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

Program/Policy Analyst Sr (Medi-Cal Compliance)

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)

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

Director, Medicare Program Development (Director III)

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

Chief Program Officer

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>
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>

Division Chief of Endocrinology (Associate/Full Professor) (NTE/TE/T)

The University of Washington Department of Anesthesiology &amp; Pain Medicine has an academic anesthesiologist position available at the rank of Assistant Professor at the Center for Pain Relief at University of Washington Medical Center. &nbsp;Assistant Professors are eligible for multi-year appointments that align with a 12-month service period (July 1-June 30). &nbsp;Faculty with 12-month service periods are paid for 11 months of service over a 12-month period (July-June), meaning the equivalent of one month is available for paid time off.&nbsp; Salary and academic appointment at University of Washington will be commensurate with experience, qualifications, and academic rank. &nbsp;The base salary range for this position will be $27,500 - $30,000 per month ($330,000 - $360,000 annually), commensurate with experience and qualifications, or as mandated by a US Department of Labor prevailing wage determination. &nbsp;This range is inclusive of base salary provided through the UW Physicians (UWP) practice plan, in addition to base salary provided by the University.&nbsp; Please note that only compensation provided by the University is included in University benefit determinations and calculations. &nbsp;Other compensation associated with this position may include incentive through the UWP practice plan. &nbsp;Compensation provided by the UWP practice plan may provide eligibility for separate benefits offered by that organization.&nbsp; For practitioners holding an appointment in the physicians practice plan, see the link for additional benefits that may be available at UWP:&nbsp; <a href="https://faculty.uwmedicine.org/wp-content/uploads/2019/09/UWP-Benefits-Summary-for-recruitingef-edits-v3.pdf" target="_blank">https://faculty.uwmedicine.org/wp-content/uploads/2019/09/UWP-Benefits-Summary-for-recruitingef-edits-v3.pdf</a>.&nbsp; The position is without tenure, due to funding and is full-time or part-time, with an anticipated start date as early as January 2024 or thereafter. &nbsp;Duties include providing advanced interventional pain treatment in the setting of comprehensive pain consultation and care to patients across Washington State and the WWAMI region. &nbsp;Care includes non-opioid management, procedures, coordinating behavioral health and psychology/psychiatry, physical therapy, and integrative medicine. &nbsp;In addition, consultation regarding opioid management and limited prescribing of opioids to patients already established in the clinic may be requested. &nbsp;Additional duties also include the teaching of residents, fellows and medical students and supervision of clinical care team.&nbsp; University of Washington faculty engage in teaching, research and service.
Qualifications
Must have MD or DO degree (or foreign equivalent) and a minimum of one-year pain medicine fellowship training (or foreign equivalent).&nbsp; Must be Board certified or eligible (or foreign equivalent) in anesthesiology and be eligible for medical licensure in state of Washington.&nbsp; In order to be eligible for University sponsorship for an H-1B visa, graduates of foreign (non-US) medical schools must show successful completion of all three steps of the US Medical Licensing Exam (USMLE), or equivalent as determined by the Secretary of Health and Human Services.
Application Instructions
Applicants should submit a cover letter, CV and diversity statement to <a href="http://apply.interfolio.com/128770" target="_blank">http://apply.interfolio.com/128770</a>

Assistant Professor WOT (Pain) - Anesthesiology & Pain Medicine

Holy Cross Medical Center Is Now Hiring! Immediate Openings:&nbsp; • Senior Financial Analyst • Accounting Assistant • Care Coordinator • Patient Advocate Apply: HolyCrossMedicalCenter.org&nbsp; Or call: (575) 751-5731 &nbsp;

Medical Assistant, Surgical Technician, Registered Nurse (RN), Certified Coding Specialist

<h3>Job Description</h3>
Job DescriptionDescription:
PAX Health is a leading mental and behavioral health organization dedicated to providing comprehensive and compassionate care to individuals facing mental health challenges. Our team of professionals strive to create an environment where mental health is prioritized, stigma is eradicated, and individuals can thrive in their journey towards well-being.
 
The Patient Care Coordinator holds a pivotal role in managing both patient care and administrative tasks. Their primary objective is to ensure that patients receive exemplary support and assistance throughout their healthcare journey.
 
Must be available to work from 11am-7pm Monday through Friday.
 
