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Essential Functions: Reporting to the Chief Executive Officer (CEO), the Development Fundraising Manager (DFM) holds a crucial role in developing and implementing effective fundraising strategies to support our organization's mission. This position involves managing relationships with donors, planning and executing fundraising events, and utilizing various marketing tools to maximize outreach and engagement. The ideal candidate will possess strong leadership skills, a passion for nonprofit work, and a proven track record in fundraising.
Responsibilities
Develop and execute comprehensive fundraising plans that align with the organization’s goals. Plan, organize, and manage fundraising events from concept to completion. Cultivate and maintain relationships with donors, sponsors, and volunteers to enhance engagement and support. Utilize and/or implement CRM software for data collection, relationship management, and tracking donor interactions. Write compelling grant proposals and funding requests to secure financial support from foundations and government entities. Conduct research on potential funding sources and maintain databases of prospects. Implement digital marketing strategies including email marketing campaigns using platforms like Mailchimp or similar to reach potential donors. Oversee budgeting for fundraising initiatives ensuring efficient allocation of resources. Collaborate with the marketing team to enhance public relations efforts through social media management and other communication channels. Provide leadership in volunteer management, ensuring effective training and engagement of volunteers during events. Skills
Strong event planning capabilities with experience in events management. Proficient in digital marketing tools. Excellent negotiation skills with the ability to secure sponsorships and partnerships. Experience in proposal writing for grants and funding opportunities. Knowledge of nonprofit management principles including 501(c) (3&amp;4) laws is a plus. Strong analytical skills for data collection and research related to fundraising efforts. Proven ability in strategic planning to align fundraising activities with organizational objectives. Familiarity with budgeting processes within a nonprofit context. Fundraiser experience or background in fundraising is required. This position offers an exciting opportunity for individuals passionate about making a difference through effective fundraising initiatives while working within a dynamic team environment dedicated to advancing our mission.
Required Education and Experience:
<ul>
<li>Bachelor’s degree plus 5+ years minimum fundraising experience Proven success in securing foundation and individual and donor support Well-developed writing, interpersonal and organizational skills.</li>
</ul>
Work Environment: This job operates in a typical office setting. This position routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.&nbsp;
Position Type/Expected Hours of Work: This is a permanent full-time position.&nbsp; This position regularly requires long hours and frequent weekend work.
Travel Requirements: This position may at times require frequent travel throughout the United States and Puerto Rico.
Salary Range: $75,000-$90,000/year&nbsp;Commensurate according to years of experience. All employees must meet a 6-month probationary period. Continuation of this position after one year is dependent on the successful candidate meeting jointly determined performance goals.

