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Pharmacy Services Specialist (Clinical Programs - Stars) CalOptima Join Us in this Amazing Opportunity 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 Pharmacy Services Specialist (Clinical Programs - Stars) and help shape the future of healthcare where you'll be an integral part of our Pharmacy 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. This position has been approved to be Full Telework. 
<ul>
<li> If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum. </li>
</ul>
 You will utilize specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima Health departments, health networks and other entities in assuring the efficient, timely and effective provision of pharmaceutical products and services to CalOptima Health members. You will interact with other department staff throughout the organization, as well as external contacts daily. You will be responsible for ongoing public contacts including, but are not limited to, members, individual pharmacies, member advocates, family members, health networks, Public Guardian's Office, Regional Center and other agencies. 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>Conducts outbound calls to members, pharmacies, and providers in an effort to improve Star measure performance for medication adherence and other Star programs as needed.</li>
<li>Using a pharmacy computer program, retrieves drug-specific technical data and information necessary for the completion of departmental and interdepartmental pharmacy-related functions and operations.</li>
<li>Assists with resolution of provider and member pharmacy issues requiring specialized technical and professional knowledge and expertise, including pharmacy authorizations.</li>
<li>Supports the department with claims disputes between providing pharmacies, the pharmacy claims administrator, CalOptima Health Claims Department and other entities as necessary.</li>
<li>Interprets and articulates Pharmacy Management program policies and procedures to pharmacy providers, other providers, other CalOptima Health staff, external agencies and others as required.</li>
<li>Assists in the processing of pharmaceutical prior authorization and appeals requests as per the CalOptima Health Prior Authorization Guidelines as needed.</li>
<li>Establishes and maintains key contacts both internally and externally to assure appropriate coordination and provision of pharmacy services to CalOptima Health Members.</li>
<li>Accepts referrals from Member Services and work in conjunction with employees from this department to resolve all pharmacy-related member complaints, including those related to the pharmacy authorization process.</li>
<li>Assists pharmacies and health plans in resolving member-specific pharmacy services access issues, removing barriers to access to pharmaceutical services.</li>
<li>Identifies pharmacy-related resources and recommend new procedures, processes or activities that help assure the efficient provision of pharmacy services to members. </li>
</ul>
</li>
<li>10% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Maintains documentation of the Stars adherence program and other Stars program outreach according to the internal guidelines. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>High School diploma or equivalent PLUS 1 year of experience as a pharmacy technician required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Associate degree in a health-related field. </li>
<li>Pharmacy Technician Certification Board (PTCB). </li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese). </li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>A current, valid, unrestricted California Pharmacy Technician license required.</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: 301 - $47,840 - $64,584 ($23.00 - $31.0500). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6827274&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 January 13, 2026 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/6827274" target="_blank">https://jobs.caloptima.org/jobs/pharmacy-services-specialist-clinical-programs-stars-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-a4c910d8a384f94e85311a8402a7ab2c

Pharmacy Services Specialist (Clinical Programs - Stars)

Personal Care Coordinator Sr (Bilingual in Vietnamese) CalOptima Join Us in this Amazing Opportunity 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 Personal Care Coordinator Sr (Bilingual in Vietnamese) and help shape the future of healthcare where you'll be an integral part of our Case 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. This position has been approved to be Full Telework. 
<ul>
<li> If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum. </li>
</ul>
 The Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. You will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. You will regularly assess the quality of service given to the member's care by identifying barriers and assisting in improving these barriers for all levels of care. You will maintain strong working relationships with the PCP and health care team to ensure member access to timely services and coordination of care. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<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>Maintains strong working relationships when collaborating with the PCP and health care team to ensure timely communication of member's clinical information and ensures appropriate documentation of all interventions. Also, notifies member's care team of key event triggers.</li>
<li>Collaborates with licensed professionals in development of a care plan for each member, incorporating the HNA or HRA all assessment findings. Facilitates communication of care plan to the PCP and member, as necessary.</li>
<li>Develops and implements a member's specific care plan which includes prioritized Specific, Measurable, Achievable, Relevant, and Time-Bound (SMART) goals.</li>
<li>Facilitates and participates in interdisciplinary team meetings as applicable.</li>
<li>Processes and maintains complex or sensitive documentation of member's case and care plan within CalOptima Health's medical management system.</li>
<li>Facilitates referrals to Behavioral Health Services and identifies the need for referrals to Long-Term Support Services and community resources.</li>
<li>Facilitates transfers to member's assigned case manager in accordance with member needs, when appropriate.</li>
<li>Anticipates longer-term and more unique member needs by providing guidance in understanding and accessing the benefits they are entitled to under Medicare and Medi-Cal, as appropriate.</li>
<li>Maintains compliance with established departmental productivity guidelines; compiles and conducts basic analyses and reporting of productivity metrics to management as required.</li>
<li>Coordinates and maintains cases in current case load in accordance with case management standards. Assists with collection of health risk or health needs assessments as well as gathers medical records as needed.</li>
<li>Provides regular outreach to assigned members and evaluates quality of service given to members according to department contact standards.</li>
<li>Serves as the main point of contact for assigned members to anticipate longer term member needs.</li>
<li>Works with Case Management staff to expedite the resolution of member concerns. </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>High School diploma or equivalent required PLUS 2 years of experience working with the needs of members, such as but not limited to pediatric members, seniors or persons with disabilities (SPD) and/or special populations (e.g., homeless or at risk of homelessness) in a customer/member service capacity required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Bilingual in English and Vietnamese.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Bachelor's degree in healthcare management, social work, human services or related field. </li>
<li>2 years of experience with health maintenance organization (HMO), Medi-Cal and health services. </li>
<li>Experience working with individuals with behavior health conditions or substance use disorders. </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: 304 - $53,813 - $80,720 ($25.87 - $38.8077). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6824141&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 January 4, 2026 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/6824141" target="_blank">https://jobs.caloptima.org/jobs/personal-care-coordinator-sr-bilingual-in-vietnamese-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-5892a69b81543e44b1cd60984a895f6c

