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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)

Financial Analyst IV (Decision Support) CalOptima CalOptima Health is seeking a highly motivated Financial Analyst IV (Decision Support) to join our team. The Financial Analyst IV (Decision Support) will be responsible for providing analysis, guidance and expert knowledge on health care finance for various departments within CalOptima Health. Working independently, the incumbent will lead large-scale analytical initiatives and develop report suites and financial models used to forecast medical cost trends. The incumbent will provide support for provider contract negotiations, assess actuarial rate development studies, participate in annual budgeting functions, provide ad-hoc analytic support as needed and act as a resource to staff and other consultants within the department. The incumbent will evaluate various complex issues, perform detailed analysis and communicate well reasoned solutions to all levels of management within CalOptima Health. The incumbent will work with large amounts of claims, enrollment and provider data. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Researches, assesses and develops advanced tools, models, reports and approaches to increase the accuracy and timeliness of data-driven work projects.</li>
<li>Develops medical expense, revenue and enrollment projections to support the budget process.</li>
<li>Develops financial models and reports to support provider contract negotiations.</li>
<li>Develops return on investment and business case analyses for program initiatives under consideration by management.</li>
<li>Provides clinical and utilization analysis to assist Medical Management with improving outcomes and quality of care for CalOptima Health members.</li>
<li>Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse.</li>
<li>Provides support and analyses around risk adjustment.</li>
<li>Mentors, trains and serves as a lead for analytical staff.</li>
<li>Designs, develops, implements and maintains report suites and dashboards for all levels of CalOptima Health management.</li>
<li>Serves as a subject matter expert around one or more of the following areas: Medi-Cal provider rate methodology, Medicare provider rate methodology, Department of Health Care Services (DHCS) revenue, Centers for Medicare &amp; Medicaid Services-Medicare Advantage (CMS-MA) revenue, population health member cohort identification, industry standard approaches to health care cost service categorization and metrics. </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, finance, economics, actuarial sciences or related field PLUS 6 years of experience working with health care finance reporting and analytics in a medical group, hospital or health plan setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>3 years of experience in Provider Contract Modeling required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience working with commercial, Medi-Cal and Medicare large payer data sets and related pricing information that is publicly available. </li>
<li>Experience developing annual organizational budgets, forecasts and financial modeling. </li>
<li>Experience using Tableau and/or Microsoft SQL Server.</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=6299502&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 26, 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/6299502" target="_blank">https://jobs.caloptima.org/jobs/financial-analyst-iv-decision-support-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-f3569a1ca984034796c2553e8b161065

Financial Analyst IV (Decision Support)

Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) CalOptima CalOptima Health is seeking a highly motivated Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) to join our team. The Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) will be responsible for assisting with all Hierarchical Condition Categories (HCC) projects and Medi-Cal Annual Wellness Visit Initiative Program. The incumbent will handle risk adjustment-related activities to ensure the Centers for Medicare &amp; Medicaid Services (CMS) and Department of Health Care Services (DHCS) coding and documentation guidelines are met. The incumbent will assist in improving risk score performance through collaboration with CalOptima Health's health networks, contracted providers and Program of All-Inclusive Care for the Elderly (PACE) providers. The incumbent will substantiate and verify the member's medical records using International Classification of Diseases (ICD)-10 Clinical Modification (CM) official guidelines for coding and reporting during the review process. The incumbent will verify the accuracy, completeness and appropriateness of diagnosis codes based on the medical documentation provided. As part of the medical records review, travel may be required to physician offices or physician medical groups throughout Orange County. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>80% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes based on documentation and creates tools/tip sheets for audit staff to utilize for future audits based on findings.</li>
<li>Conducts in depth retrospective and prospective medical record audits to assess the accuracy of ICD-10 CM coding for chronic conditions as it pertains to HCC for CalOptima Health Community Network (CHCN), PACE providers and delegated health networks.</li>
<li>Tracks all network HCC activities, including training, audit results and evaluating future outcomes, which includes monitoring performance improvement of network providers by observing patterns and trends and recommending solutions to the manager.</li>
<li>Reviews medical record information to identify all appropriate coding CMS HCC categories and DHCS coding and monitors the DHCS and CMS websites for updates.</li>
<li>Reviews additional data identified from audits to ensure timely data entry for CMS sweeps.</li>
<li>Identifies providers for education and training opportunities following ICD-10-CM coding guidelines based on HCC audit results and Medi-Cal Annual Wellness Visit Initiative Program and reports findings to the Manager.</li>
<li>Assists with CMS Risk Adjustment Data Validation (RADV) and Office of Inspector General (OIG) audits, including workflow or data collection requirements and creating and maintaining HCC audit results when applicable.</li>
<li>Performs code abstraction on supported clinical documentation identified as opportunities through Natural Language Processing (NLP) software. </li>
</ul>
</li>
<li>15% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Assists manager in evaluating existing reports for PACE members provided by CMS and collaborates with Financial Analysis to create any custom report required to assist with audits. </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 public health, business administration or related field PLUS 5 years of risk adjustment coding and chart audit/quality experience in a managed care or health care environment required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Have access to means of transportation for work away from the primary office approximately 20% of the time required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Registered Health Information Technician (RHIT) or Certified Risk Adjustment Coder (CRC). </li>
<li>Experience with conducting presentations and performing physician education.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>Current Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) by the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) required. Certification is required to be current and maintained during employment.</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=6299515&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 26, 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/6299515" target="_blank">https://jobs.caloptima.org/jobs/certified-coding-specialist-sr-hcc-medicare-and-medi-cal-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-d4deeaad9bc4a74cb61631e4900eb19a

Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal)

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.

Job Title: Controller Location: Tenino, WA (On-site) Salary Range: $120,000+ annually (Based on experience) Reports to:&nbsp;President
Company Overview: CV Resources is partnering with a well-established construction company located just south of Olympia, WA. Our client is a growing organization with multiple entities under its umbrella. They are seeking a talented and experienced Controller to join their team. This individual will play a key role in overseeing all accounting functions and ensuring the financial health of the company. If you have strong accounting expertise, leadership experience, and enjoy working in a dynamic and growing organization, this is an excellent opportunity for you.
Job Summary: The Controller will be responsible for overseeing and managing the company’s full-cycle accounting operations. This includes the preparation of accurate financial reports, maintaining accounting records, overseeing the month-end and year-end closing processes, and ensuring compliance with regulatory requirements. The Controller will work closely with the executive team to provide financial insights that help drive business strategy and growth. CMA certification is preferred for this position.
Key Responsibilities:
<ul>
<li>Oversee and manage the day-to-day accounting operations for the company and its multiple entities.</li>
<li>Ensure the accurate preparation of financial statements, including general ledger, balance sheets, income statements, and cash flow statements.</li>
<li>Lead the month-end and year-end closing processes, ensuring accurate and timely completion.</li>
<li>Manage accounts payable and receivable processes, including reconciliations and payment oversight.</li>
<li>Prepare and submit regulatory and tax filings in compliance with local, state, and federal regulations.</li>
<li>Develop and manage the company’s budgeting, forecasting, and financial reporting processes.</li>
<li>Provide in-depth financial analysis and insights to the executive team to drive informed business decisions.</li>
<li>Supervise accounting staff, providing guidance and leadership to ensure smooth and efficient operations.</li>
<li>Assist with audits, preparing necessary documentation, and coordinating with external auditors during year-end audits.</li>
<li>Ensure compliance with accounting standards, policies, and internal controls.</li>
<li>Monitor intercompany transactions and ensure proper allocation of resources across entities.</li>
<li>Collaborate with internal departments to streamline processes and enhance financial operations.</li>
<li>Assist with the implementation and maintenance of accounting software systems (Buildertrend, QuickBooks).</li>
</ul>
Qualifications:
<ul>
<li>Bachelor's degree in Accounting, Finance, or a related field (CMA preferred).</li>
<li>7+ years of accounting experience, with at least 3 years in a leadership or supervisory role.</li>
<li>Strong proficiency in accounting software, especially Buildertrend and QuickBooks.</li>
<li>In-depth understanding of full-cycle accounting, financial reporting, and regulatory compliance.</li>
<li>Experience in construction accounting, including job costing, work in progress, and billing.</li>
<li>Knowledge of GAAP (Generally Accepted Accounting Principles) and regulatory requirements.</li>
<li>Proven ability to lead and manage teams while working collaboratively with other departments.</li>
<li>Strong communication skills, with the ability to present financial data and insights to senior management.</li>
<li>Exceptional organizational skills and attention to detail, with the ability to manage multiple priorities.</li>
<li>Ability to work independently, with strong problem-solving and critical thinking skills.</li>
<li>Flexibility and adaptability in a fast-paced and growing company environment.</li>
</ul>
Why Join Us?
<ul>
<li>Competitive salary with performance-based incentives.</li>
<li>Opportunity to work with a growing, dynamic company in the construction industry.</li>
<li>Hands-on leadership role with the ability to influence company financial strategy.</li>
<li>A supportive work environment that encourages growth and development.</li>
</ul>