Responsibilities May Include:
<ul>
<li>Maintain patient accounts by obtaining, recording, and updating patient demographics and insurance information in the EHR system.</li>
<li>Schedule appointments and address patient inquiries via various channels.</li>
<li>Register and check-in patients in a timely manner through virtual check-in systems or in-person. Prepare necessary documents for the visit and ensure authorization coverage and payment for each visit.</li>
<li>Maintain accurate financial records by updating patient financial information, recording, and collecting patient charges, and providing receipts for payments.</li>
<li>Manage insurance claims and maintain accuracy of patient records in the Electronic</li>
<li>Health Record (EHR) system.</li>
<li>Provide support for patients encountering telehealth or technological challenges. Monitor online referral platforms and respond to incoming faxes promptly.</li>
<li>Notify providers of patients' late arrival; reschedule and/or make other accommodations when necessary.</li>
<li>Address patient needs, including prescription refills, prior authorizations, and medical record transfers.</li>
<li>Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining a clean and presentable front office and reception area.</li>
<li>Helps patients in distress by responding to emergencies.</li>
<li>Encourages patient compliance with preventive care by reaching out to patients and reminding them when they are due for follow ups, re-evaluations, etc.</li>
<li>Other duties as assigned</li>
</ul>
Requirements:
Qualifications:
<ul>
<li>High school diploma or equivalent.</li>
<li>Completion of a Healthcare Administration certificate program preferred.</li>
<li>3+ years of experience working as a medical receptionist/administrative assistant in the mental health/healthcare field.</li>
<li>Proficiency in Word, Excel, and Google Suite.</li>
<li>Proficiency in Electronic Health Records (EHR) software.</li>
<li>Excellent organizational and time management skills</li>
<li>Strong interpersonal communication skills</li>
<li>Strong attention to detail and organizational skills.</li>
<li>Punctuality and efficiency paired with empathy and interpersonal skills.</li>
</ul>
Equal Opportunity Employer (EOE) Statement for PAX HealthPax Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to providing a diverse and inclusive work environment where all employees are valued, respected, and treated fairly. Employment decisions are based on qualifications, merit, and business needs, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. We comply with all applicable federal, state, and local laws governing nondiscrimination in employment.

Patient Care Coordinator

<h3>Job Description</h3>
Job DescriptionDescription:
ABOUT PEOPLEONE HEALTH:
PeopleOne Health is one of the fastest-growing providers of value-based primary care and has earned the best-in-class member satisfaction scores. We deliver exceptional healthcare that reduces costs and significantly improves health outcomes by focusing on preventive care, behavior change, and keeping people healthier. The key to our successful culture is living our motto: care for yourself; care for each other; care for our members.
 
JOB SUMMARY:
We are seeking a compassionate and organized Patient Care Coordinator to join our healthcare team. The ideal candidate will be responsible for ensuring smooth and efficient patient care coordination, from scheduling appointments to managing patient communications. This role is pivotal in helping patients navigate the healthcare system, ensuring they receive the care they need in a timely and compassionate manner.
 