Personal Care Coordinator Sr (Bilingual in Vietnamese)

Auditor, Provider Data CalOptima Join Us in this Amazing Opportunity 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 Auditor, Provider Data and help shape the future of healthcare where you'll be an integral part of our Provider Data Operations 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 position has been approved to be Full Telework. 
<ul>
<li> If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum. </li>
</ul>
 You will be responsible for conducting ongoing data quality auditing of CalOptima Health's provider network data, which includes working with internal departments and health networks to remediate data errors. You will perform within the Provider Data Operations department to ensure that regulatory and internal guidelines are being followed in conjunction with CalOptima Health's policies and procedures. You will provide analytical and administrative support specific to the Provider Data Operations department. You will be responsible for auditing CalOptima Health's provider data, which involves specialized background or knowledge regarding contract setup, provider data requirements, directories requirements and claims processing. You will often work independently and duties include research, analysis, documentation and reporting responsibilities. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>95% - Auditing Functions
<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>Assists with audits of the department's data entry activities into CalOptima Health's provider data management systems.</li>
<li>Compiles and summarizes data reports and writes audit results to internal committees and meetings with recommendations for improvement.</li>
<li>Works with health networks, providers and internal departments to obtain audit information and presents findings and recommendations as appropriate.</li>
<li>Audits processes and activities to ensure accuracy and compliance for programs, including the provider directories, onboarding and term processes, health network data for network certification and adequacy and the 274 file.</li>
<li>Works with vendors and leverages internal and external tools to audit and improve provider data accuracy and integrity.</li>
<li>Reviews and break downs regulatory requirements to identify data impact for audit process updates and implementation.</li>
<li>Assists with implementing and monitoring Corrective Action Plans for regulatory compliance and/or operational compliance.</li>
<li>Maintains a well-documented audit trail.</li>
<li>Maintains ongoing reporting formats for use in data auditing and conducts independent analysis of audit results.</li>
<li>Maintains ongoing knowledge of provider data requirements and set up within the organization's provider management systems.</li>
<li>Analyzes regulatory audit requirements, develops workplans and processes.</li>
<li>Conducts data integrity activities to support CalOptima Health's goal of maintaining a high rate of accuracy. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in healthcare administration or related field PLUS 2 years of experience working with provider data in a health care or managed care environment required, preferably in a related area of responsibility, such as utilization management, quality management or provider data management; 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 15% of the time required. </li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Experience with regulatory compliance and provider data management.</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: 309 - $68,015 - $108,824 ($32.70 - $52.3192). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6824129&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 January 6, 2026 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/6824129" target="_blank">https://jobs.caloptima.org/jobs/auditor-provider-data-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-19cd4c506144ba49be9d6189022c91c4

