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Accountable to:&nbsp;President
General Summary:&nbsp;&nbsp;Under the direction of the University President, the Vice President for Administration &amp; Finance serves as the Chief Financial Officer of the University.&nbsp;&nbsp;The VPAF administers the University budget as well as supervises the Business Office, Human Resources, Office of Financial Aid, Facilities, Security and Safety, and the Office of Information Technology. The VPAF is also responsible for the outsourced Bookstore, general contract administration, regulation administration, The University’s annual budget, fiscal policies, and other services as assigned.&nbsp;&nbsp;The VPAF works closely with various State of North Dakota governing and regulating agencies.
Primary Responsibilities:&nbsp;
Business Office&nbsp;- Responsible for the accurate accounting and budgeting of appropriated and non-appropriated funds to include payroll and student accounts. Human Resources&nbsp;- Responsible for talent acquisition, salary administration, employee training, and appropriate application of&nbsp;&nbsp;HR policies, procedures, and practices. May coordinate on the process of position creation and management. Student Financial Aid&nbsp;- Responsible for accurate accounting and disbursement of student financial aid; federal funds, scholarships, grants, waivers, and awards used by students for tuition, books, and fees. Facilities Management&nbsp;- Responsible for the maintenance and cleaning of all buildings and grounds of the University.&nbsp;&nbsp;Provides oversight for new construction and renovation of buildings. Campus Safety and Security&nbsp;- Provides security services 24/7, Clery Act reporting, and safety measures. &nbsp;Information Technology Center&nbsp;- Provides for the physical infrastructure, security and support of all campus network and communication lines, computers and related I.T. equipment on campus. Bookstore&nbsp;- Responsible for the oversight of bookstore operations (currently contracted with Barnes &amp; Noble) Coordination with North Dakota University System office&nbsp;- Responds to requests for information from the NDUS and SBHE, assists with presentations as necessary and serves as a member of the NDUS Administrative Affairs Council. Budget Administration&nbsp;- Coordinates the budget requests and development processes. Serves on the Strategic Planning and Budget Council.&nbsp;&nbsp;Serves on the Faculty Senate Salary and Budget Committee. Contract Administration&nbsp;- Executes most contracts and works with assigned attorney to ensure compliance with state laws. &nbsp;
Secondary Responsibilities:
Dining Services&nbsp;- Coordinates with the VPSA to manage the food services contract (currently contracted with Sodexo).&nbsp;&nbsp;Sets board rates in conjunction with food services personnel. Residence Life&nbsp;- Coordinates with the VPSA to maintain residence halls for safety, security, and student satisfaction.&nbsp;&nbsp;Accounts for charges and receipts regarding student residence fees.&nbsp;&nbsp;Sets room rates in connection with residence life personnel. Dakota College at Bottineau&nbsp;- Coordinates with DCB personnel to provide advice and assistance as necessary.
Performance Standards
Fulfills defined responsibilities for the position and sets strategic annual professional goals and objectives.&nbsp; Participates actively as a team member of President’s Staff and University Cabinet. Monitors the work performance of staff, clearly communicates expectations and responsibilities, conducts evaluations, and takes corrective actions as necessary. Provides professional development opportunities for staff, and orients staff to university practices, procedures, and policies. Ensures an inclusive and participatory working climate in which staff members are empowered and free to express themselves in a non-threatening environment, promoting civility, creativity, and professionalism. Follows established policies and practices. Responds to supervisory instructions and guidelines in a timely and responsible manner. Meets all expectations for university staff members’ professional conduct.&nbsp; Accountable for the following first-level reports:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;Associate VPAF/Controller &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Director, Bookstore &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Director, Facilities Management &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Director, Financial Aid &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Director, Human Resources &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Director, Campus Safety &amp; Security &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Co-Directors, Information Technology Center
