and populations.</li>
<li>Works with business areas at all levels of leadership to validate regulatory communications from regulators impacting CalOptima Health's Medi-Cal program.</li>
<li>Supports process improvements for the Office of Compliance department.</li>
<li>Serves as a Medi-Cal regulatory subject matter expert and lead for CalOptima Health's compliance issues and investigations.</li>
<li>Supports management in the readiness, coordination, oversight and remediation of regulatory audits, including but not limited to validating business area submissions, additional audit requests and written daily reports.</li>
<li>Researches and responds in a professional manner to questions pertaining to the Medi-Cal program.</li>
<li>Works with the director and manager with interactions and responses to regulatory representatives on compliance-related issues as needed.</li>
<li>Reviews and retains working knowledge of Medi-Cal policies and procedures related to assigned programs and projects.</li>
<li>Assists in the creation of communications and strategic alliances with regulators.</li>
<li>Researches and keeps current on the local, state and federal health care environment and health policy, identifying issues that may impact CalOptima Health's Medi-Cal program.</li>
<li>Coordinates the maintenance of public program benefit updates for accurate and consistent application by CalOptima Health and its provider community.</li>
<li>Participates and represents CalOptima Health in meetings and calls with regulators and associations and summarizes key points and impact to CalOptima Health's Medi-Cal program as needed. </li>
<li>10% - Administrative Support</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Initiates, facilitates and promotes activities to foster compliance awareness and encourages the reporting of compliance issues within the organization and related entities. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in health services administration, public health, public policy or a related field PLUS 4 years of experience in government, public or government affairs role in health care compliance or health plan requirements required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree. </li>
<li>Experience working with regulatory agencies in California. </li>
<li>Experience with Medi-Cal regulatory requirements and/or compliance in the areas of Customer Service, Grievance &amp; Appeals, Quality Improvement, Case Management, Claims Administration and/or Utilization Management. </li>
<li>Certification in Healthcare Compliance (CHC) or other compliance related certifications such as Certified Compliance and Ethics Professional.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>n/a</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6296744&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 25, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6296744" target="_blank">https://jobs.caloptima.org/jobs/program-policy-analyst-sr-medi-cal-compliance-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-c10c0223e159b943b7243c210753f920

Program/Policy Analyst Sr (Medi-Cal Compliance)