Auditor, Provider Data

Sr Manager, Covered California (Sr. Manager II) CalOptima Join Us in this Amazing Opportunity 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 Manager, Covered California (Sr. Manager II) and help shape the future of healthcare where you'll be an integral part of our Medical 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. This position has been approved to be Full Telework. 
<ul>
<li> If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum. </li>
</ul>
 The Senior Manager for Covered California will lead the development and implementation of medical and behavioral health clinical operations and medical management programs for new product lines, including commercial products. You will manage regulatory and programmatic aspects, ensuring compliance and effective execution. Also, you will collaborate with health network leadership, information technology (IT), finance, compliance, and senior leaders to define program objectives, structure governance, and coordinate cross-functional efforts. YOu will be responsible for overseeing regulatory filings, program submissions, and improvement initiatives across internal and delegated entities. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>50% - Program Policy and Operations Oversight
<ul>
<li>Oversees the implementation of new programs and priorities within medical management and clinical operations to achieve gained efficiencies and focus on improvements and support of direct member care.</li>
<li>Tracks marketplace requirements, regulatory changes that impact the program, and engagements with program staff and leadership to ensure ongoing compliance and engagement.</li>
<li>Collaborates with business owners, IT, clinical project management, and consultants to define implementation requirements. </li>
<li>Supports cross-functional departments in interpreting Covered California and Department of Managed Health Care (DMHC) requirements and problem-solving issues related to the line of business, including member and provider issues.</li>
<li>Partners with Enterprise Program Management Office (EPMO) project managers and leaders to ensure program implementation and workstreams remain on track and align to the scope of the implementation project.</li>
<li>Monitors program related processes for regulatory compliance, including but not limited to ensuring adherence to policies and procedures, oversight of delegated programs, and supporting audit activities.</li>
<li>Oversees program reporting in coordination with business owners and IT.</li>
<li>Supports audit readiness and compliance through ongoing collaboration with the Office of Compliance. </li>
</ul>
</li>
</ul>
<ul>
<li>45% - Leadership Responsibilities
<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>Manages and coaches teams through activities such as building strong relationships, documenting initiatives and discussions, identifying gaps/issues/solutions, standardizing tools/templates, implementing quality departmental initiatives and reporting to stakeholders and management team.</li>
<li>Manages and coordinates the day-to-day assignment of resources and shifts in work and priorities based on departmental needs. </li>
<li>Develops, establishes and updates department processes to maintain operational excellence.</li>
<li>Fosters ongoing relationships and mutually beneficial partnerships with internal CalOptima Health departments and external organizations.</li>
<li>Manages team communications to ensure consistent operations and enterprise-wide visibility.</li>
<li>Leads implementation of new clinical and medical management programs to improve efficiency and member care.</li>
<li>Identifies and implements process improvements to support successful program launches and organizational alignment. </li>
<li>Collaborates with leadership to align staffing strategies and performance metrics with industry benchmarks.</li>
<li>Builds and maintains partnerships with internal departments, delegated entities, and external organizations.</li>
<li>Ensures program compliance with regulatory and contractual requirements through collaboration with clinical leaders. - </li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other Completes other projects and duties as assigned. </li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in health administration, public health or related field PLUS 5 years of experience in managed care plan or other health care related field with at least 2 years of prior experience that must have been in government programs at a managed care plan, including Medicaid/Medi-Cal, Medicare, or Covered California required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>3 years of experience in a management/leadership role required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in social work, psychology or related field. </li>
<li>Experience interfacing with local, state or federal regulators. </li>
<li>Behavioral Health clinical operations knowledge and 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: 317 - $132,969 - $212,751 ($63.93 - $102.2841). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6824119&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 January 6, 2026 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/6824119" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-covered-california-sr-manager-ii-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-524132ecb955344ebe1b469059a52236

Sr Manager, Covered California (Sr. Manager II)

Position Summary
The Office of the General Counsel (OGC) currently consists of 16 attorneys working collaboratively to provide a full range of legal services to Columbia University. &nbsp;OGC is seeking an attorney to work primarily on employment related issues in connection with Columbia University Irving Medical Center (CUIMC).&nbsp; CUIMC is one of the nation’s largest academic medical centers, and includes the Vagelos College of Physicians and Surgeons, School of Dental Medicine, Mailman School of Public Health and School of Nursing. &nbsp;Experience in employment law is required. The ideal candidate would also have experience in a university or hospital setting or background in healthcare law. &nbsp;The Assistant/Associate title and salary will be commensurate with level of relevant experience.
&nbsp;
Responsibilities
<ul>
<li>Provide advice and counsel to the General Counsel and CUIMC clients on a wide range of faculty and other employee matters; Be responsible for employment related litigation and pre-litigation matters including: Support internal investigations and audits, Review and answer/direct subpoenas, and Participate in, oversee and provide guidance on mediation, arbitration, grievances and disciplinary actions, and collective bargaining;</li>
</ul>
Develop litigation strategy and oversee outside counsel in litigation matters; Respond to inquiries on regulatory matters and advise on and support compliance activities; Develop, draft and interpret University policies including those related to CUIMC’s faculty and staﬀ; Prepare documents and review/negotiate agreements; and Support all University related legal efforts as needed.
Minimum Qualifications &amp; Skills
Education:
A Juris Doctor degree from a nationally recognized law school with excellent academic credentials in law school and in undergraduate studies.
&nbsp;
Required:
<ul>
<li>Five plus years of practice experience at law ﬁrm, government agency and/or in-house experience in advising and counseling clients with employment matters (Assistant/Associate title will be commensurate with level of relevant experience); Higher Education, academic medical center, hospital and/or other in-house experience a plus; Knowledge of relevant federal, state and local employment law and familiarity in all areas of EEO and employment-related compliance regimes a plus;</li>
</ul>
<ul>
<li>Ability to analyze complex situations and react appropriately; Ability to exercise sound judgment after researching and interpreting relevant facts; Ability to prioritize and meet deadlines; Ability to supervise outside counsel in a cost-eﬀective manner; Ability to work with minimal supervision and to handle multiple high priority tasks simultaneously; Excellent drafting skills; Conﬁdence and judgment necessary to act pragmatically; High level of intellectual curiosity; Ability and desire to function collaboratively; Openness to growth and learning in a team environment, consistent with the goals and principles that guide the General Counsel’s Oﬃce; Strong interpersonal skills and the ability to communicate easily with colleagues and internal clients; and Must be admitted to the New York State Bar or admitted within one year of hire.</li>
</ul>