Controller

Job Position: Full Time Custodian
Location: Wyomissing School District
Pay Rate: $15.45/hr
Shift: M-F 6:00am-2:30pm
Job Description: As a first shift full time School Custodian, you will play a critical role in maintaining a clean, safe, and orderly environment for students, staff, and visitors. Working closely with the custodial team, you will be responsible for ensuring that all areas of the school facility are well-maintained and meet health and safety standards. Your attention to detail, reliability, and dedication to providing a welcoming environment will contribute to the overall success of the school community. State and Federal background checks required.
Key Responsibilities:
<ul>
<li>
Cleaning and Sanitizing: Perform routine cleaning tasks such as sweeping, mopping, vacuuming, and dusting to maintain cleanliness throughout the school building. Ensure that restrooms, classrooms, hallways, offices, and common areas are sanitized and stocked with necessary supplies.
</li>
<li>
Trash Removal: Collect and dispose of trash and recycling from designated areas, including classrooms, offices, and outdoor spaces. Ensure that waste management procedures are followed in accordance with school policies and regulations.
</li>
<li>
Floor Care: Operate floor care equipment such as floor buffers, scrubbers, and carpet cleaners to maintain the cleanliness and appearance of various types of flooring surfaces.
</li>
<li>
Maintenance Assistance: Assist with minor maintenance tasks such as changing light bulbs, repairing fixtures, and addressing facility repair needs as directed by the maintenance staff or facilities manager. Snow removal is a required part of the job.
</li>
<li>
Event Setup and Cleanup: Assist with setting up for school events, meetings, and activities as needed. Ensure that facilities are prepared and cleaned before and after events to meet the needs of staff and visitors.
</li>
<li>
Team Collaboration: Work collaboratively with other custodial staff members to coordinate tasks and prioritize work assignments. Communicate effectively with supervisors and colleagues to ensure efficient operations and a positive work environment.
</li>
<li>
Compliance: Adhere to school policies, procedures, and regulations related to custodial services, safety protocols, and equipment usage. Participate in training programs as required to maintain compliance with applicable standards.
</li>
</ul>
Qualifications/Requirements:
<ul>
<li>
High school diploma or equivalent preferred.
</li>
<li>
Prior experience in custodial or janitorial work preferred.
</li>
<li>
Knowledge of cleaning techniques, equipment operation, and safety procedures.
</li>
<li>
Ability to follow instructions, work independently, and prioritize tasks effectively.
</li>
<li>
Physical stamina and ability to lift, bend, and stand for extended periods.
</li>
<li>
Strong attention to detail and commitment to maintaining high standards of cleanliness.
</li>
<li>
Flexibility to work occasional weekends or overtime hours as needed.
</li>
<li>
State and federal backgrounds.
</li>
</ul>