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

Chief of Staff

The St. Louis Jewish Community Center is committed to comprehensive, vibrant and high-quality programming to serve the St. Louis Jewish and surrounding community.&nbsp; With three dynamic campuses, including a resident camp, our programs are designed to engage, educate, and inspire individuals and families across all ages and backgrounds.
The Chief Program Officer (CPO) is a key member of the Executive Team and is responsible for the vision, development, implementation, and evaluation of several programs across the agency’s campuses. The CPO will supervise Program Directors for several of the agency’s core programming areas and lead the expansion of our reach into the broader community.&nbsp;&nbsp;&nbsp; This position will provide leadership and direction, and the CPO will sit on the agency’s Executive Team.
Position Summary 
The CPO leads the development, implementation and evaluation of core programs and services.&nbsp; The CPO is responsible for the successful outcome of their programs by ensuring that their staff execute their programs at a high level.&nbsp; The CPO will have accountability for developing programming strategy, program evaluation, ROI, and the development of programming staff.&nbsp; Program evaluation will be based upon quantitative and qualitative measures.&nbsp; The CPO will be accountable for the development of partnerships across the community with other Jewish professionals, lay leaders, and community leaders.&nbsp; The successful CPO will mentor and inspire future programming leadership.&nbsp; The CPO may also represent the Center and CEO and participate with board activities as appropriate.
The Chief Program Officer (CPO) is a key executive leader responsible for the strategic oversight and performance of The J’s core programmatic areas of: Early Childhood Education, Day Camp, Resident Camp (Camp Sabra, Sports and Aquatics
Essential Duties and Responsibilities:
<ul>
<li>Vision and Strategy: 
	Create and articulate a compelling programming vision that expands the agency’s reach within the St. Louis Jewish and broader community, including the development of innovative community programming and strategic partnerships with other agencies.</li>
<li>Program Development &amp; Improvement: 
	Develop and implement strategies to enhance program participation, financial outcomes, and overall impact. Identify and execute improvements to ensure effective and efficient use of organizational resources.</li>
<li>Organizational Planning: 
	In collaboration with the CEO and board members, participate in strategic planning and organizational development activities to include presentation of information related to resource management, internal capacity, timelines for implementation and organizational direction.</li>
<li>Leadership &amp; Supervision: 
	Supervise, mentor, inspire and hold Program Directors accountable for successful financial and program outcomes at the Staenberg Family Complex, Marilyn Fox Building, and Camp Sabra. Provide ongoing performance feedback and coaching.</li>
<li>Customer Service &amp; Experience: 
	Deliver and promote a culture of excellent customer service to internal and external stakeholders. Develop and monitor performance measures to evaluate service outcomes against goals.</li>
<li>Staff Development: 
	Support the professional growth of staff through performance evaluations, mentoring, and tailored development plans.</li>
<li>Program Evaluation: 
	Lead the development and implementation of evaluation tools to assess program alignment with mission, goals, and desired outcomes using both qualitative and quantitative measures.</li>
<li>Board &amp; Committee Engagement: 
	Coordinate effectively with lay leadership and board committees. Present program outcomes and insights to the Board of Directors and participate in key governance activities.</li>
<li>Reporting &amp; Communication: 
	Oversee the preparation of program participation and impact reports. Collaborate with the Marketing Director to ensure clear, effective communication to members, the Jewish community, and the broader St. Louis area.</li>
</ul>
Qualifications
Education &amp; Experience
<ul>
<li>Bachelor’s degree required; Master’s degree (MBA, MPA, MSW, or related) preferred. 10+ years of progressively responsible leadership experience in nonprofit, educational, community service, or for profit organizations. Proven track record of developing for profit or mission-driven programs.</li>
<li>Expertise with program design, project management and project implementation.&nbsp; Contract negotiation skills with demonstrated ability to effectively manage multiple processes, programs and projects.</li>
<li>Relevant computer skills, including proficiency in Microsoft Office Suite. Experience with Salesforce is a plus.</li>
<li>Proficiency in evaluation tools, performance metrics, and data-driven management.</li>
<li>Prefer experience in board and lay committee interface.</li>
</ul>
Skills &amp; Competencies
<ul>
<li>Strategic thinker with strong analytical, planning, and budgeting skills. Outstanding interpersonal, communication, and presentation abilities. Adept in program innovation, change management, and stakeholder engagement.</li>
<li>An ability to anticipate and solve practical problems or resolve issues.</li>
<li>Excellent communication skills – both written and oral – along with strong leadership, interpersonal, and supervisory abilities. Strong background in staff supervision, budget management, and program evaluation. Demonstrated success managing diverse program portfolios and large teams. Knowledge of Jewish culture, traditions, and community dynamics is highly desirable. Ability to multitask and prioritize appropriately.</li>
</ul>
Equal Opportunity Employer 
The J celebrates diversity and is committed to creating an inclusive environment for all employees and community members.

