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Manager Grievance &amp; Appeals (Provider Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Manager, Grievance &amp; Appeals (Provider Services) to join our team. The Manager Grievance &amp; Appeals (Provider Services) will provide daily oversight and technical management for provider services, including provider disputes, provider grievances and provider appeal to ensure compliance with state, federal and accreditation standards applicable to CalOptima Health. The incumbent will work with CalOptima Health management staff and other affiliated health networks with a close interface to the program and process, including areas such as Utilization Management, Claims Administration, Delegation Oversight, Quality Improvement and health network relations. The incumbent will research complex claims problems, isolate root causes and partner with various entities for resolution. The incumbent will communicate with all levels of internal staff, regulatory agencies, health networks, providers, vendors, community-based organizations and medical groups. Position Information: 
<ul>
<li>Department: GA - Provider Disputes </li>
<li>Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Program Oversight
<ul>
<li>Identifies and analyzes trends, collaborates with the Director to provide trends and makes recommendations for improvement.</li>
<li>Stays current on the local, state and federal health care environment, identifying issues that may impact CalOptima Health's programs as they relate to claims, provider disputes, grievances and provider appeals.</li>
<li>Develops, implements, maintains and reviews the adequacy of the CalOptima Health provider grievance systems, reporting, policies and functions to achieve stated goals, including, but not limited to, complaint resolution and timely responsiveness for all lines of business, to ensure compliance with all relevant regulatory requirements pertaining to provider disputes.</li>
<li>Works with the Audit and Oversight department and key departments to ensure internal departments and external partners (e.g., health networks and delegates) are up to date with regulatory, departmental and organizational changes impacting the grievance and appeals processes.</li>
<li>Ensures timely and effective data collection, summarization, integration and reporting, including, but not limited to, productivity, status and trend reports for specific committees such as the Quality Improvement Committee, Grievance and Appeals Committee, Quality Assurance Committee of the Board of Directors and other ad hoc reporting as required.</li>
<li>Serves as CalOptima Health's primary point of contact and subject matter expert related to provider services (disputes, grievances and appeals).</li>
<li>Participates in Department of Managed Healthcare (DMHC), Department of Health Care Services (DHCS) and Centers for Medicare and Medicaid (CMS) audits related to area of responsibility for all CalOptima Health programs. </li>
</ul>
</li>
<li>45% - Leadership
<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>Manages, hires, mentors and develops department staff.</li>
<li>Oversees the development and maintenance of internal policies and procedures and desktops to ensure compliance with all state and federal regulations for multiple lines of business.</li>
<li>Manages and makes recommendations on the development and maintenance of an effective dispute, appeals and grievance process and systems consistent with CalOptima Health policies and stated goals, including, but not limited to mechanisms to monitor provider disputes, grievances and appeals involving Legal, DMHC, DHCS, Independent Medical Review, Medi-Cal State Hearings, Office of Administrative Hearings and Appeals, CMS and external review agencies for CMS.</li>
<li>Partners with the management to ensure appropriate training and auditing tools are developed and maintained for the department. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, nursing, healthcare administration or related field PLUS 3 years of health care management experience in a related area of responsibility (provider disputes and appeals, claims administration, appeals and grievances) 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 leadership experience required. </li>
<li>Experience in health maintenance organization, Medi-Cal/Medicaid, Medicare Advantage, Medicare Part D, Special Needs Plans, Medicare-Medicaid Plans and/or the Program of All-Inclusive Care for the Elderly required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience with process improvement implementation.</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, work schedules that allow every other Monday or Friday off (9/80 schedule), 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=6357344&amp;targetURL=https://alliantbenefits.cld.bz/24caloptimacabenguide" target="_blank">2024 CalOptima Health Benefits Guide</a> and our <a href="https://apptrkr.com/get_redirect.php?id=6357344&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 16, 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/6357344" target="_blank">https://jobs.caloptima.org/jobs/manager-grievance-appeals-provider-services-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-cf7b2c04c4b10840a8654602344b5194