Custodian Full Time

Job Position: Full Time Custodian
Location: Perkiomen Valley School District. Perkiomen Valley High School.
Pay Rate: $16.00/hr
Shift: M-FR 3:00pm - 11:30pm
Job Description: As a Second Shift School Custodian, you will play a critical role in maintaining a clean, safe, and orderly environment for students, staff, and visitors. Working closely with the custodial team, you will be responsible for ensuring that all areas of the school facility are well-maintained and meet health and safety standards. Your attention to detail, reliability, and dedication to providing a welcoming environment will contribute to the overall success of the school community. State and Federal background checks required.
Key Responsibilities:
<ul>
<li>
Cleaning and Sanitizing: Perform routine cleaning tasks such as sweeping, mopping, vacuuming, and dusting to maintain cleanliness throughout the school building. Ensure that restrooms, classrooms, hallways, offices, and common areas are sanitized and stocked with necessary supplies.
</li>
<li>
Trash Removal: Collect and dispose of trash and recycling from designated areas, including classrooms, offices, and outdoor spaces. Ensure that waste management procedures are followed in accordance with school policies and regulations.
</li>
<li>
Floor Care: Operate floor care equipment such as floor buffers, scrubbers, and carpet cleaners to maintain the cleanliness and appearance of various types of flooring surfaces.
</li>
<li>
Maintenance Assistance: Assist with minor maintenance tasks such as changing light bulbs, repairing fixtures, and addressing facility repair needs as directed by the maintenance staff or facilities manager.
</li>
<li>
Event Setup and Cleanup: Assist with setting up for school events, meetings, and activities as needed. Ensure that facilities are prepared and cleaned before and after events to meet the needs of staff and visitors.
</li>
<li>
Team Collaboration: Work collaboratively with other custodial staff members to coordinate tasks and prioritize work assignments. Communicate effectively with supervisors and colleagues to ensure efficient operations and a positive work environment.
</li>
<li>
Compliance: Adhere to school policies, procedures, and regulations related to custodial services, safety protocols, and equipment usage. Participate in training programs as required to maintain compliance with applicable standards.
</li>
</ul>
Qualifications/Requirements:
<ul>
<li>
High school diploma or equivalent preferred.
</li>
<li>
Prior experience in custodial or janitorial work preferred.
</li>
<li>
Knowledge of cleaning techniques, equipment operation, and safety procedures.
</li>
<li>
Ability to follow instructions, work independently, and prioritize tasks effectively.
</li>
<li>
Physical stamina and ability to lift, bend, and stand for extended periods.
</li>
<li>
Strong attention to detail and commitment to maintaining high standards of cleanliness.
</li>
<li>
Flexibility to work occasional weekends or overtime hours as needed.
</li>
<li>
State and federal backgrounds.
</li>
</ul>