Minimum Qualifications:
Baccalaureate degree in finance, administration, accounting, or a directly related discipline from a regionally accredited institution.&nbsp; Minimum of eight (8) years successful and progressive experience and background in leadership and administrative roles, with direct and administrative fiscal experience in a college or university setting Outstanding communication skills&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;
Preferred Qualifications:
1. Graduate degree in finance, administration, accounting, or a directly related field or CPA certification preferred
2.&nbsp;ND Veteran’s Preference applies
Other Significant Characteristics:
Be an individual with high integrity, principles, and work ethic. Endorse the principles of shared governance, inclusive and research-based decision making. Possess a philosophy that is aligned with the institutional mission and core values and possess the ability to work constructively and fairly with faculty, students, staff, and other stakeholders of the University.&nbsp; Possess a “can-do” attitude, approach problems and issues objectively, responsibly, while cooperatively exploring options and solutions.&nbsp; Possess the abilities to provide effective leadership and to facilitate effective long-term strategic planning guided by a clear vision. Provide responsible supervision and support of employees. Make high-quality judgments and decisions based upon institutional data and input. Have the ability to manage resources effectively, fairly, and positively. Be experienced interacting with auditors, government officials, and legislators.&nbsp; Be active professionally and aware of current developments in professional arenas, with the experience or interest in becoming an active participant in professional organizations. Be willing to be an active and visible participant in the life of the University and the greater community. Please Note -&nbsp;The reviewing of potential candidates will begin on August 13th, 2023
The above is intended to describe the general content of and requirements for the performance of this position.&nbsp;&nbsp;&nbsp;It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Additional Information Equal Opportunity and Non-Discrimination Statement:&nbsp;&nbsp;Minot State University (MSU) is committed to the principle of equal opportunity in education and employment. MSU does not discriminate on the basis of race, color, national origin, religion, sex, age, disability, sexual orientation, gender identity and expression, genetic information (GINA), marital or parental status, veteran’s status, citizenship status, public assistance status, participation in lawful off-campus activity, spousal relationship to current employee, or other protected status under federal, state, or local law. MSU complies with all federal and state non-discrimination, equal opportunity and affirmative action laws, orders and regulations, including complying with the Civil Rights Act, the Americans with Disabilities Act, the Rehabilitation Act of 1973, and Title IX of the Education Amendments of 1972. This policy applies to admissions, enrollment, scholarships, loan programs, participation in University activities, employment, and access to participation in, and treatment in all University programs and activities.
For more information, or for accommodations contact:&nbsp;<a href="mailto:hr@minotstateu.edu" target="_blank">hr@minotstateu.edu</a>. For Relay Services:&nbsp;<a href="http://www.relaynorthdakota.com/" target="_blank">Relay North Dakota</a>
ND Veteran's Preference:&nbsp;North Dakota Veterans claiming preference must submit all proof of eligibility by the closing date. Proof of eligibility includes a DD-214 or NGB 22 and if claiming disabled status, a current letter of disability from the VA dated within the last 12 months.
&nbsp;Confidentiality of Application Materials
Pursuant to NDCC 44-04-18.27, applications and any records related to the applications that identify an applicant are confidential, except records related to the finalists of the position, which are open to the public after the search committee has identified the top three finalists who will be invited to campus.