Associate General Counsel (CUIMC)

The State University of New York, Upstate Medical University’s Norton College of Medicine (SUNY Upstate) is seeking a Division Chief for Hematology/Oncology to oversee the growth and expansion of an already highly-respected division within the institution. This opportunity offers the advantage of joining the leadership team of the only academic center in the region and a rapidly growing cancer center.&nbsp; Upstate Cancer Center has experienced significant growth and sees more than 2,800 new cancer patients per year, resulting in more than 80,000 visits.&nbsp; 
&nbsp;
The Opportunity
The Chief, Division of Hematology/Oncology is the academic, clinical, and administrative leader of the Division of Hematology/Oncology at SUNY Upstate. With the support and dedication of the new Chair of Medicine (<a href="https://www.upstate.edu/news/articles/2023/2023-03-20-taub.php" target="_blank">Cynthia Taub, MD, MBA</a>), the Division Chief has the opportunity to build a nationally recognized program while leading and directing programmatic, clinical, research and educational development within the Division, and will liaise with other divisions, departments, and institutional leadership in the SUNY Upstate Cancer Center.
&nbsp;
The Ideal Candidate
The candidate should be an outstanding physician with a history of successful leadership experience, knowledge of the market forces impacting cancer healthcare delivery, and evidence of mentoring/training and scholarship.&nbsp;
&nbsp;
The Organization
The Division of Hematology/Oncology at SUNY Upstate is on an upward trajectory and home to a highly talented group of 16 faculty members, additional advanced practice providers, clinical research associates, and operates a 3-year hematology/oncology fellowship program (12 fellows). The Upstate Cancer Center is the leading cancer program in Central New York providing world-class multidisciplinary care for the nearly 1.8 million residents of Central New York integrated with robust research and educational programs.&nbsp; The Cancer Center operates out of a dedicated 150,000 square foot state-of-art facility adjacent to the main academic campus that supports comprehensive multidisciplinary cancer programs. Regional cancer care is provided in 8 satellite offices with a new multidisciplinary center opening in 2023. Clinical research is supported by dedicated Cancer Center administrative personnel and integrated with a strong core of basic and translational investigators. The Cancer Center is in the process of growing operations to support the needs of the community and its future pursuit of NCI designation. SUNY Upstate Medical University is one of three academic medical centers of the State University of New York, with an annual budget of more than $1.8B. Approximately 11,000 people work at SUNY Upstate, which is the largest employer in Central New York.
&nbsp;
The Region
Syracuse, New York is part of the Central New York Finger Lakes region, which is recognized as a culturally diverse community with excellent schools, affordable housing, numerous recreational and social activities, and beautiful seasonal weather.&nbsp;
&nbsp;
Nominations are greatly appreciated and may be sent to:
Bernard Godley, MD, PhD, MBA, Lead Physician Executive
Anne Neubauer, Vice President
c/o Charlotte Tinsley, Consultant
AMN Healthcare, Physician and Leadership Solutions - Executive Search
Email:&nbsp; <a href="mailto:Charlotte.Tinsley@AMNhealthcare.com" target="_blank">Charlotte.Tinsley@AMNhealthcare.com</a>
&nbsp;
~AMN Healthcare has been exclusively retained by SUNY Upstate to lead this important national search~
Upstate Medical University is an AA/ADA/EEO employer committed to excellence through diversity.&nbsp;
Applications from women and minorities are strongly encouraged.

