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About the Role:
The Sales Development Representative (SDR) will partner with full-cycle sales professionals at CrowdStrike to drive net new business. SDRs are enabled and coached to master multithreaded prospecting strategies that combine direct engagement, social selling, and nurture campaigns aimed at booking qualified meetings with C-Level decision makers. SDRs get world class sales training with a heavy focus on Sandler sales techniques with the goal of developing into quota carrying sales professionals in 12-18 months.
This role is hybrid and will require in-office attendance three days a week in our Austin, TX office. This will require you to be within commuting distance of the office that you will be working out of.
What You’ll Need:
<ul>
<li>
Curiosity, Coachability and Competitiveness
</li>
<li>
Customer facing experience
</li>
<li>
Passionate about becoming a software sales expert
</li>
<li>
Wants to understand the SaaS B2B cybersecurity space
</li>
<li>
Interested in learning about technology and enterprise software
</li>
<li>
High EQ and business acumen
</li>
<li>
Interested in mentorship from top performing industry leaders
</li>
<li>
Wants to become an expert in business process optimization
</li>
</ul>
What You’ll Do:&nbsp;
<ul>
<li>
Gain SaaS sales experience by working with CrowdStrike’s most experienced sellers
</li>
<li>
Learn corporate selling strategies by running meetings with VP and C-level executives
</li>
<li>
Understand the cybersecurity technology landscape through industry research and competitive selling
</li>
<li>
Learn&nbsp;go-to-market&nbsp;strategy by collaborating with CrowdStrike partners to generate business opportunities
</li>
<li>
Use the leading sales software tools to manage your book of business
</li>
<li>
Collaborate cross-functionally with multiple teams to understand all the moving parts of an industry leader
</li>
</ul>
Bonus Points:
<ul>
<li>
Experience working in an outbound prospecting environment.
</li>
<li>
Experience selling SaaS products
</li>
</ul>
#LI-HK1
#LI-JG1

Sales Development Representative (Hybrid - Austin, TX)

About the Role:
The Customer Development Representative (CDR) will partner with CrowdStrike’s Account Management team to identify cross-sell and upsell opportunities in our customer base. The successful CDR will be measured upon qualified opportunities, as well as other weekly and monthly KPIs. CDRs are enabled and coached to master the intricacies and strategies of the Account Management role. They will conduct multi- threaded outreach strategies that combine direct engagement, nurture campaigns and social selling aimed at booking qualified meetings with decision makers. With the goal of developing into quota-carrying sales professionals in 12-18 months, CDRs will receive world class Sales Readiness training with a heavy focus on Sandler and MEDDPICC methodologies.
This is a hybrid role and requires in-office work three times a week. It will require you to be within commuting distance to our Austin, TX office.
What You’ll Need:
<ul>
<li>
Curiosity, Coachability and Competitiveness
</li>
<li>
Customer facing experience with strong relationships, empathy and active listening skills
</li>
<li>
Passionate about becoming a cyber-security sales expert
</li>
<li>
Interested in learning about technology and enterprise software
</li>
<li>
High EQ, strong communication skills and business acumen
</li>
<li>
Interested in mentorship from top performing industry leaders
</li>
<li>
Looking to make Account Management your career path
</li>
<li>
Experience working in an outbound prospecting environment.
</li>
<li>
1+ years of SDR/BDR experience and a track record of success
</li>
</ul>
What You’ll Do:&nbsp;
<ul>
<li>
Execute targeted outbound campaigns, primarily around CrowdStrike products that are not currently a part of the customer's product portfolio.
</li>
<li>
Partner with Corporate Account Managers to build strategic customer account plans and develop white space strategies.
</li>
<li>
Meet weekly with team members for account mapping sessions and provide updates on new opportunities and pipeline generation activities.
</li>
<li>
Gather and document strategic account intelligence including channel partnerships, tech partnerships, and competitive spend.
</li>
<li>
Follow up with customers from high priority events and marketing-driven inbound activities from customers.
</li>
</ul>
Bonus Points:
<ul>
<li>
Cyber security industry knowledge
</li>
<li>
Account Management experience
</li>
<li>
Familiarity with Sandler or MEDDPIC
</li>
</ul>
#LI-HK1

Customer Development Representative, Austin (Hybrid)

