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Business Analyst (Claims) CalOptima CalOptima Health is seeking a highly motivated Business Analyst (Claims) to join our team. Under general supervision, the Business Analyst (Claims) will identify and design solutions within Claims Administration processes. The incumbent will interpret regulatory letters and memos to identify the impact on claims processes. The incumbent will be responsible for implementation of changes through project management, system configuration and User Acceptance Testing (UAT). The incumbent will work independently and perform more complex analytical and administrative responsibilities. The incumbent will exercise discretion and judgment and may coordinate a function and the work of others within the program or representing the program/project. Position Information: 
<ul>
<li>Department: Claims Administration </li>
<li>Salary Grade: 310 - $72,096 - $115,353 ($34.66 - $55.4582) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Works in conjunction with the Claims Administration team, Contracting, Provider Relations, Coding Initiatives and/or Information Technology to implement benefit or process changes that impact system configuration due to federal and state notices.</li>
<li>Performs system research and testing to ensure regulatory, coding, contract updates and configuration changes produce expected results; ensures that all documentation accurately reflects the current status of changes and outstanding issues identified during testing.</li>
<li>Creates business user test scenarios and testing schedules, including time estimates and deadlines, monitors milestone completion, tracks all phases of testing and provides timely reporting of issues that impact the testing progress.</li>
<li>Communicates to the Claims Administration management team, training and staff regarding any system enhancements or changes, including any process deficiencies identified from claims look-back analysis and UAT.</li>
<li>Assists the Claims Administration management team in identifying training and development of desktop procedures and policies for the Medi-Cal and Medicare lines of business impacted by system and/or regulatory changes.</li>
<li>Provides analytical support and technical expertise on requests for information from executives, directors and other staff regarding claims.</li>
<li>Remains updated on state, federal and commercial health care environments, identifying impacts to CalOptima Health programs and claims processes utilizing MedLearn, Centers for Medicare &amp; Medicaid Services (CMS) Updates, Medi-Cal Provider Bulletins, Medi-Cal manuals and Industry Collaboration Effort (ICE).</li>
<li>Reviews ad-hoc analysis and generates reports as requested.</li>
<li>Collaborates with Claims Administration management process improvement, project management and Training Program Coordinator to identify process improvement opportunities.</li>
<li>Partners with trainer and Claims Administration management team to create or update document processes and procedures.</li>
<li>Serves as subject matter expert with end-to-end claims adjudication/processing.</li>
<li>Facilitates communication on claims related topics. </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, management or related field PLUS 2 years of both Medicare and Medi-Cal claims adjudication experience required, including experience with Current Procedural Terminology (CPT-4), Healthcare Common Procedure Coding System (HCPC) coding or International Classification of Diseases (ICD-10); an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>N/A</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=6372575&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 22, 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/6372575" target="_blank">https://jobs.caloptima.org/jobs/business-analyst-claims-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-e67e1e573a7a6948a011a0304b064368

Business Analyst (Claims)