Manager Grievance & Appeals (Provider Services)

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

Supervisor Information Technology Services (Infrastructure)

Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) CalOptima CalOptima Health is seeking a highly motivated Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) to join our team. The Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) will be responsible for assisting with all Hierarchical Condition Categories (HCC) projects and Medi-Cal Annual Wellness Visit Initiative Program. The incumbent will handle risk adjustment-related activities to ensure the Centers for Medicare &amp; Medicaid Services (CMS) and Department of Health Care Services (DHCS) coding and documentation guidelines are met. The incumbent will assist in improving risk score performance through collaboration with CalOptima Health's health networks, contracted providers and Program of All-Inclusive Care for the Elderly (PACE) providers. The incumbent will substantiate and verify the member's medical records using International Classification of Diseases (ICD)-10 Clinical Modification (CM) official guidelines for coding and reporting during the review process. The incumbent will verify the accuracy, completeness and appropriateness of diagnosis codes based on the medical documentation provided. As part of the medical records review, travel may be required to physician offices or physician medical groups throughout Orange County. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>80% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes based on documentation and creates tools/tip sheets for audit staff to utilize for future audits based on findings.</li>
<li>Conducts in depth retrospective and prospective medical record audits to assess the accuracy of ICD-10 CM coding for chronic conditions as it pertains to HCC for CalOptima Health Community Network (CHCN), PACE providers and delegated health networks.</li>
<li>Tracks all network HCC activities, including training, audit results and evaluating future outcomes, which includes monitoring performance improvement of network providers by observing patterns and trends and recommending solutions to the manager.</li>
<li>Reviews medical record information to identify all appropriate coding CMS HCC categories and DHCS coding and monitors the DHCS and CMS websites for updates.</li>
<li>Reviews additional data identified from audits to ensure timely data entry for CMS sweeps.</li>
<li>Identifies providers for education and training opportunities following ICD-10-CM coding guidelines based on HCC audit results and Medi-Cal Annual Wellness Visit Initiative Program and reports findings to the Manager.</li>
<li>Assists with CMS Risk Adjustment Data Validation (RADV) and Office of Inspector General (OIG) audits, including workflow or data collection requirements and creating and maintaining HCC audit results when applicable.</li>
<li>Performs code abstraction on supported clinical documentation identified as opportunities through Natural Language Processing (NLP) software. </li>
</ul>
</li>
<li>15% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Assists manager in evaluating existing reports for PACE members provided by CMS and collaborates with Financial Analysis to create any custom report required to assist with audits. </li>
</ul>
</li>
<li>5% - Other-
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in public health, business administration or related field PLUS 5 years of risk adjustment coding and chart audit/quality experience in a managed care or health care environment required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>Have access to means of transportation for work away from the primary office approximately 20% of the time required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Registered Health Information Technician (RHIT) or Certified Risk Adjustment Coder (CRC). </li>
<li>Experience with conducting presentations and performing physician education.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>Current Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) by the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) required. Certification is required to be current and maintained during employment.</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6299515&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 26, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6299515" target="_blank">https://jobs.caloptima.org/jobs/certified-coding-specialist-sr-hcc-medicare-and-medi-cal-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-d4deeaad9bc4a74cb61631e4900eb19a