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

Programmer Analyst III Lubbock 41415BR High Performance Computing Center Position Description The Programmer Analyst III's role is to develop, test, analyze, and maintain software applications in support of business requirements. Major/Essential Functions 
<ul>
<li>Research, design, document, and modify software specifications throughout the production life cycle.</li>
<li>Supervise and/or lead the development of new systems, directing changes to existing systems and controlling the interfaces between the systems, initiating complex feasibility studies and making recommendations of the action to be taken.</li>
<li>Perform systems analysis, develops, and reviews programming code defined in project plans to meet design specifications, customer requirements, and/or applies vendor supplied upgrades.</li>
<li>Design, development, documentation, analysis, creation, testing, or modification of computer systems or programs, including prototypes, based on user or system design specifications.</li>
<li>Completes application modifications to enhance functionality, adapt to technology changes, and correct application errors.</li>
<li>Supervises and/or leads programming projects and initiatives, as assigned by management.</li>
<li>Completes other programming tasks, as assigned by management.</li>
<li>Adheres to all appropriate institutional policies (including IT Ops) and other relevant internal department policies.</li>
</ul>
 Required Qualifications Bachelor's degree with coursework in computer science, MIS, IT, or other related area plus three (3) years related full-time paid experience OR a combination of related education and/or experience. Applicants for this Security Sensitive Level II position will be subject to a criminal background check and must pass a drug and alcohol test after a conditional offer of employment has been extended, but before employment can be confirmed. Preferred Qualifications Bachelor's degree in Computer Science or a related degree field with coursework in computer science, management information systems, or information technology. 3 years of experience as a computer programmer, software engineer, or other related role. Requires analytical design skills, including process description, logic problem diagnostics, and problem-solving; programming languages; and application and database design and development concepts and standards. Employer will accept a bachelor's degree equivalency based on a combination of education and experience. Special Instructions to Applicant Minimum Hire Rate To apply, visit <a href="https://apptrkr.com/6317620" target="_blank">workattexastech.com</a> All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran. 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-fdd102af9ca93b4bb658a7316bbd73f5

Programmer Analyst III

Manager Grievance &amp; Appeals (Provider Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Manager, Grievance &amp; Appeals (Provider Services) to join our team. The Manager Grievance &amp; Appeals (Provider Services) will provide daily oversight and technical management for provider services, including provider disputes, provider grievances and provider appeal to ensure compliance with state, federal and accreditation standards applicable to CalOptima Health. The incumbent will work with CalOptima Health management staff and other affiliated health networks with a close interface to the program and process, including areas such as Utilization Management, Claims Administration, Delegation Oversight, Quality Improvement and health network relations. The incumbent will research complex claims problems, isolate root causes and partner with various entities for resolution. The incumbent will communicate with all levels of internal staff, regulatory agencies, health networks, providers, vendors, community-based organizations and medical groups. Position Information: 
<ul>
<li>Department: GA - Provider Disputes </li>
<li>Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Program Oversight
<ul>
<li>Identifies and analyzes trends, collaborates with the Director to provide trends and makes recommendations for improvement.</li>
<li>Stays current on the local, state and federal health care environment, identifying issues that may impact CalOptima Health's programs as they relate to claims, provider disputes, grievances and provider appeals.</li>
<li>Develops, implements, maintains and reviews the adequacy of the CalOptima Health provider grievance systems, reporting, policies and functions to achieve stated goals, including, but not limited to, complaint resolution and timely responsiveness for all lines of business, to ensure compliance with all relevant regulatory requirements pertaining to provider disputes.</li>
<li>Works with the Audit and Oversight department and key departments to ensure internal departments and external partners (e.g., health networks and delegates) are up to date with regulatory, departmental and organizational changes impacting the grievance and appeals processes.</li>
<li>Ensures timely and effective data collection, summarization, integration and reporting, including, but not limited to, productivity, status and trend reports for specific committees such as the Quality Improvement Committee, Grievance and Appeals Committee, Quality Assurance Committee of the Board of Directors and other ad hoc reporting as required.</li>
<li>Serves as CalOptima Health's primary point of contact and subject matter expert related to provider services (disputes, grievances and appeals).</li>
<li>Participates in Department of Managed Healthcare (DMHC), Department of Health Care Services (DHCS) and Centers for Medicare and Medicaid (CMS) audits related to area of responsibility for all CalOptima Health programs. </li>
</ul>
</li>
<li>45% - Leadership
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Manages, hires, mentors and develops department staff.</li>
<li>Oversees the development and maintenance of internal policies and procedures and desktops to ensure compliance with all state and federal regulations for multiple lines of business.</li>
<li>Manages and makes recommendations on the development and maintenance of an effective dispute, appeals and grievance process and systems consistent with CalOptima Health policies and stated goals, including, but not limited to mechanisms to monitor provider disputes, grievances and appeals involving Legal, DMHC, DHCS, Independent Medical Review, Medi-Cal State Hearings, Office of Administrative Hearings and Appeals, CMS and external review agencies for CMS.</li>
<li>Partners with the management to ensure appropriate training and auditing tools are developed and maintained for the department. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, nursing, healthcare administration or related field PLUS 3 years of health care management experience in a related area of responsibility (provider disputes and appeals, claims administration, appeals and grievances) required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>3 years of leadership experience required. </li>
<li>Experience in health maintenance organization, Medi-Cal/Medicaid, Medicare Advantage, Medicare Part D, Special Needs Plans, Medicare-Medicaid Plans and/or the Program of All-Inclusive Care for the Elderly required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience with process improvement implementation.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6357344&amp;targetURL=https://alliantbenefits.cld.bz/24caloptimacabenguide" target="_blank">2024 CalOptima Health Benefits Guide</a> and our <a href="https://apptrkr.com/get_redirect.php?id=6357344&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is July 16, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6357344" target="_blank">https://jobs.caloptima.org/jobs/manager-grievance-appeals-provider-services-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-cf7b2c04c4b10840a8654602344b5194

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