Vice President of Administration and Finance

TITLE: State Specialist for Disaster Education&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
DEPARTMENT: Community Resource Development (CRD)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
REPORTS TO: Assistant Extension Administrator
EFFECTIVE DATE: The position will remain open until filled
EMPLOYMENT STATUS: Full-Time&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp; &nbsp;
EMPLOYMENT CLASSIFICATION: Exempt

PRINCIPAL PURPOSE OF JOB: Disaster Educator plays a vital role in providing education and resources related to disaster preparedness, response, and recovery to the community. This position is responsible for developing and delivering educational programs and materials to increase community resilience and ensure individuals, families, and communities are better prepared to handle natural or man-made disasters. The specialist will work closely with county extension offices, emergency management agencies, and community organizations to coordinate and implement disaster education initiatives.
ESSENTIAL JOB FUNCTIONS:&nbsp;
<ul>
<li>Conduct needs assessments to identify community disaster preparedness gaps and priorities.</li>
<li>Design, develop, and deliver educational programs and workshops related to disaster preparedness, response, and recovery.</li>
<li>Utilize various teaching methods, including in-person training, webinars, workshops, and multimedia resources, to effectively communicate with diverse audiences.</li>
<li>Collaborate with other extension specialists and subject matter experts to incorporate relevant information and best practices into educational materials that extension staff may implement or utilize for programming.</li>
<li>Create and curate educational resources, fact sheets, guides, and instructional materials related to disaster preparedness and recovery.</li>
<li>Stay updated on emerging trends, technologies, and best practices in disaster education and incorporate them into resource development.</li>
<li>Ensure all educational materials and resources are accurate, evidence-based, and accessible to diverse audiences, including individuals with disabilities and non-English speakers.</li>
<li>Develop and implement evaluation tools and methodologies to measure the impact and effectiveness of disaster education programs.</li>
<li>Collect and analyze data to assess program outcomes and identify areas for improvement.</li>
<li>Prepare regular reports and documentation of program activities, including participation numbers, success stories, and recommendations for future enhancements.</li>
<li>Coordinate and work with extension staff, nutrition expertise, and other external personal to respond to emergency food allocation and distribution (utilizing mobile nutrition kitchen) to assist survivors</li>
<li>Partner with other disaster educators across the state to support disaster initiatives and programming</li>
</ul>
OTHER DUTIES:&nbsp;The position will conduct other duties as required.
QUALIFICATIONS: &nbsp; &nbsp;&nbsp;
<ul>
<li>A master’s degree in a relevant field such as emergency management, disaster management, education, or a related discipline.</li>
<li>Experience in disaster education, emergency management, or related fields is highly desirable.</li>
<li>Strong knowledge of disaster preparedness, response, and recovery strategies, including hazard mitigation, community resilience, and post-disaster rebuilding.</li>
<li>Excellent communication and presentation skills with the ability to effectively convey complex information to diverse audiences.</li>
<li>Experience in curriculum development, instructional design, and resource creation for educational programs.</li>
<li>Proficient in using technology and multimedia tools for developing educational materials and delivering presentations.</li>
<li>Ability to work independently, as well as collaborate and build partnerships with community stakeholders and organizations.</li>
<li>Strong organizational skills and the ability to manage multiple projects and priorities simultaneously.</li>
<li>Familiarity with extension programs and the Cooperative Extension System is a plus.</li>
</ul>
Licensing and Certifications: None
KNOWLEDGE, SKILLS, and ABILITIES:&nbsp;&nbsp;&nbsp; 
<ul>
<li>Strong interpersonal skills, creativity, technological skills, and attention to detail, are important qualities of a skilled program development facilitator.</li>
<li>Evidence of demonstrated experience in program planning, implementation, and evaluation.</li>
<li>Ability to interact and gain support from constituencies outside the university such as business and industry, state and federal agencies and non-profit and private foundations.</li>
<li>Ability to create, compose, and edit written materials.</li>
<li>Knowledge of supplies, equipment, and/or services ordering and inventory control.</li>
<li>Word processing and/or data entry skills.</li>
<li>Ability to maintain confidentiality of records and information.</li>
<li>Ability to communicate effectively, both orally and in writing.</li>
<li>Ability to maintain calendars and schedule appointments.</li>
<li>Organizing and coordinating skills</li>
<li>Ability to understand and follow specific instructions and procedures.</li>
<li>Ability to perform simple accounting procedures. Skill in the use of operating basic office equipment.</li>
</ul>
PHYSICAL REQUIREMENTS:&nbsp;
<ul>
<li>Work is normally performed in a typical interior/office work environment.</li>
<li>No or very limited physical effort required.</li>
<li>No or very limited exposure to physical risk.</li>
</ul>
The College of Agriculture, Community, and the Sciences strives for inclusive excellence and is interested in qualified candidates who can contribute to this effort through their research, teaching, and/or Extension programs.
KENTUCKY STATE UNIVERSITY is an Equal Opportunity Employer
The functions, qualifications, knowledge/skills, and physical requirements listed in this job description represent the essential duties of the job, which the incumbent must be able to perform either with or without reasonable accommodation. The Job Functions listed do not necessarily include all activities that the individual may perform.