Chief Program Officer 

Supervisor Information Technology Services (Infrastructure) CalOptima CalOptima Health is seeking a highly motivated Supervisor Information Technology Services (Infrastructure) to join our team. The Supervisor Information Technology Services will assist the manager with overseeing technical assistance regarding hardware/software related requests through Information Technology Service Management (ITSM) elements such as incident management and request fulfillment. The incumbent will also assist with all requests for computer audits, disaster recovery planning and execution of such plans. The incumbent will assist management either directly or through the efforts provided by direct reports, which consist of assigned technical and operational personnel in the Information Technology (IT) group. The incumbent will provide oversight of assigned staff members in the day-to-day operations of the computer infrastructure and operations center units and will monitor and administer reviews for their staff. The incumbent will ensure that all policies and procedures of the organization and IT department are followed and executed in a professional manner. Position Information: 
<ul>
<li>Department: ITS- Infrastructure </li>
<li>Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) </li>
<li>Work Arrangement: Full Office **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Supervisory
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Responds to, updates and completes tickets generated by the Service Desk Ticket system and assigns them to other areas of the IT group accordingly.</li>
<li>Operates an efficient and trouble-free IT infrastructure environment in support of the company's day-to-day business operations.</li>
<li>Assists in recruitment, develops, mentors, supervises and appraises subordinates to provide an efficient and effective operation. Prepares and administers performance evaluations and recommends salary adjustments for staff when appropriate.</li>
<li>Supervises the daily activities of assigned staff to ensure timely and effective reporting, tracking, follow-up and communication of status to management and end-users. Develops and maintains subordinate team's work schedule to achieve optimal coverage and productivity. Performs daily time management and authorization for staff.</li>
<li>Ensures the physical safety of staff in the event of an emergency on premise and at remote sites.</li>
<li>Evaluates and recommends new technologies in desktop, mobility, server, network and storage technology to support business needs.</li>
<li>Collaborates with the team in creating new knowledge articles and updating and migrating existing knowledge articles to the ServiceNow Knowledge Base.</li>
<li>Monitors the Automatic Call Distribution (ACD) queue and ensure timely responses and resolutions within Service Level Agreements (SLAs) </li>
</ul>
</li>
<li>5% - Service Desk Support
<ul>
<li>Ensures that on-boarding tickets have been completed prior to the start date of a new hire, all equipment has been set up and tested and requested folder permissions granted.</li>
<li>Ensures that off-boarding tasks are completed timely, including the retrieval of assets and removal of credentials.</li>
<li>Advises and recommends improvements in organizational, operational, procedural and workflow plans.</li>
<li>Plays a key role in internal Outage processes, assigning tickets and promoting to Problems when necessary and assists in coordinating teams to troubleshoot to resolution.</li>
<li>Participates with on-call support for any production processing and/or infrastructure issues supported by the IT group.</li>
<li>Assists in managing the operation of a data center and its related infrastructure components, including coordinating the monitoring activities for data center server, storage and network communications.</li>
<li>Monitors communications on incident status to end-users and management and participates in more complex IT problem solving and advanced project work.</li>
<li>Aids in asset management and e-waste of IT infrastructure hardware.</li>
<li>Monitors and assigns tickets ensuring they are promptly distributed to the appropriate team members based on priority, complexity and skill set.</li>
<li>Provide and communicate daily and weekly ServiceNow metrics.</li>
<li>Assists with monthly server patching using Tanium. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, computer science or related field PLUS 3 years of senior level desktop, server, storage, network or telephony communications support experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>3 years of progressive experience in Microsoft Office 365, Windows PC systems, Active Directory, and/or Microsoft SharePoint Online required. </li>
<li>Experience deploying, troubleshooting and managing Windows 10/11 and macOS/iOS devices in a corporate environment required. </li>
</ul>
 Preferred Qualifications: 
<ul>
<li>ITSM/ Information Technology Infrastructure Library (ITIL) certifications related to the provisioning of services. </li>
<li>CompTIA Security+, CompTIA A+ or HDI Support Center Analyst (SCA) certification. </li>
<li>Microsoft Windows certification. </li>
<li>Apple Certified Support Professional (ACSP), Microsoft Office Specialist (MOS) or equivalent experience. </li>
<li>2 years of supervisory experience or entry level leadership role, scheduling, delegating tasks and assigning resources. </li>
<li>Experience using IT service management solutions. </li>
<li>Government and/or health care experience with general understanding of Protected Health Information (PHI) and Personally Identifiable Information (PII).</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6296758&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 25, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6296758" target="_blank">https://jobs.caloptima.org/jobs/supervisor-information-technology-services-infrastructure-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-acefa7cc4dc431458ce3f79fb4eba29e

Supervisor Information Technology Services (Infrastructure)