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

Miami Dade College, Kendall Campus&nbsp;is now accepting applications for <a>Lead Information Security Administrator</a>. The Lead Information Security Administrator assists in developing security standards and best practices for the institution and recommends security enhancements to management as needed. Develops strategies to respond to and recover from a security incident. Responsible for educating the workforce on information security through training and building awareness.
Duties &amp; Responsibilities
<ul>
<li>Administers security controls which safeguard access to IT resources</li>
<li>Performs security assessments of internal processes and systems; recommends mitigating actions</li>
<li>Investigates security incidents, creates, and distributes related reports</li>
<li>Maintains communication with vendors regarding security system updates and technical support security products</li>
<li>Develops new or modifies existing security controls, processes, policies and procedures</li>
<li>Promotes and administers security awareness among the user community</li>
<li>Researches and recommends security solutions, to include technology architecture, software and hardware</li>
<li>Performs security assessments of 3rd&nbsp;party technology solutions</li>
<li>Coordinates with technology operation counterparts across institution on security initiatives</li>
<li>Conducts electronic document searches in response to requests from the College Office of Legal Affairs</li>
</ul>
Minimum Requirements
<ul>
<li>Bachelor degree in Computer Science, MIS, or a closely related field with a minimum of seven (7) years of progressive experience in computing and security administration CISSP or related certification</li>
<li>All degrees must be from a regionally accredited institution</li>
<li>Knowledge of authentication, IT services access policies, and related internal and external security considerations</li>
<li>Knowledge of encryption systems, including certificate systems</li>
<li>Advanced experience working with network security systems, including firewalls, IDS/IPS, NAC, and network monitoring</li>
<li>Advanced knowledge in large security data set analysis &amp; management of analytics systems</li>
<li>Advanced knowledge of Windows and/or Linux operating systems, IP data network, testing, monitoring and management</li>
<li>Strong understanding of endpoint security solutions to include File Integrity Monitoring and Data Loss Prevention</li>
<li>Knowledge of information technology trends and impact on related security procedures and processes and the current and development</li>
<li>Advanced knowledge of authentication, IT services access policies, and related internal and external security considerations</li>
<li>Experience designing secure networks, systems and application architectures Direct experience with anti-virus software, intrusion detection, firewalls and content filtering methodologies</li>
<li>Ability to work in a multi-ethnic and multi-cultural environment with students, faculty and staff</li>
</ul>