State Specialist for Disaster Education

Walsh University&nbsp;is seeking a dynamic, energetic, and passionate individual who is enthusiastic about the environment found on a private, values based, Catholic liberal arts campus for the position of&nbsp;Dean of the School of Arts, Sciences and Education (SASE). This Dean will provide strategic leadership to achieve the University and SASE’s strategic goals. This role will enhance the School’s academic reputation, provide an outstanding student experience, and ensure an affirming environment for faculty and staff development. The SASE Dean reports directly to the Vice President for Academic Affairs (VPAA) and represents SASE in all academic and other pertinent matters. The primary role of the Dean is to serve as the leader of the School of Arts, Sciences and Education aligned with the Walsh University mission and strategic goals.
As a member of the VPAA leadership team providing university-wide leadership, the Dean of SASE works effectively within a shared governance model with other University leaders, including the other school Deans, faculty, staff, and members of the President’s cabinet. In addition, the SASE Dean will work closely with external partners to develop focused and long-lasting relationships that support the growth of the School and University goals and objectives.&nbsp; The Dean (SASE) is responsible for the human, fiscal, and strategic resources for the Divisions of Mathematics and Sciences, Education, Humanities, Communication, Media and Arts and the Honors and General Education Programs.
Essential Duties and Responsibilities
The Dean of the School of Arts, Sciences, and Education is responsible for the following:
<ul>
<li>Create a great work environment to foster community</li>
<li>Assure cross-enterprise coordination of efforts by modeling collaboration</li>
<li>Provide strategic and tactical oversight of all programs within the School of Arts, Sciences and Education</li>
<li>Lead strategic hiring to foster mission alignment, intellectual contribution to the SASE, and collegial engagement as a community leader</li>
<li>Participate in strategic fundraising efforts and relationship building with internal and external stakeholders</li>
<li>Engage robustly in institutional strategic planning and execution of such plans</li>
<li>Provide ongoing leadership, mentoring and coaching for SASE Division Chairs, Program Directors and Coordinators</li>
<li>Make decisions relative to application of university and program policies</li>
<li>Manage accreditation compliance, reporting and site visits strategically</li>
<li>Ensure professional behaviors and engagement by all SASE employees at all times</li>
<li>Manage annual faculty and staff performance reviews to ensure compliance with academic and code of ethics standards as outlined in the faculty and employee handbooks</li>
<li>Manage faculty performance portfolios as they occur to ensure compliance with academic and code of ethics standards as outlined in the faculty and employee handbooks</li>
<li>Coordinate efforts to engage faculty and staff to participate in admission events, opening day events, matriculation, commencement, enrichment week and other key university events designed to foster community and celebrate our students</li>
<li>Engage the local, regional and national community to advance the SASE through strategic partnerships, collaborations and projects</li>
<li>Execute fiscal decisions with institutional and SASE needs in mind</li>
<li>Prepare annual budget requests for the SASE and work collaboratively with the VPAA to craft final budget requests for the CFO</li>
<li>Work collaboratively with the VPAA and other Deans as needed to advance the mission of the university and manage challenges as they occur</li>
<li>Increase focus on and success with research</li>
</ul>
Knowledge, Skills, and Requirements
The Dean of the School of Arts, Sciences, and Education must understand and support the Mission, Vision and Code of Ethical Conduct of Walsh University, as a Catholic higher education university as expressed in Ex Corde Ecclesiae, and possess the following:
<ul>
<li>Terminal degree from an accredited institution in a represented discipline of SASE</li>
<li>Ten years of administrative experience in higher education at the level of a chair or above in a supervisory capacity. Must qualify for appointment at the rank of professor</li>
<li>Ongoing commitment to supporting excellence in teaching</li>
<li>Demonstrated effective leadership, collaboration, and communication skills</li>
<li>Proven ability to marshal internal and external resources and organize faculty and external constituencies for implementation of University’s mission and strategic plans</li>
<li>Accomplishments that demonstrate knowledge of current and emerging trends in higher education and humanities and sciences that support excellence for faculty, academic programs, and student success</li>
<li>Demonstrated experience leading at operational and strategic levels</li>
<li>Comprehensive knowledge of assessment in higher education</li>
<li>Practical knowledge of technology tools that are used in the functioning of higher education institutions</li>
<li>Excellent communication skills that enable the dean to articulate the vision, mission, and needs of the SASE to multiple internal and external constituencies</li>
<li>Strong organizational and interpersonal skills needed to manage a multi-unit, multi-disciplinary academic unit</li>
<li>Effective budget management skills to include allocation of funds based on strategic priorities, promotion of operational efficiencies, and development of thorough and accurate budget reporting</li>
<li>Ability to build consensus and collegiality among faculty and staff with disparate interests and sometimes competing demands</li>
<li>Ability to evaluate staff to promote ongoing professional development</li>
<li>Ability to manage multiple tasks and priorities simultaneously</li>
<li>Commitment to the Walsh University mission, core values, code of ethical conduct and adherence to Ex Corde Ecclesiae</li>
</ul>
The School of Arts, Sciences and Education has:
<ul>
<li>approximately 48 degree and licensure programs for undergraduate and graduate students</li>
<li>a team of 40 full-time faculty and 72 adjunct faculty</li>
<li>1558 undergraduate students</li>
<li>751 graduate students.</li>
</ul>
Walsh University is located in North Canton, Ohio.&nbsp; An independent, co-educational Catholic, liberal arts and sciences university, founded by the Brothers of Christian Instruction, the University is dedicated to educating its students to become leaders in service to others through a values-based education with an international perspective in the Judeo-Christian tradition. Walsh believes in the desirability of a small university that promotes academic excellence, a diverse community, and close student-teacher interactions. The University provides its students a higher education that fosters critical thinking, effective communication, spiritual growth, and personal, professional and cultural development. Walsh University encourages individuals to act in accordance with reason guided by the example and teachings of Jesus Christ.
Walsh University is being assisted by the partners of Hyatt-Fennell, Executive Search.&nbsp; Submit nominations and application materials to&nbsp;<a href="mailto:WalshDASE@hyatt-fennell.com" target="_blank">WalshDASE@hyatt-fennell.com</a>.&nbsp; Applications include a cover letter, a current résumé/cv, and contact information for three professional references, in separate documents.&nbsp;All applications and nominations will be considered highly confidential.
Walsh University is committed to principles of equal opportunity and is an equal opportunity employer.