Custodian

Starting Wage $19.75 with a wage increase every 6 months with a maximum of $25.75 at 48 months. I.General Summary: Under general supervision, oversees the shipping and receiving warehouse operations during the designated shift which includes shipping, receiving, inventory control, and product delivery to manufacturing plus daily job assignments. Directs Team Members in assigned manufacturing area in the execution of the group's responsibilities. Manages group (manufacturing line, cells, or area) as an operational unit and responsible to accomplish company goals and targets in accordance with all company policies, manufacturing standards and methods, and quality standards for safety, product quality, customer satisfaction, accuracy, productivity, cost reduction, housekeeping, efficiency, training, teamwork, and morale. II. Essential Job Functions: 
<li>Function as a first-line leader over team members.</li>
<li>Participate in a manufacturing system and team environment on safety, quality, productivity and cost improvement projects.</li>
<li>Follow, understand, and support assigned team members to follow all standard work procedures associated with each task and all company policies, as trained, according to the training plan.</li>
<li>Support assigned team members to meet production control requirements and complete all production control information sheets within required timeframe.</li>
<li>Develop and maintains positive team member relations centered on mutual trust, dignity, respect, fairness, consistency, two-way communication, teamwork, and harmony.</li>
<li>Provide direction and motivation to team members emphasizing safety, quality, efficiency, productivity, cost reduction, and morale.</li>
<li>Stop, call, &amp; wait for all abnormal conditions according to TBA protocol, and respond to assigned team members to support any Stop, call, wait from them.</li>
 B. Responsible for leading and maintaining the assigned area, accomplishing department hoshin goals, and keeping on task with targets and implementation schedule. 1. Utilize Toyota Production System (TPS) techniques to standardize current/new processes and methods, reduce process variation, identify waste, and methodically eliminate waste. 2. Direct the work of Team Members by assigning/re-assigning work and analyze production requirements based on current work situation and production schedules. 3. Direct floor activities through consistent application of Toyota Boshoku Business Practices (TBBP) to ensure all aspects of manufacturing are effective and correct sub-standard situations. 4. Perform the essential job functions of team members as necessary to maintain efficient, stable, and continuous operations. C. Utilize knowledge and skills to maintain the highest level of quality and efficiency possible. 1. Monitor the flow of parts, materials, productivity, and quality including kanbans and inventory levels; take corrective action as needed. 2. Ensure quality goals and standards are met and know how to use the quality feedback loops and systems and escalation procedures. Confirm that team members use the quality systems correctly. 3. Support investigations and containment activities. 4. Troubleshoot daily quality, safety, production, and production control issues. 5. Be proactive in predicting abnormalities and finding innovative solutions to correct. 6. Communicate concisely with GL on any issues. D. Lead continuous improvement activity for assigned area. 1. Participate in the setting of Key Performance Indicator (KPI) targets including safety, quality, operational availability, PEFF, scrap, etc. as a method of continuous improvement. 2. Initiate and support continuous improvement activities. 3. Initiate, coordinate, and participate in safety, quality, productivity, and cost improvement projects. 4. Support the implementation of team members' ideas and suggestions and management directed initiatives. 
<li>Maintain a safe working environment for all team members.</li>
<li>Maintain daily 5S, as a component of TPS, in the work area and with assigned equipment, and ensure assigned team members do the same.</li>
 2. Ensure compliance with safety regulations, Personal Protective Equipment (PPE) requirements, and company safety policies and procedures. 3. Lead, perform, and/or participate in ergonomic exercises, 5S housekeeping, accident investigation, and safety audits and related activities. 4. Maintain knowledge of procedures concerning Hazardous Waste, Spill Response, and Plant Security. 5. Monitor safety and health of team members to ensure their well-being. F. Train and coach team members to maintain productivity and quality standards, in TS19649, ISO 14001, environmental, safety, quality, job performance, setups, trouble shooting, and continuous improvement. 1. Understand and follow the TB Way philosophy, as trained according to the training plan, and adhere to the philosophy within a team-oriented environment, and train, communicate, and support assigned team members regarding the same. 
<li>Expected to be completely versed in his/her area and should be able to adequately instruct anyone to perform these duties.</li>
<li>Ensure overtime coverage, when required, is communicated timely and that team members understand their assignments. Assist GL to ensure overtime needs are covered and associated policy is consistently applied.</li>
<li>Work beyond the regular schedule, which could include daily and weekend overtime, as required to meet the Just-In-Time demands of the plant.</li>
<li>Other duties as assigned.</li>
 III.Minimum Qualifications/Requirements: Education: • High School Diploma or GED. Experience: • Minimum three (3) years of experience in manufacturing required. • Minimum one (1) year of production control or logistics experience required. • Previous leadership or supervisory experience preferred. • Automotive industry experience preferred. • Working knowledge and experience with TPS and Production Efficiency (PEFF) system preferred. Personal/Technical Skills: • Good communication skills. • Ability to obtain and maintain certification in Forklift/Material Handling operation and Hazardous Waste handling. • Must be able to work a fixed or rotating shift schedule, including daily or weekend overtime. • Basic math and analytical skills. • Ability to effectively facilitate problem solving and resolution. • Ability work with a dynamic team and demanding customer(s). • Ability to work in a fast-paced, multicultural work environment. • Ability to work with multiple departments and prioritize activities. • Ability to plan, supervise, and perform functions of assigned areas. • Ability to maintain on call flexibility to control abnormal conditions. • Ability to be flexible in a constantly changing production environment. • Ability to adapt available skills and equipment to respond to unforeseen demands and/or problems. • Ability to implement plans to control and maintain safety, quality, 5S, cost, and efficiency for assigned areas. • Strong organization, time management, and planning skills and ability to manage multiple tasks with tight deadlines. • Ability to teach team leaders and team members in basic fundamental skills and facilitate Job Instruction Training (JIT). • Strong attention to detail. • Ability to consistently show and maintain professionalism. • Highly motivated, ambitious self-starter. • Ability to communicate and work well with all levels of the organization, and with multiple departments. Language Skills: • Strong verbal and written communication skills in English. Computer/Software: a.Basic computer skills, including the use of Microsoft Excel (creating and completing charts/tables). b.Basic Microsoft Office skills preferred. IV.Work Environment/Conditions: Plant: Various types of manufacturing environments. • Standard automotive plant environment with high decibel noise levels, flashing lights, and alarms/notification systems. • PPE (Personal Protective Equipment) such as safety glasses, steel toe shoes, Kevlar sleeves, hearing protection, etc. may be required in designated engineering, manufacturing, or industrial areas. Personal attire standards may apply. • Involves moderate or occasional presence of some slightly disagreeable conditions, i.e., cold, dust, heat, odor, etc. Travel: Minimal V.Physical Demands: While performing the duties of this job, the team member is required to talk, hear, and see (with visual acuity). Performance requires mental alertness and sustained attention to needs of the department in terms of workflow, efficiency of operation, machine adjustment, and team member output. Performance requires physical ability to inspect, adjust, and operate equipment. The team member must be capable of walking, sitting, and standing for extended periods of time throughout plant. Occasionally climbing, stooping, or bending on, under, or near tooling and equipment. May be occasionally required to reach, grasp, and manipulate parts, materials, or equipment. May be occasionally required to lift up to 30-50 pounds (with or without assistance). Disclaimer: This job description is intended to identify the general nature and level of work performed by team members within this classification, as well as certain essential job functions. It is not intended, and should not be interpreted, as a comprehensive inventory of all duties, responsibilities, and qualifications required of team members assigned to this job. To qualify for this job, however, a team member must be able to perform its essential functions with or without reasonable accommodation. Under no circumstances may this job description be construed as altering the at-will nature of the employment relationship between TBA and any team member. EOE Toyota Boshoku America is an equal opportunity employer and considers applications for all positions without regard to race, sex, religion, color, national origin, pregnancy, genetic information or any other characteristic protected by applicable law. If you require a reasonable accommodation to apply for a posted position, please email us at .