Division Chief, Hematology and Oncology

JOB TITLE:&nbsp;Interim Executive Director, Bachelor of Science in Nursing (BSN) DEPARTMENT:&nbsp;Nursing Program REPORTS TO:&nbsp;Dean, Borra College of Health Sciences JOB STATUS:&nbsp;Full-time (at least 37.5 hours/week), eligible for full benefits LOCATION:&nbsp;Hybrid: 2-3 days remote *The successful candidate will be appointed interim for a minimum of six months.
PRIMARY PURPOSE/ POSITION SUMMARY:
Responsible for providing academic leadership by setting the standards of intellectual engagement and accomplishment for Dominican University BSN Program. Supports the strategic mission and vision to create and maintain an academic and scholarly environment that supports DU faculty and students.
EXPECTATIONS FOR ALL DOMINICAN EMPLOYEES:
To support the University's mission of preparing students to pursue truth, to give compassionate service, and to participate in the creation of a more just and humane world.
&nbsp;
JOB COMPONENTS/PRINCIPAL DUTIES AND RESPONSIBILITIES:
<ul>
<li>Provide leadership and expertise in program preparation for CCNE accreditation.</li>
<li>Plan short term, intermediate and long-term development and improvement of the BSN Program.</li>
<li>Institutes program operating practices and procedures in order to facilitate improvements in curriculum planning, implementation, evaluation, teaching effectiveness, and program reporting.</li>
<li>Provide leadership in the development, maintenance, implementation and revision of existing and new nursing and healthcare programs.</li>
<li>Prepare annual reports IDFPR and CCNE.</li>
<li>Serves as the formal liaison between the BSN Program, the community at large and healthcare agencies to secure quality clinical sites.</li>
<li>Promotes collegiate initiatives between colleges/universities and articulates the program’s contributions in local, state, regional, national and international arenas of nursing and healthcare.</li>
<li>Participates in securing grant/scholarship funds to support program expansion and improvement.</li>
<li>Develop programmatic effectiveness with nursing faculty and staff that includes the integration of technology, including simulation and informatics.</li>
<li>Responsible for recruiting and hiring full-time and adjunct faculty and staff.</li>
<li>Performs other duties as requested, delegated or assigned.</li>
</ul>
&nbsp;
MINIMUM QUALIFICATIONS:
&nbsp;All qualifications are required unless otherwise indicated.
<ul>
<li>Doctorate in nursing</li>
<li>Must have licensure or be eligible for licensure as a registered nurse in the state of Illinois</li>
<li>Significant experience in nursing education and practice</li>
<li>Minimum of five years of full-time faculty experience and three years of full-time experience in a nursing program with teaching responsibilities</li>
<li>Previous experience with the CCNE accreditation process for nursing programs</li>
<li>Excellent administrative and interpersonal skills</li>
</ul>
&nbsp;
PREFERRED QUALIFICATIONS:
Knowledge, Skill and Abilities:
<ul>
<li>Previous experience in education leadership such as Program Director, Associate Program Director, Academic Director, Clinical Director or another director-level role</li>
<li>Demonstrated leadership in the nursing field; Record of excellence in teaching, scholarship, service and fostering empirical research.</li>
<li>Have a vision and the interpersonal skills to build partnerships within and outside the nursing program, and state and regional partners and stakeholders.</li>
</ul>
Application:&nbsp;
Apply online at <a href="http://www.dom.edu/jobs" target="_blank">www.dom.edu/jobs</a>.&nbsp;&nbsp;Applicants will be&nbsp;asked to submit a cover letter,&nbsp;CV,&nbsp;and a list of 3 references.&nbsp;A personal&nbsp;statement will also be required to demonstrate the applicant’s commitment&nbsp;to inclusive&nbsp;and engaged leadership and&nbsp;teaching&nbsp;and&nbsp;how they plan to contribute to the diversity and inclusion on our campus and within the program.&nbsp;
A background screening is required.
EEO Statement
Dominican University is proud to be an equal opportunity employer and is dedicated to the goal of building an equity-centered faculty and staff committed to teaching, working, and learning in a multicultural environment. Dominican University believes that justice, equity, and inclusion are critical to our growth and development and seek to recruit, develop, and retain from a diverse pool of applicants who bring varied experiences, perspectives, and backgrounds.
If you need accommodations due to a disability, you may contact us at&nbsp;<a href="mailto:hr@dom.edu" target="_blank">hr@dom.edu</a>&nbsp;for assistance.