Buyer, Sr. CalOptima CalOptima Health is seeking a highly motivated Buyer Sr to join our team. The Buyer Sr will handle complex purchasing assignments such as formal bidding that involves technical specifications and complex evaluation processes. The incumbent will conduct vendor negotiations to obtain the best pricing and a high level of service quality for the organization, conduct contract administration activities to ensure compliance with contact law and CalOptima Health policies, provide subject matter expertise and guidance to team members. Position Information: 
<ul>
<li>Department: Procurement &amp; Vendor Management </li>
<li>Salary Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>85% - Program Support
<ul>
<li>Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Conducts formal and informal bid process by using tools such as Request for Proposal (RFP), Request for Quotation (RFQ), Request for Qualifications (RFQu) and Invitation for Bid (IFB).</li>
<li>Conducts post bid debriefing with unsuccessful bidders.</li>
<li>Negotiates contract pricing, terms and conditions with successful bidders.</li>
<li>Conducts bi-weekly contract review meetings with business owners.</li>
<li>Reviews invoices and vendor progress reports.</li>
<li>Coordinates vendor management activities and meetings in conjunction with business owner.</li>
<li>Prepares contract amendments, contract terminations and close-out activities.</li>
<li>Ensures timely renewals of contracts and amendments.</li>
<li>Assists business owners in determining appropriate contract types.</li>
<li>Reviews and processes purchase orders.</li>
<li>Enforces internal purchasing, contract administration, and travel policies and procedures.</li>
<li>Researches, interviews, and identifies best-in-class vendors.</li>
<li>Contacts vendors to perform follow-up on orders and expedite or delay orders as needed.</li>
<li>Provides training and support for internal users on purchasing systems.</li>
<li>Serves as a subject matter expert and provides guidance to other team members. </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 departments in development of purchasing specifications or scopes of work.</li>
<li>Develops and distributes department reports. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High School diploma or equivalent PLUS 5 years of purchasing 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>
</ul>
 Preferred Qualifications: 
<ul>
<li>Bachelor's degree in business administration or related field. </li>
<li>Professional certification from a national association (e.g., Institute for Supply Management (ISM) or National Institute of Governmental Purchasing (NIGP)). </li>
<li>Experience with Novatus, Ariett, BidSync or GP Dynamics. </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=6294589&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 25, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6294589" target="_blank">https://jobs.caloptima.org/jobs/buyer-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-d0b0bd873a15ab43ac36a6d43607460d

Buyer, Sr.