Program Specialist, Sr. (Community Relations) CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist Sr to join our team. The Program Specialist Sr for Community Relations will assist in the development, planning and execution of community relations strategies, communications and activities. The incumbent will work closely with the department director to support community engagement with key stakeholders, program development, implementation of special projects, large scale events and meetings with key stakeholders to support CalOptima Health initiatives. The incumbent is responsible for overseeing and leading leaderships' participation and administrative support for special events, projects and meetings led by CalOptima Health and our key community stakeholders. The incumbent will serve as a subject matter expert to team members with their outreach and education activities. The incumbent will interface and work collaboratively with internal staff, members and community stakeholders, and support other key CalOptima Health leaders and staff on related projects. The incumbent will update and support internal staff members and requests from internal departments and external stakeholders for meetings and presentations and will participate in community events. Integrity and the ability to maintain confidentiality are essential. Position Information: 
<ul>
<li>Department: Community Relations </li>
<li>Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>75% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Facilitates the coordination of communication materials for CalOptima Health's leadership, including but not limited to, talking points, presentations and correspondence and to educate government and community officials regarding CalOptima Health's mission, strategic priorities, policy positions, projects, plans and other activities.</li>
<li>Participates and provides direct support with CalOptima Health's initiatives, large-scale events and other high-profile projects.</li>
<li>Serves as the subject matter expert to support team members with their outreach and education activities.</li>
<li>Serves as a liaison between Community Relations and various internal departments to coordinate their participation and support with internal and external events and meetings.</li>
<li>Tracks, monitors and provides updates for specific and/or ongoing projects, such as generating reports, logs, calendars, and mailings, developing and managing databases, and applying general business practices, as well as CalOptima Health policies and procedures.</li>
<li>Maintains confidential and sensitive information and files regarding management projects and policy.</li>
<li>Directs and assigns projects and/or tasks to appropriate staff, as needed. </li>
</ul>
</li>
<li>20% - Administrative Support
<ul>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Oversees and coordinates email and telephone requests from leaders, internal departments and external stakeholders.</li>
<li>Oversees the department's database and inventory for outreach and education materials and supplies. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in political science, public policy, public administration, communications, health care administration or related field PLUS 3 years of work experience in community or public relations and/or project management required or 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>Valid driver's license and vehicle, or other approved means of transportation, an acceptable driving record, and current auto insurance will be required for work away from the primary office 10% of the time.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience working in community health, public affairs, communications, public health or related field</li>
<li>Strategic planning and project management experience. </li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>n/a</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6374350&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 23, 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/6374350" target="_blank">https://jobs.caloptima.org/jobs/program-specialist-sr-community-relations-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-643fc59b0146d245accf54a2ee8ed7c0

Program Specialist, Sr. (Community Relations)

Auditor Sr (Non-Clinical) CalOptima CalOptima Health is seeking a highly motivated Auditor Sr (Non-Clinical) to join our team. The Claims Administration Department is responsible for managing and processing all medical claims in accordance with industry standards and regulations, ensuring accuracy and timely reimbursement to health care providers. The Auditor Sr (Non-Clinical) will be responsible for conducting routine oversight monitoring and auditing of all business functions within CalOptima Health to ensure compliance with federal, state, regulatory and internal guidelines. The incumbent will ensure the Claims Administration department adheres to regulatory and internal guidelines in conjunction with CalOptima Health policies and procedures as they apply to claims processing. Position Information: 
<ul>
<li>Department: Claims Administration </li>
<li>Salary Grade: 310 - $72,096 - $115,353 ($34.66 - $55.4582) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Conducts routine audits of claims processed to ensure continued adherence to CalOptima Health's policies and procedures and compliance with regulatory requirements.</li>
<li>Monitors and plans multiple concurrent audits and related projects, makes decisions around object, scope and ensures effective and efficient audit execution.</li>
<li>Serves as a knowledge expert for assigned functional areas.</li>
<li>Reports and tracks audit findings, identifies areas of concern and validates remediation efforts, including identifying potential solutions (immediate and long-term controls).</li>
<li>Provides written and oral summaries of audit analyses as needed.</li>
<li>Supports the facilitation of mock audits of departmental functions using designated audit tools and develops Corrective Action Plans (CAPs) to address deficiencies.</li>
<li>Conducts audits of department functions using designated audit tools and develops CAPs to address identified deficiencies.</li>
<li>Participates in workgroups that address non-clinical internal activities for which CalOptima Health must demonstrate improvement to meet its contractual requirements with the Centers for Medicare &amp; Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC) and any other applicable entity.</li>
<li>Interprets and applies guidance from industry standards and audit protocols.</li>
<li>Collects and summarizes performance data, identifies improvement opportunities and presents findings to management.</li>
<li>Informs the department of any changes to regulatory requirements.</li>
<li>Performs audit validation of monthly claim submissions.</li>
<li>Serves as a liaison with other areas and business units. </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, health care administration or related field PLUS 4 years of medical health 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>
<li>3 years of experience in a managed care environment and interacting with governmental requirements and regulations (e.g., Medi-Cal/Medicaid, Medicare) required. </li>
<li>2 years of audit experience in audit and oversight, claims, customer service or related area required. </li>
<li>Experience with DHCS and CMS rules and regulations governing claims adjudication practices and procedures required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>N/A</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=6372586&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 22, 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/6372586" target="_blank">https://jobs.caloptima.org/jobs/auditor-sr-non-clinical-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-06e544b287e00c4d9616015c6ae39f61