Development Fundraiser Manager

National Center for Youth Law  &nbsp;
The National Center for Youth Law (NCYL) amplifies youth power,dismantles racism and other structural inequities, and builds justpolicies, practices, and culture in support of young people. Ourefforts advance justice through research, community collaboration,impact litigation, and policy advocacy that fundamentallytransforms our nation’s approach to education, health, immigration,foster care, and youth justice. Our vision is a world in whichevery young person thrives and has a full and fair opportunity toachieve the future they envision for themselves.  &nbsp;
Development Team &nbsp;
The Development Team’s mission is to ensure that NCYL has thefinancial resources needed to pursue its mission and vision, and touphold NCYL’s inclusive, youth-centered, strengths-based, andequity-focused values in all fundraising efforts and activities.NCYL’s Development Team is raising $20M+ annually from foundations,government agencies, corporations, law firms, and individuals. Weinspire NCYL supporters and educate them about NCYL’s values,impact, and work and build community and nurture strongrelationships among NCYL board members, staff, alumni, andsupporters through fundraising efforts. &nbsp;&nbsp;
Position&nbsp;
This is an excellent opportunity for someone to leverage theirfundraising experience and abilities to improve the lives ofchildren, including immigrants, LGBTQIA youth, those in the childwelfare or justice systems, children and their families who areexperiencing homelessness, and much more. This position will reportto the Senior Philanthropy Director.&nbsp;
Essential Functions&nbsp;
<ul>
<li>Oversee NCYL’sfundraising efforts, including individual donors, major donors, lawfirm giving and more.&nbsp;</li>
</ul>
<ul>
<li>Ensure that individualdonors are inspired by NCYL’s mission and vision and are activelyengaged in funding the advancement of our goals.&nbsp;</li>
</ul>
<ul>
<li>Build strongrelationships with donors and major donors and support theExecutive Director, staff, and board in doing the same. Serve asthe primary contact for donors.&nbsp;</li>
</ul>
<ul>
<li>​​​Oversee all aspectsof individual giving, including annual fundraising campaigns,research, identification, cultivation, solicitation, andstewardship of prospective and current donors.&nbsp;</li>
</ul>
<ul>
<li>Work with the SeniorDirector of Philanthropy to develop and carry out a comprehensiveand actionable Major Gifts plan.&nbsp;</li>
</ul>
<ul>
<li>​​​Manage a portfolio ofindividual major donors, moving these donors to give increasinglylarger, multi-year gift commitments.&nbsp;</li>
</ul>
<ul>
<li>Leverage board membersto engage in fundraising.&nbsp;</li>
</ul>
<ul>
<li>Collaborate with theSenior Director of Communications on strategic messaging anddigital fundraising and to raise the organization'sprofile.&nbsp;</li>
</ul>
<ul>
<li>Supervise keydevelopment staff.&nbsp;</li>
</ul>
<ul>
<li>Develop a deepunderstanding of NCYL’s programmatic work to ensure accuraterepresentation of our work to donors and the public.&nbsp;</li>
</ul>
Qualifications&nbsp;
<ul>
<li>​​​Proven track recordof raising large six figure, multi-year commitments from newsources.&nbsp;</li>
</ul>
<ul>
<li>​​​3 years’ experiencesupervising development team members.&nbsp;</li>
</ul>
<ul>
<li>Experience building amajor donor program.&nbsp;</li>
</ul>
<ul>
<li>Strong leadershipexperience with the demonstrated ability to mentor and build theskills of staff.&nbsp;</li>
</ul>
<ul>
<li>Computer proficiency andan aptitude for learning new systems and software.&nbsp;</li>
</ul>
<ul>
<li>Familiarity withSalesforce or other CRMs and grant management tools.&nbsp;</li>
</ul>
<ul>
<li>Understanding of thefunding landscape and the ability to locate opportunities for theorganization.&nbsp;</li>
</ul>
<ul>
<li>Outstandingcommunication skills, both verbal and written.&nbsp;</li>
</ul>
<ul>
<li>Able to ​​occasionallywork weekends and evenings.&nbsp;</li>
</ul>
<ul>
<li>Able to travel toattend funder meetings and participate in quarterly team retreatsand occasional meetings with leadership at headquarters.&nbsp;</li>
</ul>
PhysicalRequirements &nbsp;
Prolonged periodssitting at a desk and working on a computer. This position mayrequire some travel.&nbsp;
Salary,Benefits, and Location &nbsp;
This is afull-time, exempt position with a competitive salary of $163,379.00annually. A geographic salary differential may be applied if thecandidate resides somewhere other than the Oakland, CA, LosAngeles, CA, New York City, or Washington, DC metro areas. Thismeans that the salary would be reduced if the candidate resides inan area where the cost of labor is less than that of the SanFrancisco Bay Area.&nbsp;
NCYL provides arobust benefits package including health, dental, vision, and lifeinsurances, generous vacation and sick benefits, paid family leave,flexible spending account, employer contribution to a retirementplan, paid sabbatical, and short-term and long-term disabilityinsurance.&nbsp;
There isa strong preference for candidates to reside in the Oakland, CA,Los Angeles, CA, New York City, or Washington, DC metroareas.&nbsp;
NCYL isregistered to do business in the following 13 locations: Arizona,California, Colorado, Hawaii, Illinois, Maryland, Massachusetts,Michigan, New York, Oregon, Virginia, Washington, DC, andWisconsin. If a candidate is hired but lives in a state where NCYLis not currently registered to do business, their start date mayneed to be delayed until registration can be completed in the newstate. This process may take as much as three months tocomplete.&nbsp;
It is anticipated but not guaranteed that NCYL’s remote workapproach will be in place through 2026. If this policy is revokedprior to 2026, staff will be given at least one year's noticebefore being recalled to a NCYL office.&nbsp; &nbsp;
All positions at NCYL are at-will and paid for by grants anddonations, thus employment with NCYL will be contingent uponcontinued receipt of funding. Nothing in the statement changes theat-will employment relationship.&nbsp;
How toApply&nbsp;
Please submit acover letter and resume at the link below. Please, noemails or calls.&nbsp;
Applyat: <a href="https://recruiting.paylocity.com/Recruiting/Jobs/Details/2636691" target="_blank">https://recruiting.paylocity.com/Recruiting/Jobs/Details/2636691</a>&nbsp;
Applicantswith lived experience within any of our practice areas, and Black,Indigenous, and other people of color, are strongly encouraged toapply.&nbsp;
It is thepolicy of NCYL to provide equal employment opportunities to allApplicants (including Employees) regardless of race, ethnicity,sex, sexual orientation, gender identity or expression, pregnancy,breastfeeding, national origin, age, abilities/disabilities,neurotypicality, socioeconomic status, veteran status, maritalstatus, prior convictions, or any other protected classificationsunder federal, state, or local law.&nbsp;