Benefits Coordinator Job no: 535468 Work type: Officer of Administration Location: Eugene, OR Categories: Administrative/Professional, Administrative/Office Support, Human Resources Department: Human Resources Appointment Type and Duration: Regular, Ongoing Salary: $25.00 - $29.00 per hour Compensation Band: OH-OA05-Fiscal Year 2024-2025 FTE: 1.0 Application Review Begins June 8, 2025; position open until filled Special Instructions to Applicants To ensure consideration, a complete application must include: 1. A current resume/CV. 2. Three (3) professional references with contact information. References will not be contacted until you are notified. Department Summary The mission of the Office of Human Resources is to strategically partner with the university community as a comprehensive, innovative, and results-oriented department modeled on the very best human resources practices. We deliver a variety of services and programs, which underscore a commitment to inclusiveness, respect, fairness, effective service delivery, and accountability. We strive to be proactive, consultative partners meeting the needs of employees and operations across the institution and to lead efforts to attract, retain, develop, and engage world-class faculty and staff. Working in UO Human Resources provides a unique opportunity to promote diversity, equity, and inclusion in our workforce. We strive to be champions for building and supporting a community that reflects a rich variety of racial and ethnic, socioeconomic, gender and sexual orientation, disability, cultural, and intersectional identities. We encourage applications from those whose experience has prepared them to contribute to our commitment to diversity and inclusion, from individuals who have been historically marginalized and currently underrepresented in higher education, individuals who may have taken time off for family reasons, or who have achieved excellence in non-traditional pathways outside of higher education. The HR Programs and Services unit manages the university's benefits, medical leaves, work-life, HR compliance, learning and development, and recognition programs for all employees. The unit provides HR support services to the campus community and is responsible for generating and distributing HR communications to all university employees. The unit develops and maintains HR programs in collaboration with campus stakeholders to support university leadership and institutional priorities. HR Programs &amp; Services is a unit within Human Resources in the Finance and Administration portfolio. Finance and Administration is a vibrant and varied portfolio serving all aspects of campus life. Our employees perform a wide range of functions including offering essential financial tools and support to the university's many departments, providing key resources to employees, and keeping the campus safe, clean, accessible, and beautiful. Position Summary The Benefits Coordinator is the subject matter expert on health and welfare benefits for the university. This position is the liaison to the Public Employees Benefits Board (PEBB) and other related agencies and is responsible for implementing the statewide programs through enrollment, status changes, and annual open enrollment. This position provides information to faculty, staff, dependents, retirees, and beneficiaries regarding UO benefits, including insurance plans, retirement plans, tax-deferred investment options, flexible spending accounts, and optional benefits (life, disability, accidental death, and long-term care). The Benefits Coordinator provides assistance and support to the medical leaves program as needed, and requires the ability to monitor, interpret, and apply applicable state and federal laws, rules, institutional policies, procedures, and program requirements as they relate to health and welfare benefits. The person in this position must support diversity and inclusion in every aspect and responsibility associated with the job. This position is based in Eugene with some level of flexibility including the option to work remotely with frequent commuting to campus. All adjusted work arrangements require supervisor and leadership approval. This position reports to the Associate Director of Benefits. Minimum Requirements 