Interim Executive Director, Bachelor of Science in Nursing (BSN)

The University of Wisconsin (UW) Primary Care Research Fellowship is recruiting fellows to join the Fall 2023 cohort. This post-doctoral research fellowship is administratively housed within the UW Dept. of Family Medicine and Community Health and led by faculty from this department as well as from General Internal Medicine and General Pediatrics and Adolescent Medicine. The fellowship has been continuously funded by the Health Resources and Service Administration as a T32 for over 30 years, and typically supports 2 years of research career training.&nbsp;&nbsp;
A principal objective of the Primary Care Research Fellowship is to train primary care physicians and PhD scientists interested in careers in medical research related to the organization, delivery, or effectiveness of primary health care and preventive medicine.&nbsp;
Research project completion, published papers, and grant proposals are the main goals for fellows. The fellowship is open to physicians or PhD-level health professionals aiming for research-centered careers who could benefit from 2 years of protected time, intensive mentorship, and research support. Areas of scholarly focus should be related to primary care but are otherwise not restricted. We encourage fellows to aim for NIH funding, and our trainees have received K-grants, R-grants, or other prestigious awards.&nbsp;
The Department of Family Medicine and Community Health and the School of Medicine and Public Health has a deep and profound commitment to diversity both as an end in itself but, also as a valuable means for eliminating health disparities. As such, we strongly encourage applications from candidates who foster and promote the values of diversity and inclusion.&nbsp;
Qualifications:&nbsp;
Successful candidates must have a medical (MD, DO), doctoral (PhD), or other terminal degree at the start of their appointment.&nbsp;
Please apply on our website:&nbsp;<a href="https://www.fammed.wisc.edu/fellowships/primary-care-research/" target="_blank">https://www.fammed.wisc.edu/fellowships/primary-care-research/</a>&nbsp;

Primary Care Research Fellowship

JOB TITLE: &nbsp;Interim Program Director, Physician Assistant Studies
DEPARTMENT:&nbsp;&nbsp;Physician Assistant Studies
REPORTS TO:&nbsp;&nbsp;&nbsp;Dean, Borra College of Health Sciences
JOB STATUS:&nbsp;Full-time (at least 37.5 hours/week), eligible for full benefits
LOCATION:&nbsp;Hybrid: 2-3 days remote
*The successful candidate will be appointed interim for a minimum of six months.&nbsp;
&nbsp;
Dominican University (DU) invites applications and nominations for the role of Interim Program Director of the Physician Assistant Studies (PAS) Program in the Borra College of Health Sciences. The Interim Program Director will provide leadership, administrative oversight and oversee all aspects of the PAS program including organization, administration, fiscal management, ongoing review and assessment, program planning and development and continuing accreditation with ARC-PA. The successful candidate will also be responsible for the routine operations of the program including curriculum oversight, scheduling and faculty workload, faculty evaluation, student recruitment and support, and the identification and development of clinical affiliation agreements, working in collaboration with the PAS Director of Clinical Education.&nbsp; The Program Director, reporting to the Dean of the Borra College of Health Sciences, leads the members of the PAS Department which includes the Director of Clinical Education, the Medical Director, and program faculty and staff.&nbsp; There is also an expectation to work with colleagues across the college, university leadership, the program’s Advisory Board and healthcare partners to innovate and promote the program. &nbsp;
&nbsp;
EXPECTATIONS FOR ALL DOMINICAN EMPLOYEES:
Support the University's mission of preparing students to pursue truth, to give compassionate service, and to participate in the creation of a more just and humane world.
&nbsp;
JOB COMPONENTS/PRINCIPAL DUTIES AND RESPONSIBILITIES:
<ul>
<li>Lead with excellent management and communication skills to articulate and carry out the vision of the program</li>
<li>Provide oversight of program curriculum and policy development and implementation including regular review of student policies in the PAS Student Handbook</li>
<li>Continuously evaluate, analyze and improve the program to ensure ongoing successful accreditation in program’s self-evaluation process and on-going program quality standards</li>
<li>Faculty/staff recruitment, hiring, mentoring, evaluation and development</li>
<li>Manage program budget and provide fiscal management</li>
<li>Provide oversight of the admissions process, student recruitment and orientation</li>
<li>Encourage student excellence in both didactic and clinical years that fosters a positive student experience in the program</li>
<li>Recruit and support a diverse group of students and learners</li>
<li>Work with program faculty, Medical Director to promote and enhance student retention and pathways for remediation</li>
<li>Provide direction for program strategic planning and development, with an attention to the analysis of comprehensive program data</li>
<li>Work with the program directors/chairs and the Director of Simulation Education Center in the Borra College of Health Sciences to develop and implement collaborative interprofessional experiences in the college</li>
<li>Supervision of the medical director, principal and instructional faculty, and staff in activities that directly relate to the PA program including regular review of PAS committee duties and actions</li>
<li>Create and maintain effective relationships with outside stakeholders, particularly for the development and maintenance of clinical affiliations</li>
<li>Foster future growth and expansion of program</li>
<li>Perform other duties as requested, delegated or assigned</li>
</ul>
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QUALIFICATIONS:
Minimum Qualifications
<ul>
<li>A graduate of an accredited physician assistant program with a current NCCPA certification and eligibility for licensure in Illinois</li>
<li>At least seven years of clinical experience as a practicing PA with a thorough understanding of the physician assistant role and practice</li>
<li>Minimum of five years of full-time faculty experience and three years of full-time experience in a PAS program with teaching responsibilities at the graduate level</li>
<li>Previous experience with the ARC-PA accreditation process for physician assistant programs</li>
</ul>
Preferred Qualifications
<ul>
<li>Previous experience in education leadership such as Program Director, Associate Program Director, Academic Director, Clinical Director or another director-level role</li>
<li>Demonstrated leadership in the PAS field; Record of excellence in teaching, scholarship, service and fostering empirical research.</li>
<li>Have a vision and the interpersonal skills to build partnerships within and outside the PAS program, and state and regional partners and stakeholders.</li>
</ul>
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Application:&nbsp;
Apply online at <a href="http://www.dom.edu/jobs" target="_blank">www.dom.edu/jobs</a>.&nbsp;&nbsp;Applicants will be&nbsp;asked to submit a cover letter,&nbsp;CV,&nbsp;and a list of 3 references.&nbsp;A personal&nbsp;statement will also be required to demonstrate the applicant’s commitment&nbsp;to inclusive&nbsp;and engaged leadership and&nbsp;teaching&nbsp;and&nbsp;how they plan to contribute to the diversity and inclusion on our campus and within the program.&nbsp;
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A background screening is required.
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Applicants who progress in the search process will be asked to provide letters of recommendation and official transcripts. &nbsp;
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EEO Statement
Dominican University is proud to be an equal opportunity employer and is dedicated to the goal of building an equity-centered faculty and staff committed to teaching, working, and learning in a multicultural environment. Dominican University believes that justice, equity, and inclusion are critical to our growth and development and seek to recruit, develop, and retain from a diverse pool of applicants who bring varied experiences, perspectives, and backgrounds.
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If you need accommodations due to a disability, you may contact us at&nbsp;<a href="mailto:hr@dom.edu" target="_blank">hr@dom.edu</a>&nbsp;for assistance.
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Interim Program Director, Physician Assistant Studies