Development Director, Individual Giving and Major Gifts

Job title
Senior Development Associate
Reports to
Director of Individual Giving
FLSA Status
Non-Exempt Position
Alliance for Justice is at the heart of showing the progressivemovement the power the courts have in all our lives. Our more than130 organizations represent a broad array of groups committed toprogressive values. Since 1979, AFJ has been the leader inadvocating for a fair and independent justice system, and we havechanged the conversation around the critical importance of ourcourts. We are shaping a tomorrow where rights are safeguarded, andjustice prevails.
Job purpose
The Senior Development Associate is responsible for alladministrative aspects of development and donor cultivationactivities. This position is a critical role that supports AFJ’sleadership and development team in fundraising, donor cultivation,and administration aligned with its mission and strategic plan.
Duties and Responsibilities
<ul>
<li>Maintain EveryAction database records ensuring accurate and upto date information including gift entry, notes, contacts, andfollow ups.</li>
<li>Communicate with the Finance Department to receive requiredreports, wire transfers, check scans, and stock gifts and toreconcile monthly gift data with accounting.</li>
<li>Open and process mail and checks, coordinating with Operationsand Finance to ensure timely deposits and reporting.</li>
<li>Generate, print, mail, and track timely and accurateacknowledgement letters for donations.</li>
<li>Support the Foundations Relations Director with back-up supportfor data entry and tracking of grant payments.</li>
<li>Pull reports on donor data from EveryAction database.</li>
<li>Create and distribute weekly and monthly income reports.</li>
<li>Assist with planning and execution of donor outreach eventsthroughout the year.</li>
<li>Proofread and light editing of print and digitalmaterials.</li>
<li>Maintain and update as needed ClickUp project managementsoftware.</li>
<li>Maintain executive schedule and travel arrangements asneeded.</li>
<li>Print and mail in house direct mail pieces throughout theyear.</li>
<li>Additional tasks as assigned.</li>
</ul>
Qualifications
<ul>
<li>Bachelor’s degree preferred but not required.</li>
<li>Two years prior experience in a related role.</li>
<li>Demonstrated alignment with AFJ mission and politics, andpassion for its work.</li>
<li>Proficiency in Microsoft Office Suite.</li>
<li>Comfortable working with database software programs such asEveryAction.</li>
<li>Strong written communication skills.</li>
<li>Outstanding attention to detail and deadlines.</li>
<li>Capacity to maintain strong, positive, collegial workingrelationships.</li>
<li>Ability to take ownership of a process and use problem-solvingskills to resolve issues and complete tasks.</li>
<li>Strong professionalism with the ability to function efficientlyin a busy, fast-paced environment.</li>
<li>Capacity to think critically understanding that there is no‘one size fits all’ approach to managing donors.</li>
<li>Ability to manage projects with minimal supervision whileidentifying and solving areas of opportunity independently.</li>
</ul>
Alliance for Justice provides equal employment opportunities toall employees and applicants for employment and prohibitsdiscrimination and harassment of any type without regard to race,color, religion, age, sex, national origin, disability status,genetics, protected veteran status, sexual orientation, genderidentity or expression, or any other characteristic protected byfederal, state, or local laws.
This policy applies to all terms and conditions of employment,including recruiting, hiring, placement, promotion, termination,layoff, recall, transfer, leaves of absence, compensation, andtraining.
Racial Equity
Our employees share our commitment to increasing racialdiversity in our movement and organization, integrating justice andequity into the work we do and ensuring an inclusive organizationalculture.
Physical Requirements
The physical demands described here are representative of thosethat must be met by an employee to successfully perform theessential functions of this job. While performing the duties ofthis job, the employee is regularly required to talk or hear. Theemployee frequently is required to stand; walk; use hands tofinger, handle or feel; and reach with hands and arms.
Work Environment
This job operates in a professional office environment. Thisrole routinely uses standard office equipment such as computers,phones, photocopiers, filing cabinets and other officeequipment.
Compensation
This is a union position covered under the terms of a collectivebargaining agreement with the Washington-Baltimore News Guild, CWALocal 32035, which includes salary minimums based on job positioncategory. This position is in Group 2 with a starting salary rangeof $60,000 - $65,000 depending on qualifications and experience.&nbsp;
The Collective Bargaining Agreement is <a href="https://afj.org/wp-content/uploads/2022/04/WBNG-AFJ-AFJAC-CBA-FINAL-2.8.22.pdf" target="_blank">available here</a>.
AFJ offers a comprehensive and generous benefitsprogram:
Health
We offer medical, prescription, dental, vision benefits, as wellas an employee assistance program for physical and mentalwell-being.
Savings
Save for retirement with our 401K plan with employermatching.
Time
We have a generous paid time off policy.
Family
We provide up to 16 weeks of parental leave and a range of paidand unpaid family leave programs that allow our employees to bondwith and care for their children and other dependents.