Dean, School of Arts, Sciences and Education (SASE)

Executive Assistant CalOptima CalOptima Health is seeking a highly motivated Executive Assistant to join our team. The Executive Assistant will provide multi-faceted administrative support and assistance to the Chief and/or Executive Director (Executive). The incumbent will handle a wide range of administrative tasks to execute all position responsibilities and act as a key liaison between executives, CalOptima Health staff, community partners, external stakeholders and county or state agencies as appropriate. The incumbent will act with integrity and maintain strict confidentiality in all tasks. Position Information: 
<ul>
<li>Department: Operations Management </li>
<li>Salary Grade: 307 - $60,533 - $93,826 ($29.10 - $45.1087) </li>
<li>Work Arrangement: Full Office </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>60% - Executive Support
<ul>
<li>Coordinates the calendar for Executive(s) and other staff as determined, including scheduling appointments, meetings and speaking engagements. Must exercise discretion in committing time and evaluate needs when making meeting arrangements.</li>
<li>Determines priority of matters of attention for the Executive(s), redirects matters to staff to handle or handles matters directly, as appropriate.</li>
<li>Provides administrative support for specific and/or ongoing projects, applying general business practices, as well as CalOptima Health policies and procedures under the direction of the Executive(s) and/or EASM. May follow-up on the progress of projects and activities assigned to the Executive(s)' subordinates or to other staff.</li>
<li>Supports Executive(s) at meetings as designated or requested, including but not limited to, material preparation, meeting notes/minutes and managing presentations.</li>
<li>Coordinates travel arrangements and completes registration for conferences and seminars.</li>
<li>Acts on behalf of Executive(s) for administrative items such as timekeeping and providing required signature/s.</li>
<li>Maintains chronological files for Executive(s).</li>
<li>Processes all incoming invoices and expense reports for Executive(s) and other management staff, as appropriate. </li>
</ul>
</li>
<li>35% - Program/Department Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out departmental responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Maintains and ensures appropriate follow-up of confidential and sensitive information and files regarding management projects, policies and personnel.</li>
<li>Coordinates work with other administrative support staff or plays a key role in the coordination of staff efforts within the departments, as supervised by the EASM.</li>
<li>Answers telephone calls and greets visitors, answering a variety of questions with tact and diplomacy; triages telephone calls to appropriate staff for resolution.</li>
<li>Handles all incoming correspondence and maintains all outgoing correspondence per administrative policy.</li>
<li>Maintains an inventory of supplies, including monitoring needs, ordering for the departments and submitting requisitions.</li>
<li>Supports budget process and tracking as needed and directed by Executive(s).</li>
<li>Supports legal services as directed by the EASM.</li>
<li>Supports the Clerk of the Board with production of meeting materials, set-up/break-down at the Board Meetings and other duties, as needed. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
<li>Job duties are subject to change with the growth of departmental functions of executive staff. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High school diploma or equivalent PLUS 5 years of executive administrative support experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Proficient in Microsoft Office required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Bachelor's degree in business administration or related field.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 26 to 50 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6515303&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 8, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6515303" target="_blank">https://jobs.caloptima.org/jobs/executive-assistant-505-city-parkway-west-california-united-states-a474bc84-ce11-462b-aae3-08772aae2f0e</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-fe7f047d3eee4f43a78eb3e14bfb271a