The Chief of Endocrinology will provide strategic leadership and direction for all aspects of the&nbsp;Division. The Division Chief will be responsible for all planning, policy, operations, and&nbsp;oversight of academic, research, and clinical programs of the Division. The Chief of Endocrinology&nbsp;will have financial authority over the division&nbsp; budget, including extramural research and&nbsp;philanthropic funding received and other financial matters for the division, in accordance with&nbsp;applicable University policies and practices. The Chief of Endocrinology will have discretion in&nbsp;the recruitment and retention of division faculty who will have a direct reporting line. Qualified&nbsp;candidates must possess a Doctor of Medicine (MD), Doctor of Osteopathic (DO) or equivalent degree&nbsp;from an accredited institution and be eligible for a University of Arizona academic appointment at&nbsp;the Associate or Full Professor rank. The Chief of Endocrinology will also play a prominent role in&nbsp;the establishment of a Diabetes Research Center with the support of an ongoing University of&nbsp;Arizona (UA) capital campaign and the continued development of an NIH - T32 training program in&nbsp;diabetes, endocrine, and metabolism.
The Endocrinology division is one of twelve within the Department of Medicine, which leads the&nbsp;University of Arizona, College of Medicine-Tucson in research funding, and has two residency&nbsp;programs, 15 fellowship programs including endocrinology, and numerous mentorship opportunities in&nbsp;multidisciplinary health science graduate programs. The College anchors the University of Arizona&nbsp;Health Sciences (UAHS) campus, which also houses the UA Colleges of Public Health, Pharmacy, and&nbsp;Nursing, as well as multiple research Centers of Excellence, and includes a research partnership&nbsp;with the Veterans Affairs (VA) Tucson Medical Center, which serves all Southern Arizona. The&nbsp;College inspires and trains individuals to become exemplary physicians, scientists and leaders who&nbsp;are life-long learners and inquisitive scholars. We embrace professionalism, innovation, and&nbsp;collaboration to optimize health and health care for all. The University of Arizona Health&nbsp; Sciences&nbsp;embodies the University’s priorities of engagement, partnership, innovation, and synergy in its&nbsp;world-class academic and research initiatives, with clinical facilities throughout Greater Tucson.&nbsp;Building on an established partnership with Banner Health, the fourth largest non-profit healthcare&nbsp;system in the U.S., the division and department are well- positioned as the sole academic health&nbsp;care provider in southern Arizona to provide transformative health care to the communities that we&nbsp;serve by achieving excellence in clinical care, education, and individual and team-based research.&nbsp;The incumbent will work collaboratively with the leaders of the College and Banner – University&nbsp;Medical Group (B-UMG) to further this tripartite mission and position the division for continued&nbsp;growth through innovation.
Duties &amp; Responsibilities:
<ul>
<li>Provide leadership and management of day-to-day operations of the Division of Endocrinology.</li>
<li>Responsible for recruitment, management, compensation, and retention of faculty in consideration of&nbsp;UA, UHSC, College, and B—UMG strategic plans and initiatives in balance of the multiple, tripartite&nbsp;mission of the University.</li>
<li>Collaborate with Academic Affairs and other educational offices at the College to ensure the&nbsp;division and their faculty are advancing the mission of the medical student, graduate student, and&nbsp;graduate medical education teaching programs.</li>
<li>Responsible for maintaining liaison with other clinical and/or basic science departments to foster&nbsp;an integrated teaching environment for the College.</li>
<li>Has the responsibility to support and expand research activities within the division, and across&nbsp;the Department, College and UAHS, working with key partners.</li>
<li>Provide leadership oversight and effective management of an active program of independent,&nbsp;extramurally funded basic, translational or clinical research in area of research&nbsp;expertise/specialization.</li>