Other
Flexible spending account, dependent care, life and disabilityinsurance, as well as commuter benefits.
Race Equity
Our employees share our commitment to increasing racialdiversity in our movement and organization, integrating justice andequity into the work we do and ensuring an inclusive organizationalculture.
Other Duties
Please note this job description is not designed to cover orcontain a comprehensive listing of activities, duties orresponsibilities that are required of the employee for thisposition.&nbsp; Duties, responsibilities, and activities may changeat any time with or without notice.
Job Location
This is a full-time position. Days and hours of work are Mondaythrough Friday, 9:00 a.m. to 5:00 p.m. Currently a hybridoffice/remote with staff expected to be on site (if based inWashington, D.C.) 2-3 days a week.
How to Apply
Qualified applicants please reference Senior DevelopmentAssociate in your subject line and submit a letter of interest,resume our website at <a href="https://www.afj.org/about/careers" target="_blank">https://www.afj.org/about/careers</a>.&nbsp;(NO PHONE CALLS PLEASE).
AFJ/AFJAC is an Equal Opportunity Employer. AFJ/AFJACprohibits discrimination against its employees and applicants foremployment based on race, color, national origin, age, disability,sex, gender identity, religion, reprisal, sero-status and whereapplicable, political beliefs, marital status, familial or parentalstatus, sexual orientation, or income.
Disclaimer
This description is intended to provide an overview of thisposition and is not all-inclusive.&nbsp; The incumbent in thisposition will be expected to perform other duties asrequired.&nbsp;Responsibilities may change over time. Thisdescription is provided for informational purposes only and doesnot form the basis of a contract.

Senior Development Associate

Aspen Leadership Group is proud to partner with the Institute for Advanced Study in the search for a Chief Development Officer.&nbsp; Reporting to the Associate Director/Assistant Secretary, the Chief Development Officer will be responsible for the generation of both annual and capital support for the Institute and play a central role in both the near- and long-term future of this singular institution. The Institute for Advanced Study (IAS) is one of the world’s leading centers for theoretical research and intellectual inquiry. Founded in 1930 by philanthropists Louis Bamberger and his sister Caroline Bamberger Fuld, the Institute’s 800-acre campus in Princeton, New Jersey provides a tranquil environment for pure, curiosity-based scholarship. IAS provides some of the world’s most promising researchers the freedom to explore, without predetermined constraints, and to mentor others with similar potential. With a permanent Faculty of 26 and approximately 200 visiting researchers and scholars (known as Members) annually, the Institute’s four Schools—Historical Studies, Mathematics, Natural Sciences, and Social Science—have generated some of the most important discoveries of the past century and nurtured some of its most important minds, including 35 Nobel Laureates, 44 out of 62 Fields Medalists, 23 of the 26 Abel Prize Laureates, and many winners of the Wolf and MacArthur prizes. This work is made possible by philanthropic contributions, which ensure the Institute’s vital independence through the growth of its approximately $1 billion endowment and annual support of its $74 million budget. Currently, a permanent Faculty of 26 eminent academics guide the work of the Schools and each year awards fellowships to some 200 of the world’s most promising post-doctoral scholars and researchers from over 100 universities and research institutions throughout the world. In the more than 90 years since its founding, the work of the Institute’s Faculty and Members has been transformative, in both intellectual and practical terms. At the beginning of computing, one of the first stored program computers was designed and built on the Institute’s campus, and its structure (von Neumann architecture) has influenced the development of today’s computers and formed the mathematical basis for computer software.&nbsp; Past Faculty have included Albert Einstein—who remained at the Institute until his death in 1955—and distinguished scientists and scholars, such as Freeman Dyson, Clifford Geertz, Kurt Gödel, Hetty Goldman, George Kennan, J. Robert Oppenheimer, Erwin Panofsky, Homer A. Thompson, John von Neumann, and Hermann Weyl. The Institute’s more than 6,000 former Members hold positions of intellectual and scientific leadership throughout the academic world.&nbsp; IAS is a community of intellectual inquiry resolutely committed to the values of diversity, equity, and inclusion. IAS affirms equality and embraces its differences as it works to transform principles into action and grow new forms of scholarly community. Ensuring that diverse voices are present and active in all aspects of its organizational life is fundamental to its founding values: to expand the possibilities of discovery and to ensure access to all who can contribute to such discovery, regardless of origin.&nbsp; A bachelor's degree is required for this position as is at least ten years of progressively responsible, hands-on leadership experience in a development program of similar or greater complexity and scope. All applications must be accompanied by a cover letter and résumé. Cover letters should be responsive to the mission of the Institute for Advanced Study and the responsibilities and qualifications presented in the prospectus.&nbsp; To apply for this position, visit: <a href="https://opportunities.aspenleadershipgroup.com/opportunities/1321" target="_blank">https://opportunities.aspenleadershipgroup.com/opportunities/1321</a>. &nbsp;