Lead Information Security Administrator

About the Role:
Adaptive Shield, a CrowdStrike company, &nbsp;is a leading provider of SSPM solutions that enables security teams to stay on top of their organization's; apps, identities, and any unusual behavior in their SaaS ecosystem. Today it is transforming how CrowdStrike’s Falcon protects our customers. That’s why we’re not just looking for candidates with impressive resumes; we’re seeking pioneers. We’re on a quest to enrich our team with individuals who bring more than just expertise - we want trailblazers who have navigated the realms we’re venturing into. Your experience in this new field won't just be valued; it will be the cornerstone of our journey towards innovation.At the core of this is our people. It’s important to inspire, support, and enable one another, so we've chosen a diverse group of talented, compassionate, and fun people to work with. The work is challenging but also allows for great flexibility to prioritize off-work commitments. We’ve found this to be the perfect mix for us. If you see yourself as a great match, we’d love nothing more than for you to join us at the forefront of innovation as our new Sales Engineer!
 As a Pre-Sales Engineer at Adaptive Shield covering California, you will play a pivotal role in driving sales growth and customer success across the region. You will collaborate closely with our sales teams to provide technical expertise, conduct product demonstrations, and proofs of value (POVs).. You’ll be a product specialist that will assist the broader sales team with your expertise in this new and exciting product.
What You'll Do:
<ul>
<li>
As a Sales Engineer, you’ll be the face of Adaptive Shield for prospective customers. Working alongside our sales team, you’ll take ownership of the technical relationship through the sales cycle.
</li>
<li>
You’ll also maintain that relationship with the customer as they discover what Adaptive Shield can do for them, expand their use, and provide feedback to our Product Management team.
</li>
<li>
You’ll become a trusted advisor by providing technical value in your interactions with prospective customers, answering technical questions, demonstrating capabilities, and laying out a technical vision of SSPM.&nbsp;
</li>
<li>
You’ll be working closely with the teams in sales, leadership, marketing, support, customer success, and engineering. In particular, you’ll be a critical part of the sales team; providing feedback on deal progress, uncovering the wants and needs of prospects, and translating that to tangible value from the Adaptive Shield platform, ultimately bringing more customers to CrowdStrike.
</li>
<li>
In addition to guiding prospective customers through their discovery of Adaptive Shield, you’ll also play an integral part in defining and executing on our go-to-market strategy - exploring new use cases, integrations, partnerships, etc. In other words, your success in this role will have a significant impact on the expansion of Adaptive Shield worldwide as a part of our team of specialists.
</li>
</ul>
What You'll Need:
<ul>
<li>
We’re looking for a colleague with a great compassion for taking care of prospective customers and their challenges combined with well-rounded technical, analytical, and sales skills.
</li>
<li>
You appreciate the importance of teamwork, but will also benefit from your proactive approach to solving challenges and helping external and internal parties.
</li>
<li>
Strong technical knowledge of SaaS/Cloud platforms (Salesforce, 365 etc) and security concepts (network security, endpoint security, threat detection).&nbsp;
</li>
<li>
Ideally, you’ve participated in one or more of the common sales processes such as MEDDPICC, Challenger Selling, or Value Selling in a pre-sales or architect role.
</li>
<li>
Ability to adapt, thrive and excel in a fast-moving, nimble environment.
</li>
<li>
Comfortable in a team selling environment, working in close collaboration with peers in the CrowdStrike sales organization.
</li>
<li>
Consultative sales approach – ability to challenge companies/businesses to think differently.
</li>
<li>
Strength in evangelizing technology and new account acquisition (hunting) – ability to discover and uncover new opportunities with prospects and existing business customers.
</li>
<li>
Highly motivated and professional, with excellent verbal communication and interpersonal skills.
</li>
<li>
Outstanding organizational skills with the attested ability to prioritize and complete multiple tasks to meet deadlines.
</li>
<li>
Self-starter able to work independently but also team oriented – work together win together attitude.&nbsp;&nbsp;
</li>
<li>
Excellent problem resolution skills – resourceful and constructive.
</li>
<li>
Willingly experiment with new technologies, techniques, and approaches to understand and communicate the unique value of CrowdStrike’s solutions.
</li>
<li>
A bachelor's degree in Computer Science, Information Systems, or a related field is an advantage.
</li>
<li>
3+ years of experience in a pre-sales engineering role within the cybersecurity or cloud security industry.
</li>
<li>
Curiosity and a growth mindset to continuously learn and improve.
</li>
<li>
Capacity to create scalable processes (e.g. demo scripts, POV workflows).
</li>
</ul>
#LI-Remote
#LI-SL1

Sales Engineer - Adaptive Shield (Remote)

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

Software Engineer - New York, NY. Engineer, enhance &amp; support complex, large-scale, performant &amp; secure software systems for security control, including but not limited to authentication, authorization, access control &amp; privileged session management. Minimum requirements: Bachelor's Degree in Computer Science or related IT field + knowledge of: Python, C/C++ &amp; Bash; RPC frameworks (REST); Linux/Unix operating systems; front-end software development; database design &amp; SQL language queries; networking concepts including TCP/UDP; computer security concepts including authentication &amp; authorization; cryptography concepts including hash function; unit testing &amp; software integration testing; version control (Git); software architectural design; data structures &amp; algorithms. Must pass company's required skills assessment. Base pay: $165k-$325k/year (does not include other forms of compensation/benefits). Note Hybrid work attendance policy: in-office work required at below office address for collaboration days based on each team's requirement; remote work permissible for remainder of same month. Send resume to <a href="mailto:TS-Posting@twosigma.com" target="_blank">TS-Posting@twosigma.com</a> or mail to TS/HR Dept, Two Sigma Investments, 100 6 Ave, 16 Fl, NY, NY 10013. Reference Job ID 13114