<li>Is the clinical role model and leader of the division’s clinical activities and works with the&nbsp;Dean, Department Head, and the B—UMG CEO to coordinate the clinical activities of the division and oversee inpatient and outpatient clinical services.</li>
<li>Responsible for maintaining appropriate standards of care appropriate to the discipline.</li>
<li>Provide direct patient care in the inpatient and/or ambulatory (outpatient) setting as a licensed and fully credentialed provider as a member of Banner—University Medical Group.</li>
<li>Responsible for ensuring the fiscal accountability and sustainability of the division working with the&nbsp;College’s Business Affairs Office.</li>
<li>Responsible for encouraging and supporting diversity among the division’s constituents, creating an&nbsp;environment of professionalism, respect, tolerance, and acceptance and work in partnership with the Office of Diversity and Inclusion.</li>
</ul>
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As a land-grant, Hispanic-serving institution and active NIH-partner for the All of Us Research program, the University of Arizona College of Medicine-Tucson champions diversity as a core value central to its&nbsp;mission. We are committed to promoting and supporting diversity and inclusion in our research, clinical&nbsp;and educational missions to meet the needs of the students, faculty, staff, and the communities we serve.&nbsp;We believe diversity at the University of Arizona College of Medicine-Tucson creates role models,&nbsp;broadens perspectives, combats negative stereotyping, and optimizes our ability to provide health care for&nbsp;all. We also respectfully&nbsp; acknowledge the University of Arizona is on the land and territories of Indigenous&nbsp;peoples. Today, Arizona is home to 22 federally recognized tribes, with Tucson being home to the&nbsp;O’odham and the Yaqui.
Outstanding UA benefits include health, dental, and vision insurance plans; life insurance and disability&nbsp;programs; paid vacation, sick leave, and holidays; UA/ASU/NAU tuition reduction for the employee and&nbsp;qualified family members; state and optional retirement plans; access to UA recreation and cultural&nbsp;activities; and more. Tucson, a UNESCO-designated city of gastronomy set in the high Sonoran Desert in&nbsp;the midst of five mountain ranges, offers a culturally rich scene, including opera, theatre and professional&nbsp;sports teams, as well as some of the top- rated K-12 schools in Arizona and the nation, boasting an&nbsp;average 340 sunny days a year in a warm dry climate ideal for year-round outdoor recreation.
Requirements
<ul>
<li>MD, DO, or equivalent.</li>
<li>Board certified by the American Board of Internal Medicine/Medical Subspecialties and eligible for&nbsp;unrestricted medical licensure in the State of Arizona.</li>
<li>Three to five years of progressively complex administrative experience (e.g., program leader,&nbsp;center/section director, etc.) in an academic medical center setting.</li>
<li>Demonstrated track record of distinction in teaching, clinical care, and/or research in an academic&nbsp;department of medicine or equivalent environment.</li>
<li>Demonstrated commitment to patient care, reflecting a service-oriented, team-based philosophy with&nbsp;hospital administration and health professional colleagues from all disciplines, departments, and&nbsp;specialties.</li>
<li>Successful track record of recruitment and development of faculty, trainees, and students.</li>
<li>A record of solid performance as a skilled manager with the ability to grow revenues, meet budgets,&nbsp;measure, and improve productivity and outcomes, and undertake appropriate business strategies to&nbsp;achieve division, unit, department and/or enterprise goals.</li>
<li>If the individual selected for employment does NOT currently hold a faculty title with The University of&nbsp;Arizona, College of Medicine-Tucson, they will be required to obtain faculty status. This will include&nbsp;obtaining letters of recommendation and review by the appropriate College review committee.</li>
</ul>

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