Executive Assistant

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

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

Sr. Program Manager, Strategic Initiatives CalOptima Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Sr. Program Manager, Strategic Initiatives and help shape the future of healthcare where you'll be an integral part of our Strategic Development team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will play a vital role in the program design, development, implementation and overall support of strategic initiatives, pilots and programs related to the department's priorities. You will also be responsible for leading the coordination, implementation, execution and completion of tasks supporting new program development. In addition, you will lead the overall day-to-day activities, cross-functional projects and other assignments in the department related to strategic initiatives. Lastly, you will also track, develop and maintain reporting tools for executive leaders and the Board of Directors. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>85% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Manages program design and implementation for assigned strategic initiatives under the purview of the Strategic Development department.</li>
<li>Tracks and evaluates concurrent initiatives, including developing and maintaining reports, monitoring of outcomes, financial tracking and reconciliation and program performance reporting.</li>
<li>Develops initial workplan for assigned projects and assignments and manages the scope, schedule, budget and quality of the project.</li>
<li>Develops workflows, key performance indicator (KPI) dashboards, procedures and/or policies and recommends changes to ensure timely, efficient and effective outputs.</li>
<li>Develops specifications and/or scopes of work for request for proposal (RFP), request for quotes (RFQ) or request for inquiry (RFIs) to support new program development.</li>
<li>Tracks program spending and outcomes related to Intergovernmental Transfer-funded initiatives in partnership with initiative owners and Finance.</li>
<li>Plans and implements multiple and complex projects/programs spanning across business areas.</li>
<li>Ensures the strategic direction of projects/programs aligns with department goals and CalOptima Health's strategic priorities.</li>
<li>Provides subject matter expertise, guides and mentors CalOptima Health staff regarding standards, organizational understanding and relationship building to promote successful delivery of projects.</li>
<li>Makes moderate to significant improvements in processes, systems or products to enhance the performance of the job area.</li>
<li>Conducts analysis and assesses information from different sources focused on health care initiatives, new programs or focus areas as assigned.</li>
<li>Partners with CalOptima Health departments (Information Technology, Enterprise Analytics, Finance, Government Affairs, Operations Management, Provider Data Operations, etc.) and subject matter experts to review data sources, evaluate new health care initiatives, develop summary reports, formulate conclusions and recommendations for leadership consideration.</li>
<li>Creates detailed reports for internal departments, external stakeholders, state agencies and community-based organizations.</li>
<li>Supports strategic and business planning, including workgroup participation and presentations.</li>
</ul>
</li>
<li>10% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Assists management with vendor support and purchasing activities related to strategic programs and pilots for the department.</li>
<li>Drafts presentations, board reports and memos to support senior management.</li>
<li> Leads the day-to-day administrative activities specific to assigned strategic programs and initiatives and related projects. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in public health, business, health care administration or related field PLUS 4 years of experience in program and project management and implementation or related experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Experience at a health plan, health system, health provider, public agency, hospital setting or other health care related field required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in healthcare administration, health policy or related field. </li>
<li>2 years of experience and aptitude for working in a highly matrixed, mission-driven organization. </li>
<li>Client service or management consultant experience.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 313 - $90,820 - $145,312 ($43.66 - $69.8615). 
<ul>
<li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6581553&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 1, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6581553" target="_blank">https://jobs.caloptima.org/jobs/sr-program-manager-strategic-initiatives-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-54d0f0dcf79eeb4c99cfa94af7374d71