<li> Two years' experience in benefits administration, human resources, or related field </li>
<li> Experience working with health insurance plans, flexible spending accounts, retirement plans, and/or tax-deferred investment programs Professional Competencies </li>
<li> Proficiency in using Microsoft Office software and databases </li>
<li> Familiarity with federal and state laws which affect benefit plan administration </li>
<li> Ability to accurately process large volumes of detailed information in a timely manner </li>
<li> Strong analytical and problem-solving skills </li>
<li> Flexibility to shift directions quickly when priorities change, recommend creative solutions to problems, and deliver against tight deadlines </li>
<li> Demonstrate commitment to the highest standards of work product, confidentiality, and integrity </li>
<li> Excellent communication skills, including written and presentation skills; ability to effectively communicate complex information to individuals from diverse backgrounds and cultures </li>
<li> Strong interpersonal, collaboration, customer service, and teamwork skills </li>
<li> Ability to navigate sensitive topics with customers in stressful situations Preferred Qualifications </li>
<li> Bachelor's degree </li>
<li> Working knowledge of Banner HRIS system </li>
<li> Experience working in higher education or in the public sector </li>
<li> Experience working with Collective Bargaining Agreements FLSA Exempt: No All offers of employment are contingent upon successful completion of a background check. The University of Oregon is proud to offer a robust benefits package to eligible employees, including health insurance, retirement plans, and paid time off. For more information about benefits, visit <a href="https://apptrkr.com/get_redirect.php?id=6273107&amp;targetURL=https://hr.uoregon.edu/about-benefits" target="_blank">https://hr.uoregon.edu/about-benefits</a>. The University of Oregon is an equal opportunity, affirmative action institution committed to cultural diversity and compliance with the ADA. The University encourages all qualified individuals to apply and does not discriminate on the basis of any protected status, including veteran and disability status. The University is committed to providing reasonable accommodations to applicants and employees with disabilities. To request an accommodation in connection with the application process, please contact us at <a href="https://apptrkr.com/get_redirect.php?id=6273107&amp;targetURL=mailto:uocareers@uoregon.edu" target="_blank">uocareers@uoregon.edu</a> or 541-346-5112. UO prohibits discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, pregnancy (including pregnancy-related conditions), age, physical or mental disability, genetic information (including family medical history), ancestry, familial status, citizenship, service in the uniformed services (as defined in federal and state law), veteran status, expunged juvenile record, and/or the use of leave protected by state or federal law in all programs, activities and employment practices as required by Title IX, other applicable laws, and policies. Retaliation is prohibited by UO policy. Questions may be referred to the Office of Investigations and Civil Rights Compliance. Contact information, related policies, and complaint procedures are listed <a href="https://apptrkr.com/get_redirect.php?id=6273107&amp;targetURL=https://investigations.uoregon.edu/reporting" target="_blank">here</a>. In compliance with federal law, the University of Oregon prepares an annual report on campus security and fire safety programs and services. The Annual Campus Security and Fire Safety Report is available online at <a href="https://apptrkr.com/get_redirect.php?id=6273107&amp;targetURL=https://clery.uoregon.edu/annual-campus-security-and-fire-safety-report" target="_blank">https://clery.uoregon.edu/annual-campus-security-and-fire-safety-report</a>. To apply, visit <a href="https://apptrkr.com/6273107" target="_blank">https://careers.uoregon.edu/en-us/job/535468/benefits-coordinator</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-e0b6e0fdd041bd49a604fc6b4fdc3dcc</li>