Production Control Team Lead - Nights

Job Position: Custodian Substitute, as needed 
Location: Wyomissing School District
Pay Rate: $16.08/hr
Shift: M-F 2:30pm - 11:00pm
Job Description: As a 2nd shift substitute School Custodian, you will play a critical role in maintaining a clean, safe, and orderly environment for students, staff, and visitors. Working closely with the custodial team, you will be responsible for ensuring that all areas of the school facility are well-maintained and meet health and safety standards. Your attention to detail, reliability, and dedication to providing a welcoming environment will contribute to the overall success of the school community. State and Federal background checks required.
Key Responsibilities:
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Cleaning and Sanitizing: Perform routine cleaning tasks such as sweeping, mopping, vacuuming, and dusting to maintain cleanliness throughout the school building. Ensure that restrooms, classrooms, hallways, offices, and common areas are sanitized and stocked with necessary supplies.
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Trash Removal: Collect and dispose of trash and recycling from designated areas, including classrooms, offices, and outdoor spaces. Ensure that waste management procedures are followed in accordance with school policies and regulations.
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Floor Care: Operate floor care equipment such as floor buffers, scrubbers, and carpet cleaners to maintain the cleanliness and appearance of various types of flooring surfaces.
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Maintenance Assistance: Assist with minor maintenance tasks such as changing light bulbs, repairing fixtures, and addressing facility repair needs as directed by the maintenance staff or facilities manager.
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Event Setup and Cleanup: Assist with setting up for school events, meetings, and activities as needed. Ensure that facilities are prepared and cleaned before and after events to meet the needs of staff and visitors.
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Team Collaboration: Work collaboratively with other custodial staff members to coordinate tasks and prioritize work assignments. Communicate effectively with supervisors and colleagues to ensure efficient operations and a positive work environment.
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Compliance: Adhere to school policies, procedures, and regulations related to custodial services, safety protocols, and equipment usage. Participate in training programs as required to maintain compliance with applicable standards.
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</ul>
Qualifications/Requirements:
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High school diploma or equivalent preferred.
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Prior experience in custodial or janitorial work preferred.
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Knowledge of cleaning techniques, equipment operation, and safety procedures.
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Ability to follow instructions, work independently, and prioritize tasks effectively.
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Physical stamina and ability to lift, bend, and stand for extended periods.
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Strong attention to detail and commitment to maintaining high standards of cleanliness.
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Flexibility to work occasional weekends or overtime hours as needed.
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State and federal backgrounds.
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</ul>

Custodian Substitute

Job Position: Director of Billings and Collections
Location: Lehigh Carbon Community College
Pay Rate: $28.00/hr - $36.00/hr
Shift: First Shift, Full time, on-campus 
Director of Billing and Collections
Reports to the Controller, overseeing the Student Account team and daily billing/collections operations. Ensures best practices, sets goals, and manages processes.
Key Responsibilities:
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Supervise one direct and three indirect reports.
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Oversee student and non-credit billing, payment plans, and collections.
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Manage data reporting, compliance, and Business Office communications.
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Coordinate with Financial Aid, Registrar, and student service departments.
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Maintain financial sections of the college catalog and website.
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Support system optimizations and ERP functions.
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Lead year-end processes, audits, and special projects.
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Qualifications:
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Required: Associate’s degree in business-related field, 5+ years in accounting/accounts receivable, supervisory experience, Act 153 Clearances.
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Preferred: Master’s degree, community college experience, Ellucian Banner knowledge, bilingual.
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Salary &amp; Benefits:
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Non-negotiable salary within a set range.
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Comprehensive benefits from date of hire.
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</ul>
LCCC is an equal-opportunity employer and encourages diverse applicants.

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