Sr. Program Manager, Strategic Initiatives

Director, Information Technology Clinical, (Utilization Management, Care Management, and Grievance &amp; Appeals) (Director IV) CalOptima Director, Information Technology - Clinical, (Utilization Management, Care Management, and Grievance &amp; Appeals) Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Director, Information Technology - Clinical, (Utilization Management, Care Management, and Grievance &amp; Appeals) (Director IV) and help shape the future of healthcare where you'll be an integral part of our IT - Applications Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>50% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Leads the development of IT strategy and technical roadmap and ensures its integration with overall IT and CalOptima Health strategies.</li>
<li>Works with the department's leadership team on the project portfolio and governance required to prioritize resources, including budget.</li>
<li>Acts as a trusted advisor and builds and maintains relationships with other internal and external IT and business leaders to develop a clear understanding of business needs. Ensures cost-effective delivery of IT services to meet those needs and can respond with the agility required to address changing business priorities.</li>
<li>Develops and adheres to the annual operating and capital budgets and expenditures for infrastructure to ensure consistency with the departmental and organizational strategic objectives and remain within budget. Manages labor forecasting in support of project cost accounting.</li>
<li>Champions innovative efforts in experimenting with new solutions to take advantage of business opportunities.</li>
<li>Stays abreast of leading-edge and innovative solutions to the recruitment, development and retention of the IT workforce. </li>
<li>Drives the adoption and commitment to continual service improvement. </li>
</ul>
</li>
</ul>
<ul>
<li>45% - Program Oversight
<ul>
<li>Provides strategic direction and oversight for the design, development, operation and support of systems that fulfill the needs of the business, including a deep understanding of the marketplace and technology's role in supporting the assigned systems.</li>
<li>Defines, develops, and manages a comprehensive and integrated architecture for assigned systems based on best-practice processes, disciplines and toolsets.</li>
<li>Operates within the established governance process to ensure that services can continue to be delivered in line with the agreed-upon business outcomes and timelines.</li>
<li>Delivers effective service management through the definition and adoption of a governance practice that uses key performance indicators (KPIs) and metrics to track and measure the quality of service. Continually monitors metrics and the integration of them with key accountabilities to ensure consistency of approach and continual service improvement.</li>
<li>Participates in the assessment of external and internal technology capabilities required to achieve desired competitive positioning.</li>
<li>Maintains knowledge of new technologies and platforms and provides direction on what emerging technologies should be assimilated, integrated, and introduced, ensuring that technology capabilities respond to and support the needs of the business.</li>
<li>Negotiates with vendor and supplier partners to enable cost-effective and innovative contracts and solutions to achieve business goals and ensure receipt of full support in line with service agreements.</li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in computer science, information systems or other related field PLUS 7 years of experience within information technology leadership required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>7 years of experience in an IT leader role at multiple health plans required. </li>
<li>7 years of experience influencing clinical business management and key stakeholders effectively across the organization required. </li>
<li>Experience with technology and business processes required to support Utilization Management, Care Management, EMR, and other clinical tools are required. </li>
<li>Experience in leading IT transformational initiatives in dynamic environments required. </li>
<li>Experience managing staff of 20+ required. </li>
<li>Experience managing large-scale consulting/contracting engagements required. </li>
<li>Experience managing operational and project budgets (including project cost accounting) required. </li>
<li>Experience with the technology implications of a delegated provider model required. </li>
<li>Experience leading the implementation of Utilization and Care Management vendor systems and an extensive knowledge of best-in-class integrations required and optimal reporting/analytics. </li>
<li>Comprehensive knowledge of the Utilization and Care Management technology vendor marketplace and the ability to compare and contrast vendors and benefits delivered. </li>
<li>Experience crafting business cases including meticulous cost estimates and quantifiable benefits.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Experience leading a team responsible for ZeOmega's Jiva (Utilization Management and Care Management). </li>
<li>Clinical credentials.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this particular role:
<ul>
<li>Pay Grade: 323 - $204,199 - $326,717 ($98.17 - $157.0756) </li>
</ul>
</li>
<li>This position is approved for Partial Telework. (If the position is listed as Telework, it is eligible within California)</li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6562103&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is September 25, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6562103" target="_blank">https://jobs.caloptima.org/jobs/director-information-technology-clinical-utilization-management-care-management-and-grievance-appeals-director-iv-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-86e01f9ab796ba4dbed8c542ae8adcbd

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

President

Provider Relations Rep CalOptima CalOptima Health is seeking a highly motivated Provider Relations Rep to join our team. The Provider Relations Rep will be responsible for assisting with provider relations and service interactions, including but not limited to developing and training external provider education programs, identifying gaps in network composition and services and assisting the network contracting staff in prioritizing contracting needs. The incumbent will ensure that all provider orientations, site visits, access and availability studies are completed within compliance and established time frames. The incumbent provides support with identifying and remediating operational shortfalls as well as researching and resolving claims. Position Information: 
<ul>
<li>Department: Provider Relations </li>
<li>Salary Grade: 306 - $58,205 - $90,217 ($27.98 - $43.3736) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Builds and maintains relationships with all network providers.</li>
<li>Performs outreach, monitoring and resolution of operational and/or contractual issues.</li>
<li>Identifies network gaps and performs recruitment to address community network needs.</li>
<li>Completes new provider orientation for all applicable product lines within the CalOptima Health community network.</li>
<li>Conducts site visits to service providers with training and education, resolves issues, educates and interprets staff/providers on policies and procedures, collects credentialing information and reviews Healthcare Effectiveness Data and Information Set (HEDIS) information.</li>
<li>Works with providers to ensure adherence to contract regulatory requirements and to communicate and meet the established CalOptima Health's strategic goals.</li>
<li>Represents CalOptima Health at community and health plan-sponsored events.</li>
<li>Creates and delivers presentations on various CalOptima Health topics to the provider community. </li>
</ul>
</li>
<li>5% Completes other projects or duties as assigned.</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, health care administration or related field PLUS 2 years of experience in a health care or managed care setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Valid driver's license and vehicle, an acceptable driving record and current auto insurance or other approved means of transportation, will be required for work away from the primary office 30% of the time or more.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>N/A</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6515281&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 9, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6515281" target="_blank">https://jobs.caloptima.org/jobs/provider-relations-rep-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-aa7d5db0ec4de34a8dc997c63eb73527