Chief Development Officer

ITS Analyst CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a ITS Analyst and help shape the future of healthcare where you'll be an integral part of our IS Enterprise Architecture team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. The ITS Analyst will be responsible for collecting and analyzing data to support Information Technology IT projects, generating reports and providing insights for improvements. You'll create and maintain documentation, user guides and timelines for IT processes to ensure consistency and knowledge sharing. Additionally, you'll support projects by conducting research, assisting with business requirements and collaborating with team members. You'll perform basic data analysis to identify trends, patterns, and anomalies using tools like Excel and ServiceNow. Finally, you'll create reports, dashboards and visualizations to present findings to stakeholders, and you'll troubleshoot issues, participate in team meetings and contribute ideas for enhancing processes and project reporting. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>95% - Project and Data Analysis Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Works closely with Procurement and the IT team to manage contract expirations impacting project deliverables.</li>
<li>Develops spreadsheet analyses and presentations to produce reports and presentations for IT leadership.</li>
<li>Works closely with management to facilitate the timely and accurate completion of project budgets to track and reconcile with Accounting and Finance.</li>
<li>Assists in creating and maintaining the department's policy and procedure documents, workflow processes and knowledge repositories on collaboration platforms.</li>
<li>Ensures data accuracy and consistency across multiple platforms.</li>
<li>Assists in the preparation and presentation of reports and data analysis.</li>
<li>Implements IT policies to maintain standards and follow Agile software development life cycle (SDLC) guidelines.</li>
<li>Provide support in planning and oversight of projects.</li>
<li>Conduct research, assist with business requirements and ServiceNow testing and collaborate with project team members. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in information technology or related field PLUS 2 years of working in an information technology setting within a large health plan 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>2 years of experience with financials, such as budgeting required. </li>
<li>Experience documenting and disseminating new processes required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Experience with ServiceNow. </li>
<li>Experience with Agile SDLC methodology.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 308 - $64,165 - $102,664 ($30.85 - $49.3577). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6690120&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 12, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6690120" target="_blank">https://jobs.caloptima.org/jobs/its-analyst-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-2515d1004dafde42acd6372461bc5831

ITS Analyst

Claims Examiner Sr CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Claims Examiner Sr and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will be responsible for analyzing and validating claims elements and claims processing. You will adhere to regulatory and internal guidelines in conjunction with CalOptima Health's policies and procedures related to claims adjudication. You will be responsible for adjudicating more complex claims which require additional research or problem-solving. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>95% - Claims Support
<ul>
<li>Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.</li>
<li>Conducts research and problem solves the more complex claims.</li>
<li>Processes professional and institutional claim types.</li>
<li>Performs thorough review of pending claims for billing errors and questionable billing practices, including duplicate billing and unbundling of services.</li>
<li>Corrects system-generated errors manually prior to final claims adjudication.</li>
<li>Processes claims based upon CalOptima Health's contractual agreements or pricing agreements, applicable regulatory legislation, claims processing guidelines and CalOptima Health's policies and procedures.</li>
<li>Analyzes and validates Medi-Cal and/or Medicare claims pricing; researches, adjusts and adjudicates claims; reviews services for accurate charges, utilizing billing code sets and/or authorization guidelines as a reference.</li>
<li>Processes claim exception reports as assigned. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>High school diploma or equivalent PLUS 2 years of related claims processing experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Experience processing online claims in a managed care environment. </li>
<li>Experience processing Medi-Cal and/or Medicare claims. </li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 303 - $51,744 - $72,441 ($24.88 - $34.8274). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6692128&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 13, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6692128" target="_blank">https://jobs.caloptima.org/jobs/claims-examiner-sr-505-city-parkway-west-california-united-states-55768582-cbb1-4f0a-9b91-f24bd96b3864</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-0997c2453663f24f8553ce58bf644157