Benefits Coordinator

Director, Medicare Program Development (Director III) CalOptima CalOptima Health is seeking a highly motivated Director, Medicare Program Development (Director III) to join our team. The Director III (Medicare Program Development) will be responsible for leadership, plan management and operations of CalOptima Health's Medicare lines of business, including the Program of All Inclusive Care for the Elderly (PACE) health plan operations. The incumbent will provide direction to CalOptima Health's departments to ensure compliance with regulatory agencies such as the Centers for Medicare and Medicaid (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC). The incumbent will collaborate with the Operations Management, Clinical Operations, Regulatory Relations and Finance departments, including but not limited to Customer Service, Grievance and Appeals, Medical Management, Provider Network Operations, Strategic Development, Compliance and Regulatory Affairs and subcontracted providers and health networks. The Director III will interact with all levels of CalOptima Health's staff, members, providers, regulatory agencies, advisory committees and representatives of other agencies as needed. Position Information: 
<ul>
<li>Department: Operations Management </li>
<li>Salary Grade: 322 - $192,386 - $307,817 ($92.49 - $147.9891) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Hires, supervises, develops, counsels and reviews the performance of department staff.</li>
<li>Supports the development of reports and presentations to CalOptima Health's Board of Directors, as needed.</li>
<li>Utilizes matrix management, directs and coordinates staff throughout the organization in the implementation of strategic work plans, development and implementation of new benefits or other initiatives for health plan operations, including but not limited to CMS Five Star Program operational initiatives and improvement activities.</li>
<li>Ensures implementation of Medicare and PACE program changes to comply with CMS regulatory requirements and is responsible for communication with stakeholders to implement such changes.</li>
<li>Ensures timely filing and compliance with CMS reports and data submissions.</li>
<li>Reviews and recommends approval of OneCare program and PACE health plan operations policies and procedures by the Executive Director and executive leadership. </li>
</ul>
</li>
<li>45% - Program Oversight
<ul>
<li>Directs and leads all business operations associated with the Medicare lines of business operations and supports certain PACE health plan operations, including coordination with and oversight of delegated health networks, contracted providers and contracted vendors.</li>
<li>Directly leads Medicare Programs outreach and retention function including developing strategies designed to expand community outreach and retention of current OneCare members.</li>
<li>Reviews and monitors Medicare programs and PACE program financial performance, provides recommendations and develops action plans.</li>
<li>Develops and monitors strategies and tactics for business development, new member enrollment and member retention in Medicare and PACE programs.</li>
<li>Supports Medicare annual bid submissions, including project management, supplemental benefit development and coordination with external actuary firm(s) and internal departments to complete and submit bids on time for Medicare and PACE programs.</li>
<li>Oversees the development of strategic plans, work plans and other initiatives for the OneCare and PACE program health plan operations.</li>
<li>Collaborates with Finance and other departments to improve activities for Medicare Risk Adjustment Factor (RAF) improvement activities for applicable programs.</li>
<li>Collaborates with internal departments in the implementation and oversight of community and member outreach activities designed to maximize visibility of Medicare programs including OneCare and PACE.</li>
<li>Partners with staff from across the organization to research specific issues as necessary to develop and analyze solutions and make policy or programmatic recommendations to address operational issues.</li>
<li>Reviews reports for submission to CMS, CalOptima Health's Board of Directors, executive leadership and others, as needed.</li>
<li>Facilitates monthly operations meetings to review Medicare and PACE program medical, financial and administrative operations.</li>
<li>Communicates the plan's operational issues, ensures adherence to work plans, identifies problem areas and develops solutions to issues or problems.</li>
<li>Collaborates with Medicare Programs Sales and Marketing and Communications departments in the development of marketing and enrollment strategies and tactics for increasing Medicare and PACE program enrollment and retention. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration or related field PLUS 7 years of experience in a management position of a health insurance plan, Independent Physician Association (IPA), managed care organization or public agency serving Medicare and Medicaid (Medi-Cal) populations required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>7 years of progressive leadership experience, including direct supervision of staff required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree. </li>
<li>Medicare Advantage health plan operations, Medicare Advantage health maintenance organization (HMO) special needs plans (SNP), Medicaid or Medi-Cal and PACE program operations experience. </li>
<li>Project management experience.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6281703&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 20, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6281703" target="_blank">https://jobs.caloptima.org/jobs/director-medicare-program-development-director-iii-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-7afb9ea777e68d4fab491cabeb4bb238