Provider Relations Rep

Sr Manager, Operation and Business Configuration (Sr Manager I) CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Operation and Business Configuration (Sr Manager I) to join our team. The Sr Manager I for Operation and Business Configuration will function as a primary point of contact for the claims analytical support unit which consists of data analytics, process improvement and claims clearinghouse vendor oversight. The incumbent will collaborate with leadership on the development and implementation of analytical tools to identify department trends and will manage dedicated resources for the day-to-day operations to carry out the strategic and tactical execution of CalOptima Health business operations, ensuring compliance with business rules and government regulations. Position Information: 
<ul>
<li>Department: Claims Administration </li>
<li>Salary Grade: 316 - $120,881 - $193,410 ($58.12 - $92.9856) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>40% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Hires, manages, trains, reviews and sets goals for the department and staff.</li>
<li>Provides an environment that engages staff to fully participate in the overall department functions and workload balancing strategies.</li>
<li>Develops and implements corrective action plans and trains staff as needed.</li>
<li>Establishes and manages teams to a set of standards and governance to improve performance and support effective development and outputs.</li>
<li>Provides management oversight and direction to Data Analysts Business team and serves as a liaison with internal and external entities such as Clearinghouse and health networks to ensure claims and authorization data load integrity.</li>
<li>Provides management oversight and direction to the Clearinghouse Data Analyst team for intake requirements, analysis, conducting clearinghouse user acceptance testing and identifies impacts to systems and processes.</li>
<li>Tracks and trends teams performances by way of dashboards, monitoring day-to-day activities of each claim operational areas, claims operational vendors and all clearinghouses.</li>
<li>Represents Claims department and participates in regulatory audit presentations and demonstrations and conducts follow up remediation action items from the audit as needed.</li>
<li>Works collaboratively with the Office of Compliance, Information Technology (IT), claims vendors and internal business teams on regulatory changes impacting claims adjudication and data integrity.</li>
<li>Manages all claims vendor contract or scope of work (SOW) renewals and takes the lead for any request for proposal projects.</li>
<li>Participates in CalOptima Health's enterprise projects impacting claims or operational payments and procedures/policies.</li>
<li>Conducts claims presentation to staff, senior level leadership and CalOptima Health network providers.</li>
<li>Maintains quality goals and production level within the department by collaborating with Claims department leadership teams and ensures that performance goals are consistently met and/or exceeded.</li>
<li>Anticipates future demands of initiatives, strategic plans and regulatory updates and design/implement solutions to meet these needs. </li>
</ul>
</li>
<li>35% - Program Oversight
<ul>
<li>Ensures compliance with applicable internal policies and procedures and external state and federal regulations for multiple product lines (Medi-Cal, Medicare, Commercial (Covered California) and Program of All-Inclusive Care for the Elderly (PACE). Ensures overall claims adjudication is in accordance with the California Department of Managed Health Care (DMHC), California Department of Health Care Services (DHCS) and Centers for Medicare &amp; Medicaid Services (CMS) health plan regulatory requirements and guidelines.</li>
<li>Intakes and reviews All Plan Letters (APL), CMS bulletins and regulatory guidance; oversees the development, timely and accurate implementation and publication/posting of claims-related regulatory requirements and reporting.</li>
<li>Serves as the primary point of contact to answer questions related to system configuration business rules, various claim adjudication issues and resolves complex claims or benefit adjudication issues for department staff as well as other internal customers; responsible for the identification and resolution of provider claim issues including support of provider education and customer service staff in communications back to providers.</li>
<li>Reviews and maintains department policies and procedures, recommends changes for more efficient operations, drafts new policies and procedures for director's review, communicates changes and updates to staff when appropriate.</li>
<li>Stays current with regulatory guidelines impacting essential functions and data requirements. </li>
</ul>
</li>
<li>20% - Technical Operations
<ul>
<li>Develops the claims data standards and deploys automation tools to obtain and process claims data from different sources. Constructs datasets to analyze, inform, identify trends and support stakeholder decision-making.</li>
<li>Identifies claims transaction inconsistencies, as well as implementation of controls and changes to systems and policies that support claims adjudication, thereby minimizing incorrect claims payment.</li>
<li>Manages activities/service requests with Facets configuration, IT and EDI teams to scope, prioritize, and implement requirement changes.</li>
<li>Manages and intakes all program implementation impacting Facets and systems supporting the Claims, Grievance and Appeals Resolution Services (GARS)/Provider Dispute Resolution (PDR) and Customer Service operations. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in health information management, business administration, health administration or related field PLUS 5 years of experience in information technology business experience implementing claims adjudication programs and projects in a health plan setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>5 years of management/leadership experience that manages claims operation from intake to output of the claims payment required. </li>
<li>5 years of experience utilizing Microsoft technologies required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>N/A</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6581261&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is July 22, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6581261" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-operation-and-business-configuration-sr-manager-i-505-city-parkway-west-california-united-states</a> Copyright 2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-db1ce4f6b297cc42b37b4c6342de152b

3,788 Educational Administrator Jobs