Claims Examiner Sr

Lead Decision Support Analyst (Principal Financial Analyst) CalOptima CalOptima Health is seeking a highly motivated Lead Decision Support Analyst (Principal Financial Analyst) to join our team. The Principal Financial Analyst (Decision Support) will be responsible for providing highly complex analysis, guidance and expert knowledge on health care finance for various departments within CalOptima Health. The incumbent is a sought-out expert and company-wide resource on matters of health care finance. Working independently, the incumbent will lead complex large-scale analytical initiatives, develop report suites and financial models used to forecast medical cost trends. The incumbent will provide expertise for provider contract negotiations, assess actuarial rate development studies, participate in annual budgeting functions, lead ad-hoc teams and serve as a subject matter expert to staff and other consultants within the department. The incumbent will evaluate high visibility complex issues, perform detailed analysis and communicate well reasoned, thorough solutions to all levels of management within CalOptima Health. The incumbent will work with large amounts of claims, enrollment and provider data. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 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>95% - Financial Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Shares expert knowledge, mentors, trains and serves as a lead for analytical staff.</li>
<li>Serves as a subject matter expert in the following areas: Medi-Cal provider rate methodology, Medicare provider rate methodology, Department of Health Care Services (DHCS) revenue, Centers for Medicare &amp; Medicaid Services-Medicare Advantage (CMS-MA) revenue, population health member cohort identification, industry standard approaches to health care cost service categorization and metrics.</li>
<li>Forms and leads ad-hoc teams on key initiatives.</li>
<li>Provides expertise and analyses around risk adjustment.</li>
<li>Leads in the design, development, implementation and maintenance of report suites and dashboards for all levels of CalOptima Health management.</li>
<li>Researches, assesses and develops advanced tools, models, reports and approaches to increase accuracy and timeliness of data-driven work projects.</li>
<li>Develops medical expense, revenue and enrollment projections to support the budget process.</li>
<li>Develops financial models and reports to support provider contract negotiations.</li>
<li>Develops return on investment and business case analyses for program initiatives under consideration by management.</li>
<li>Provides clinical and utilization analysis to assist Medical Management with improving outcomes and quality of care for CalOptima Health members.</li>
<li>Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, finance, economics, actuarial sciences or related field PLUS 8 years of financial analysis experience in managed care required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>5 years of experience in Provider Contract Modeling, Provider Rate Analysis and/or Managed Care Contracting in a health care setting required. </li>
<li>1 year of experience writing SQL required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>5 years of analytical experience working with Medi-Cal and/or Medicare payer information. </li>
<li>Experience in an Independent Physician Association (IPA), hospital or health plan setting. </li>
<li>Intermediate to Advanced proficiency in Excel. </li>
<li>Experience with DHCS rate development and/or Medicare Advantage bid process.</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=6691144&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 2, 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/6691144" target="_blank">https://jobs.caloptima.org/jobs/lead-decision-support-analyst-principal-financial-analyst-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-92d54e2144852e4496213bad8f60c91f

Lead Decision Support Analyst (Principal Financial Analyst)

Director Premium Billing and Member Enrollment (Director II) CalOptima Join Us - Where Your Talent Meets Opportunity. We're Better Together The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Director Premium Billing and Member Enrollment (Director II) and help shape the future of healthcare where you'll be an integral part of our Operations Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. CalOptima Health is looking for a strategic thinker with a proven track record of leading a high-performing team to establish and manage the Enrollment and Billing function related to Health Insurance Exchange/Marketplace/Covered California product operations. As the Director, you'll serve in a leadership role to define and scale up their own team, roadmap, implement, and manage operationalization of this capability at CalOptima Health, and drive closing the people, process, and technological gaps between current state and future state operations to support enrollment and billing capabilities for the Covered California line of business. This role will be critical in standing up and continuing to successfully execute seamless enrollment, accurate billing, and regulatory compliance for the product line expansion. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>45% - 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>Directs, hires and trains department managers and staff.</li>
<li>Reviews and develops the performance of department staff and sets monthly or quarterly goals.</li>
<li>Serves as the key point of contact and advisor for executive leadership when making strategic decisions impacting the operations of the Enrollment and Billing function at CalOptima Health.</li>
<li>Develops and executes the 12-18-month roadmap to operationalize Enrollment and Billing capabilities for Covered California line of business - integrating with existing Medi-Cal workflows (where applicable), defining new operational processes, and configuring existing and/or new systems to support Covered California line of business.</li>
<li>Builds out and leads Enrollment and Billing function at CalOptima Health (i.e., recruiting, coaching, and retaining team, setting up governance structure, collaborating cross-functionally with other CalOptima Health functions to identify teams' dependencies, etc.).</li>
<li>Oversees the timely and accurate completion of Covered California enrollment capabilities inclusive of ingestion and processing of 834 enrollment files, plan changes, cancellations, and grace-period management per Covered California rules. </li>
</ul>
</li>
<li>50% - Program Oversight
<ul>
<li>Implements and oversees end-to-end premium billing capability -including invoice generation, member payments, financial reconciliation (including subsidies) and refunds-ensuring regulatory compliance.</li>
<li>Reconciles membership and premium data with Covered California and internally at CalOptima Health to support regulatory requirements and data accuracy internally on a cyclical basis.</li>
<li>Manages the end-to-end enrollment and billing processing and reconciliation for the off-exchange population.</li>
<li>Oversees integration and management of the enrollment and billing capabilities that third party vendors and delegated health network are responsible and accountable for.</li>
<li>Leads vendor and technology selection for vended capabilities and oversees implementation and integration with the organization's processes and technologies.</li>
<li>Leads the development of processes and configuration of core admin system to support implementation and ongoing optimization of the premium billing capability at CalOptima - inclusive of partnering with CalOptima Health's Information Technology teams (and potentially vendor teams), overseeing system and data integrations, etc.</li>
<li>Develops and manages the annual departmental budget. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in business, health administration, finance, or related field PLUS 7 years in health-plan operations with at least 5 years in health insurance exchange/marketplace and/or commercial Individual and Family Plan (IFP) enrollment and billing 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 management/leadership experience required.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Knowledge and prior experience at a health plan leading enrollment and billing functions for an exchange or commercial product. </li>
<li>Specific experience with Covered California.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 321 - $181,257 - $290,011 ($87.14 - $139.4282). 
<ul>
<li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Office </li>
</ul>
 A <a href="https://apptrkr.com/get_redirect.php?id=6691212&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> 
<ul>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is October 13, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6691212" target="_blank">https://jobs.caloptima.org/jobs/director-premium-billing-and-member-enrollment-director-ii-505-city-parkway-west-california-united-states-eec0bbc1-1619-4a08-8efb-318193291fd1</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-9e5db22bed600f45bd7f3251e28bfe46