Director, Medicare Program Development (Director III)

Financial Analyst Job No: 547946 Work Type: Staff Location: San Luis Obispo - Mustang Business Park Categories: Unit 9 - CSUEU - Technical Support Services, Finance/Accounting, Probationary, Full Time, Telecommute eligible (work onsite as scheduled and/or as requested and telecommute as scheduled) Job Summary Under the general supervision of the Fiscal Planning Manager, the Financial Analyst has primary responsibility for providing administrative and technical duties as it relates to the analysis, tracking and processing of budgetary transactions, maintaining the Cal Poly CSU Operating Fund Base Budget and the annual operating plan, coordination of department software project planning and monitoring, and providing a wide range of user support for campus constituents as it relates to policies, procedures and Budget and Fiscal Planning systems. Additionally, this position serves as backup support for position budget review and analysis. The team currently operates on a hybrid schedule: team members will work 3 days per week in the office and telecommute 2 days per week. Department Summary University Budget and Fiscal Planning's mission is to strategically partner with the campus community to ensure a successful financial future. We are committed to supporting the Cal Poly community, through providing financial information, training, direction, and oversight of the campus finances. While we are responsible for all aspects of the campus budget planning, development, administration, and reporting of funds appropriated for Cal Poly; we encourage strong partnerships with the campus community to help achieve our mission. Key Qualifications 
<ul>
<li>Working knowledge of and ability to apply standard theories, principles, practices, and techniques as it relates to fiscal management, accounting, budgeting and reporting.</li>
<li>Skill in the research, development and evaluation of policies and programs, including skill in the collection, evaluation, and interpretation of data to develop sound conclusions and make appropriate recommendations.</li>
<li>Ability to gather information from a wide variety of resources, analyze, summarize and present the information in a useful, understandable manner.</li>
<li>Ability to learn, interpret and apply a wide range of policies, procedures, principles, concepts, work processes, laws, rules and reference materials pertinent to Budget and Fiscal Planning.</li>
<li>Knowledge of basic methods and procedures for research and statistical analysis and the ability to apply them.</li>
<li>Demonstrated skill in fiscal analysis and budget administration.</li>
<li>Thorough knowledge of business system applications and software, including stand-alone systems and enterprise-scale technologies.</li>
</ul>
 Education and Experience Equivalent to graduation from a four-year college or university. Three years of technical or administrative experience. A graduate degree in a related field may be substituted for one year of the required experience. Additional qualifying experience may be substituted for the required education on a year-for-year basis. Salary and Benefits Anticipated Hiring Range: $75,000 - $85,000 Per Year Classification Range: $55,176 - $99,816 Per Year Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Anticipated Hiring Range referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Classification Range may be broader than what the University anticipates paying for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). Cal Poly offers a best-in-class benefits program, including health, dental and vision insurance, retirement participation in the Public Employees' Retirement System, and educational benefits for eligible employees. See our <a href="https://apptrkr.com/get_redirect.php?id=6283954&amp;targetURL=https://afd.calpoly.edu/hr/benefits/" target="_blank">benefits website</a> for additional information. Cal Poly Cal Poly is a nationally-ranked public university located in San Luis Obispo, California, and known for its Learn by Doing philosophy. Each year more than 20,000 top-tier students come to San Luis Obispo to put knowledge into action, taking their learning outside the classroom as they prepare for careers in engineering, agriculture, science, business, humanities and the built environment. Cal Poly's hands-on philosophy, small class sizes and close student-faculty mentorships result in graduates ready from day one to impact their communities, California and the world. For more information, visit <a href="https://apptrkr.com/get_redirect.php?id=6283954&amp;targetURL=http://www.calpoly.edu/" target="_blank">calpoly.edu</a>. Equal Opportunity and Excellence in Education and Employment This position is open and available to all regardless of race, sex, color, ethnicity or national origin. Consistent with California law and federal civil rights laws, Cal Poly provides equal opportunity in education and employment without unlawful discrimination or preferential treatment based on race, sex, color, ethnicity, or national origin. Our commitment to equal opportunity means ensuring that every student and employee has access to the resources and support they need to thrive and succeed in a university environment and in their communities. Cal Poly complies with Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act, the California Equity in Higher Education Act, California's Proposition 209 (Art. I, Section 31 of the California Constitution), other applicable state and federal anti-discrimination laws, and CSU's Nondiscrimination Policy. We prohibit discriminatory preferential treatment, segregation based on race or any other protected status, and all forms of discrimination, harassment, and retaliation in all university programs, policies, and practices. Cal Poly is a diverse community of individuals who represent many perspectives, beliefs and identities, committed to fostering an inclusive, respectful, and intellectually vibrant environment. We cultivate a culture of open dialogue, mutual respect, and belonging to support educational excellence and student success. Through academic programs, student organizations and activities, faculty initiatives, and community partnerships, we encourage meaningful engagement with diverse perspectives. As a higher education institution, we are dedicated to advancing knowledge and empowering individuals to reach their full potential by prioritizing inclusive curriculum development, faculty and staff training, student mentorship, and comprehensive support programs. At Cal Poly, excellence is built on merit, talent, diversity, accessibility, and equal opportunity for all. Supplemental Information Satisfactory completion of a background check (including a criminal records check) is required for employment. Cal Poly will make a conditional offer of employment, which may be rescinded if the background check reveals disqualifying information, and/or it is discovered that the candidate knowingly withheld or falsified information. Current employees who are offered positions on campus will be required to undergo a background check for any position where a background check is required by law or that Cal Poly has designated as sensitive. Failure to satisfactorily complete the background check may affect the continued employment of a current CSU employee who was conditionally offered the position. The person holding this position is considered a 'mandated reporter' under the California Child Abuse and Neglect Reporting Act and is required to comply with the requirements set forth in CSU Executive Order 1083 as a condition of employment. Cal Poly, San Luis Obispo is not a sponsoring agency for staff or management positions. Applicants for staff and management positions must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. Positions are posted for a minimum of 14 calendar days. To Apply: All applicants must apply online at: <a href="https://apptrkr.com/6283954" target="_blank">https://jobs.calpoly.edu/sl/en-us/job/547946/financial-analyst</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-f4be3f0382ca8f4cb983b8ead436a457

Financial Analyst

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

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