Software Engineer 

<h3>Job Description</h3>
Job Description
The Computer Network Support Specialist, Senior supports the Information Technology/Information Management (IT/IM) Department, Code 720000D/E contract. The IT/IM Department's mission is to provide IT and Cybersecurity support services to the Naval Air Warfare Center Weapons Division (NAWCWD). The IT/IM Department is a Naval Air Systems Command (NAVAIR)-wide Competency responsible for providing the people, processes, technologies, facilities, skills, knowledge, and abilities necessary to support development, planning, execution, monitoring and life cycle support of IT/IM programs and activities within the Weapons Division command. The IT/IM Department provides non-Navy Marine Corps Intranet (NMCI) products and services including corporate IT solutions, tools, and site/customer specific support. The mission of the IT/IM Department is to ensure that the NAWCWD IT infrastructure, tools, applications, etc. are compliant with current and future DoD regulations, are continually operational and functioning to meet the end user’s needs and requirements, and are being modified on a continual basis to account for new and changing technologies and to combat against new and existing IT threats. 
 
The Computer Network Support Specialist, Senior analyzes, tests, troubleshoots, and evaluates existing network systems, such as local area network (LAN), wide area network (WAN), and Internet systems or a segment of a network system. He or she performs network maintenance to ensure networks operate correctly with minimal interruption. He or she may supervise other Computer Network Specialists. 
 
Clearance required: Secret Final/Top Secret eligible
Saalex Solutions, a division of Saalex Corp., is an Engineering and Information Technology Services company with a focus on Test Range Operations and Management, Engineering and Logistics Services, Data Analytics and Business Intelligence Services and Information Technology Services. Founded in 1999 by Travis Mack, Saalex Solutions is a Service Disabled Veteran-Owned and Operated business with prime and subcontract expertise serving the Navy, Army, Air Force, NASA, corporate clients, and local governments. We employ a workforce of over 600 at military and NASA installations nationwide and have offices in Camarillo CA, Rockledge FL, Newport RI, Ridgecrest CA, Corona CA and Keyport WA.
 
Equal Opportunity Employer/Veterans/Disabled
Pay Transparency Nondiscriminatory Provision

Sr. Computer Network Support Specialist

JOB DESCRIPTION Analyze, test, and evaluate local network systems. Learn more about the general tasks related to this opportunity below, as well as required skills. Help write new software systems to ensure integration with existing network systems. Revise user procedures and manuals.Must be able to code specifications for cloud-based computer network systems. Must be able to maintain Python database applications using Flask framework. Must be proficient in MySQL, Python, JavaScript, and Linux Shell. Must be able to maintain Python scripts for processing and analyzing LiDAR data. Must be able to train users in procedures related to network applications. Must be fluent in English and Spanish.Bachelor’s Degree in Science or Technology required. 24 months of experience as a System Analyst or System Technician. Must have at least 12 months of experience maintaining Python scripts for processing and analyzing LiDAR data for trucking or construction projects. Salary: $64,000/yr.Job Site/Interview: Clearwater, Florida. TO APPLY Send resume with “Computer Network Support Specialists Job Opening” to: RG Stathas, JMS Trucking, LLC st Ave N. Unit A 15, Clearwater, Florida 33762, or via email at. EMPLOYER NAME: JMS Trucking LLC