Director Premium Billing and Member Enrollment (Director II)

Configuration Management Analyst (ITS Analyst Int) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Configuration Management Analyst (ITS Analyst Int) and help shape the future of healthcare where you'll be an integral part of our Medical Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. The Configuration Management Specialist will serve as a critical liaison between business and technical teams within the Clinical Operations Configuration and Application Configuration department, operating within an Agile framework. You'll oversee the clinical application configuration request lifecycle from intake to delivery, ensuring effective prioritization, capturing business requirements and coordination and alignment with organizational goals through iterative and collaborative processes. Additionally, you'll work closely with business stakeholders, Information Technology (IT), shared services and the JIVA vendor in Agile ceremonies to deliver high-quality configuration solutions. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>60% - Feature Planning, Prioritization and Requirements Grooming
<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>Backlog Management: Maintains and grooms the configuration request backlog in alignment with Agile principles, ensuring requests are logged, categorized and prioritized based on business needs and strategic objectives for inclusion in sprint planning.</li>
<li>Request Triage and Intake: Acts as the primary point of contact for business stakeholders submitting configuration requests. Triages requests to assess urgency, impact and feasibility, refining them into actionable user stories or tasks for Agile sprints.</li>
<li>Requirements Grooming: Collaborates with business stakeholders in backlog refinement sessions to gather, clarify and document business-level requirements ensuring user stories are well-defined, meet acceptance criteria and align with technical capabilities and organizational goals.</li>
<li>Vendor Collaboration: Participates in Agile ticket review meetings with the JIVA vendor to escalate issues, discuss complex tickets and ensure timely resolution of configuration-related challenges within sprint cycles.</li>
<li>Stakeholder Coordination: Facilitates communication between business units, IT and shared services teams during Agile ceremonies (e.g., sprint planning, daily standups and retrospectives) to establish delivery timelines, resolve dependencies and manage expectations.</li>
<li>Prioritization and Sprint Planning: Works with business stakeholders and the Agile team to prioritize configuration requests while balancing urgency, resource availability and strategic priorities to create sprint goals and optimize delivery schedules.</li>
<li>Task Oversight: Monitors and ensures configuration tasks are completed accurately and on time within sprints, coordinating with the team to address gaps or delays before release.</li>
<li>Daily Standups and Barrier Resolution: Actively participates in daily Agile standups to report progress, address barriers, refine requirements, size tasks and resolve questions, ensuring smooth sprint execution.</li>
<li>Risk and Issue Management: Proactively identifies risks or impediments impacting sprint delivery, escalates as needed during Agile ceremonies and collaborates with the team to implement mitigation strategies.</li>
<li>Documentation and Reporting: Maintains clear documentation of user stories, decisions and processes in Agile tools (e.g., Jira). Provides sprint metrics, backlog health updates and delivery performance reports to stakeholders and leadership during sprint reviews. </li>
</ul>
</li>
<li>30% - Coordinating and Collaborating With IT
<ul>
<li>Change Management Support: Coordinates user acceptance testing (UAT) within sprint cycles, support training efforts and ensure smooth adoption of configuration changes by business users.</li>
<li>Process Improvement: Contributes to Agile retrospectives to identify and implement opportunities to enhance request intake, prioritization and delivery processes, driving efficiency and team effectiveness.</li>
<li>Agile Collaboration: Actively engages in Agile ceremonies, including sprint planning, backlog refinement, sprint reviews and retrospectives to foster collaboration and continuous improvement. </li>
</ul>
</li>
<li>10% - Other
<ul>
<li>Completes other projects and duties as assigned.</li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in healthcare administration, information technology, business administration or a related field PLUS 5 years of experience in business analysis, project coordination or clinical systems management, with at least 1 year working in an Agile, Kanban or other software delivery processes 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>1 year of experience with requirements gathering, documentation and Agile prioritization techniques.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Agile and/or project management certifications (e.g., Certified ScrumMaster, SAFe Agilist).</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>n/a</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 312 - $84,092 - $134,548 ($40.43 - $64.6865). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6690109&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 12, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6690109" target="_blank">https://jobs.caloptima.org/jobs/configuration-management-analyst-its-analyst-int-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-fbbc5fdf6f1905409041aa43c02ebef8