SUPERVISORY RESPONSIBILITIES:
This position provides supervision to others: No
 
ESSENTIAL JOB FUNCTIONS:
<ul>
<li>Patient Appointment Coordination: Schedule and confirm patient appointments, ensuring that appointments are scheduled appropriately, and all necessary pre-appointment paperwork is completed.</li>
<li>Patient Communication: Serve as a primary point of contact for patients, answering inquiries, addressing concerns, and providing assistance with appointment scheduling, test results, and follow-up care.</li>
<li>Medical Records Management: Maintain accurate and up-to-date patient records, ensuring all information is entered into the electronic health records (EHR) system in a timely and confidential manner.</li>
<li>Insurance Verification: Verify insurance information and eligibility, assist with insurance authorizations, and address insurance-related concerns or inquiries.</li>
<li>Patient Advocacy: Assist patients with navigating their healthcare plans and ensure they understand their care plans and treatment options.</li>
<li>Collaboration with Medical Staff: Work closely with physicians, nurses, and other healthcare professionals to ensure that patient care is seamless and that all necessary procedures, tests, and referrals are handled.</li>
<li>Follow-Up Care: Ensure that patients are reminded of upcoming appointments, necessary follow-up visits, or tests. Help coordinate post-visit care, referrals, and other follow-up procedures.</li>
<li>Data Entry and Reporting: Input and maintain accurate patient data in the practice's EHR system, and generate reports as required by the healthcare team.</li>
</ul>
Other Duties:
<ul>
<li>Assist in managing day to day operations of the clinic and providers general administrative duties which may include answering and directing phone calls, scheduling appointments, responding to the general administrative inbox, checking phone messages and faxes, managing clinic schedules, and ordering supplies as needed.</li>
<li>Serves visitor by greeting them, welcoming and directing them appropriately. Assists clinic staff by managing the flow of patients.</li>
<li>Maintains safe and clean reception area.</li>
<li>Deals with queries from the public and patients appropriately.</li>
<li>Call patients to make appointment reminders daily.</li>
<li>Assists in managing the clinic staffs' schedules (blocking time out of the clinic in EMR, etc.)</li>
<li>Manages the tracking of missed appointments and appointment not able to accommodates, etc.</li>
<li>Trouble shoots daily obstacles within the clinic.</li>
<li>Collects access fee for services, when applicable.</li>
<li>Assists in maintaining medical records and checking patient eligibility.</li>
<li>Assists in planning specialty events such as flu shots clinics and health screening events.</li>
<li>Supports client wellness programing and acts as a liaison to the Account Executive.</li>
<li>Assists in the coordination of program promotion including distribution of promotional materials, such as; handouts, payroll stuffers, letters, flyers, etc. when appropriate.</li>
<li>Follow all standard operating procedures in regards to Protected Health Information (PHI) in compliance with HIPAA regulations.</li>
<li>Demonstrates a visible working style and act in a manner that is consistent with and shows commitment to the company's core values.</li>
</ul>
Requirements:
SKILLS &amp; ABILITIES:
<ul>
<li>Strong organizational and multitasking skills.</li>
<li>Excellent communication skills, both written and verbal.</li>
<li>Proficiency in using Electronic Health Records (EHR) systems.</li>
<li>Knowledge of medical terminology and healthcare processes.</li>
<li>Ability to work well under pressure and in a fast-paced environment.</li>
<li>Strong attention to detail and patient-centered attitude.</li>
<li>Ability to work effectively as a team member and cooperate in achieving company goals.</li>
<li>Problem solving ability to seek solutions using appropriate methodologies.</li>
<li>Proficient computer skills, including but not limited to: Microsoft Word, Ecel, Internet Explorer, and Outlook.</li>
</ul>
EDUCATION &amp; CERTIFICATIONS :
<ul>
<li>High school diploma or equivalent required. Associate’s degree or higher in healthcare-related field preferred.</li>
<li>Certification in Medical Office Administration (e.g., CMAA) or Patient Care Coordination is a plus.</li>
</ul>
EXPERIENCE:
<ul>
<li>Minimum of 1-2 years of experience in a healthcare setting, preferably in patient coordination, medical office administration, or a similar role.</li>
<li>Bilingual (English/Spanish): Preferred but not required.</li>
</ul>
PHYSICAL REQUIREMENTS:
(The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the position’s essential functions.)
<ul>
<li>Ability to sit, stand, walk for extended periods, and reach with hands and arms.</li>
<li>Occasional standing, walking, and lifting up to 25 pounds.</li>
<li>Full-time position with standard office hours (may vary depending on practice needs).</li>
<li>Occasional overtime or weekend work may be required.</li>
<li>Fast-paced and dynamic healthcare environment.</li>
</ul>

<h3>Job Description</h3>
Job DescriptionDescription:
Mountain Land Physical Therapy is seeking a full-time Patient Care Coordinator to join our team in Taylorsville, Utah. This is a great opportunity to build a career in the healthcare industry with a company that will support your personal and professional goals. Don't know what a Patient Care Coordinator does? Don't worry about it! This position is intended for candidates who are willing and eager to learn. Our experienced team wants to train you to be successful in the role.
 What You'll Do:
<ul>
<li>Maintaining the clinic's schedule</li>
<li>Explaining the benefits of physical therapy to current and prospective patients</li>
<li>Collection of payments</li>
<li>Answering phones and emails.</li>
</ul>
If you enjoy helping people achieve their health goals and working in a fun, fast-paced environment, this position could be for you! Check us out at <a href="https://mlpt.com/careers/" target="_blank">https://mlpt.com/careers/</a>
 
Location: 4179 Riverboat Rd #110, Taylorsville, UT 84123 
 
Pay Range: $17 - $19.50/Hour
 
Hours &amp; Benefits: Monday - Friday from 7am - 5pm. There is some flexibility to these hours if needed. This full-time position is eligibile for comprehensive benefits including health, dental, and vision insurance, 401(k) with match, PTO, and wellness perks tailored to support your personal and professional growth.
Requirements:
<ul>
<li>Excellent verbal and written communication skills.</li>
<li>A passion for providing excellent customer service.</li>
<li>Highly organized, resourceful, and a quick learner.</li>
<li>Must have reliable transportation to complete local errands as needed.</li>
</ul>

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