Computer Network Support Specialist

<h3>Job Description</h3>
Description
Leidos has a unique and exciting opportunity to offer a Network Engineer, who would like to expand their knowledge and grow with the Leidos team on the (AFNCR ITS) Air Force National Capital Region IT Services Program. The Network Engineer is responsible for assessing systems, determining problems, providing solutions to issues that arise, designing systems, upgrading systems, maintaining systems and brainstorming possible improvements that can be made to a system in the future.
This position is 100% onsite at Joint Base Andrews, MD and requires an active Secret clearance to start.
The AFNCR IT Services program provides support services for information systems for Headquarters Air Force (HAF), Air Force District of Washington (AFDW), Office of the Secretary of Defense (OSD), Joint Chiefs of Staff, and other Air Force activities within the AFNCR, missions to include the Pentagon, Joint Base Andrews (JBA), Joint Base Anacostia-Bolling (JBAB), and other locations, leased spaces, and alternate sites. The major support areas required are IT Operations and Maintenance; Plans, Projects, and Engineering (PP and National Military Command Center (NMCC). The senior leaders and national defense missions that are supported require that the AFNCR operations never fail, resulting in a fast-paced, challenging, but also rewarding environment.
If this sounds like the kind of environment where you can thrive, keep reading!
The Leidos Digital Modernization Sector provides a diverse portfolio of systems, solutions, and services covering land, sea, air, space, and cyberspace for customers worldwide. Solutions for Defense include enterprise and mission IT, large-scale intelligence systems, command and control, geospatial and data analytics, cybersecurity, logistics, training, and intelligence analysis and operations support. Our team is solving the world’s toughest security challenges for customers with “can’t fail” missions.
Are you ready to make an impact? Begin your journey of a flourishing and meaningful career, share your resume with us today!
Primary duties are as follows:
<ul>
<li>
Monitor data or infrastructure system networks for various messages, alarms, or issues.&nbsp;
</li>
<li>
Identify issues or problems and resolves as appropriate; escalates when necessary.
</li>
<li>
Troubleshoot problems using scripts and standard, routine procedures; escalates as appropriate.
</li>
<li>
Initiate resolution as appropriate for enterprise level routers and switches.
</li>
<li>
Interface with vendors to ensure appropriate resolution during network outages or periods of reduced performance.
</li>
<li>
Process Authorized Service Interruptions (ASI's) as directed by management.
</li>
<li>
Maintain required security posture on all network equipment in accordance with DoD and local command mandates and requirements, including updates, STIGs, IOS upgrades, and other basic network security requirements.
</li>
<li>
Support special projects and day‐to‐day operations as needed or assigned by the site lead
</li>
<li>
Support on-call rotation schedule
</li>
</ul>
Basic Requirements:
<ul>
<li>
Bachelor’s degree with a minimum of 8+ years of related experience, additional years of relevant experience may be accepted in lieu of a degree.
</li>
<li>
Currently possess an Active DoD Secret security clearance
</li>
<li>
Active CompTIA Security + or CCNP Security certification
</li>
<li>
Active CCNA Certification
</li>
<li>
Expert knowledge with LAN switching, including Virtual Local Area Networks (VLANs), VLAN Trunk Protocol (VTP), Port Security, Spanning Tree, and Layer 2 and 3 switching configurations.
</li>
<li>
Expert knowledge with Layer 3 routing protocols (EIGRP, OSPF, IS-IS, etc.) and best practices on implementation.
</li>
<li>
Expert knowledge with with L1/L2 network troubleshooting (Unclassified and Classified
</li>
<li>
Expert knowledge of DoD network and application security hardening requirements
</li>
<li>
Experienced with programming, maintaining, and troubleshooting encryption devices at network points of presence including management via GEM-X or other DoD management tools.
</li>
<li>
Experienced with DoD COMSEC management processes and procedures
</li>
</ul>
Preferred Qualifications:
<ul>
<li>
Experienced with Cisco ISE and Cisco DNA
</li>
<li>
Knowledge of Air Force, Pentagon, and/or AFNCR
</li>
<li>
Experienced working at the Pentagon, Joint Base Andrews (JBA), and Joint Base Anacostia-Bolling (JBAB)
</li>
</ul>
Required certifications: &nbsp;
<ul>
<li>
Active CompTIA Security + or CCNP Security certification / Active CCNA Certification
</li>
</ul>
Original Posting:June 4, 2025
For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above.
Pay Range:Pay Range $85,150.00 - $153,925.00
The Leidos pay range for this job level is a general guideline only&nbsp;and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

26,078 Computer network support Jobs