Configuration Management Analyst (ITS Analyst Int)

Program Manager (Quality Incentives) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. More About the Opportunity We are hoping you will join us as a Program Manager (Quality Incentives) and help shape the future of healthcare where you'll be an integral part of our Quality Analytics team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Under the general direction of the Director of Quality Initiatives, You will collaborate and coordinate with leadership to design, implement and evaluate quality incentive programs. You will support with leading, implementing and optimizing pay for value incentive programs across our provider and hospital network. You will interact with CalOptima Health's executives and management, legal counsel and state and federal regulatory agencies. Additionally, you will support CalOptima Health staff on related projects as needed. Together, we are building a stronger, more equitable health system. Your Contributions To the Team: 
<ul>
<li>80% - Program Management
<ul>
<li>Leads end-to-end management of provider incentive programs, health network pay-for-value initiatives and hospital quality pay for value models.</li>
<li>Collaborates with cross-functional teams and vendors to develop program strategies and performance metrics.</li>
<li>Monitors quality incentive program performance, identifies improvement opportunities and implements data-driven enhancements.</li>
<li>Communicates program goals, progress and outcomes to internal stakeholders and external partners.</li>
<li>Participates in meetings with providers, health networks and hospital partners to review performance for quality measures and CalOptima Health's pay for value (P4V) programs.</li>
<li>Assists partners with understanding and implementing best practices to improve performance.</li>
<li>Assists in the implementation of quality improvement grant programs that utilize unearned incentive dollars.</li>
<li>Assists management in the development of specifications and scope of work for a Request for Proposal (RFP), Request for Quote (RFQ) or Request for Inquiry (RFI) to support new program development as needed.</li>
<li>Supports program design, development and implementation of quality programs impacting, but not limited to Healthcare Effectiveness Data and Information Set (HEDIS), Managed Care Accountability Sets (MCAS) and Centers for Medicare &amp; Medicaid Services (CMS) STARs quality measures consistent with the quality program and workplan.</li>
<li>Produces slide decks, summaries, root cause analyses, impact analyses and other reports as needed by leadership.</li>
<li>Applies analytical skills to evaluate data based on project specifications; requests and interprets data to support decision-making and communicates insights to cross-functional stakeholders.</li>
<li>Establishes key performance indicators (KPIs) and metrics to monitor project progress and performance, providing regular updates to senior management.</li>
<li>Leads performance and quality improvement projects, Plan Do Study Act or other formats as needed.</li>
<li>Reviews evidence-based literature for best practices to incorporate into strategy.</li>
<li>Develops and oversees the process of written tools for programmatic use, including program plans, surveys and evaluation instruments.</li>
<li>Maintains current knowledge of applicable regulations or clinical guidelines related to program development.</li>
<li>Stays current on the local, state and federal health care environment and identifies issues that may impact CalOptima Health's quality program and work plan. </li>
</ul>
</li>
<li>15% - Administration Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Reviews and assists in updating policies and procedures to ensure knowledge related to assigned programs and projects is kept up to date.</li>
<li>Works with all CalOptima Health departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message. </li>
</ul>
</li>
<li>5% -
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in healthcare or a related field required PLUS 3 years of experience in program development, program/project management or quality metrics analysis and improvement required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in public health, health administration or related field. </li>
<li>1 year of experience working in a highly matrixed, mission-driven organization.</li>
</ul>
 What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul>
 Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul>
<li>Our current hiring range is: Pay Grade: 311 - $77,863 - $124,581 ($37.43 - $59.8947). 
<ul>
<li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. </li>
</ul>
</li>
</ul>
</li>
<li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**) </li>
<li>A <a href="https://apptrkr.com/get_redirect.php?id=6687168&amp;targetURL=https://www.caloptima.org/en/careers#benefits" target="_blank">comprehensive benefits package</a> </li>
<li>CalPERS pension program and additional retirement packages. </li>
<li>Additional benefits and perks including:
<ul>
<li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul>
</li>
</ul>
 Our Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 Why Join Us? We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. What's Your Next Step? All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 11, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. Our Commitment to You Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6687168" target="_blank">https://jobs.caloptima.org/jobs/program-manager-quality-incentives-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-f798b55cf9658a43bbd24454ae6ef359

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