Auditor Sr (Non-Clinical)

Sr Manager, Infrastructure Engineering (Sr Manager IV) CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Infrastructure Engineering (Sr Manager IV) to join our team. The Sr Manager IV (Infrastructure Engineering) will provide critical technical leadership along with management oversight of the technical solutions, support, enhancements, planning and delivery of infrastructure services. The incumbent will provide day-to-day leadership to a diverse staff of infrastructure engineers and administrators while managing the overall performance of the infrastructure systems, solutions and processes. The incumbent will report to and provide updates on team progress, project health and status, and overall challenges, to the Sr. Director of Information Technology. The incumbent is an extension of the Information Technology (IT) leadership team. Working closely with the support, architecture, applications, and platform engineering teams, the incumbent will ensure collaboration and clear communication of technical system status, incidents, risks, changes, projects, planning and overall accomplishments. Additionally, the incumbent will work closely with vendors and technology partners to support all IT services and application services for the organization. The incumbent is accountable for the overall stability and technical services for their teams and provides the necessary key performance indicators (KPI)'s to support their performance, and to measure the capabilities of these services. The incumbent will support the development of the overall strategic direction, technical architecture, and roadmap for their areas of responsibility. Position Information: 
<ul>
<li>Department: ITS- Infrastructure </li>
<li>Salary Grade: 319 - $160,893 - $257,458 ($77.35 - $123.7635) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Leadership
<ul>
<li>Cultivates and promote a mission-driven culture 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 and provides direction and leadership to a team of diverse and highly skilled engineers and administrators.</li>
<li>Sets goals, objectives, KPI's that demonstrate teams' performance and lead to operational excellence and ongoing continuous improvements.</li>
<li>Collaborates and leads the efforts of internal stakeholders and third-party vendors, as well as assures that integrated solutions are provided to meet the organization's needs.</li>
<li>Provides general oversight and management of individual tasks or projects as assigned and specific direction, as needed. </li>
</ul>
</li>
</ul>
<ul>
<li>45% - Program Oversight
<ul>
<li>Manages all components and aspects of the infrastructure, including networks, voice and data, storage and compute. </li>
<li>Designs and implements short- and long-term plans and solution to maintain existing infrastructure operational readiness and scale for future needs.</li>
<li>Responsible for the planning, execution, and ongoing support of all infrastructure projects and initiatives.</li>
<li>Ensures high-availability and continuity of organizational infrastructure and tertiary solutions.</li>
<li>Develops and implements disaster recovery plans that align with business continuity requirement and goals.</li>
<li>Establishes and implements best-practices for installing, configuring, managing, operating and supporting technology solutions.</li>
<li>Works with the change control team to develop, solidify and adhere to the ITIL framework of best practices. </li>
</ul>
</li>
</ul>
<ul>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in computer science, information systems or related field PLUS 9 years of progressive, applicable, technical experience in infrastructure information technology required, specifically with databases, networking, support, storage or related experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
<li>5 years of IT leadership experience required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>10 years in an infrastructure leadership role.</li>
<li>Managed care/healthcare experience is a plus.</li>
<li>Large-scale, enterprise-IT experience. </li>
<li>Strong vendor management experience.</li>
<li>Certifications (ITIL, CCISP, MSFT Azure, AWS or GCP).</li>
<li>Experience managing cloud-based systems (within the Azure platform).</li>
<li>Project management experience.</li>
<li>Extensive experience monitoring and managing workloads (on-premises and cloud-based).</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=6372530&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 22, 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/6372530" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-infrastructure-engineering-sr-manager-iv-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-df7f2ecda7ccdf468fbbca7100010ac2

Sr Manager, Infrastructure Engineering (Sr Manager IV)

Sr Manager, Operation and Business Configuration (Sr Manager I) CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Operation and Business Configuration (Sr Manager I) to join our team. The Sr Manager I for Operation and Business Configuration will function as a primary point of contact for the claims analytical support unit which consists of data analytics, process improvement and claims clearinghouse vendor oversight. The incumbent will collaborate with leadership on the development and implementation of analytical tools to identify department trends and will manage dedicated resources for the day-to-day operations to carry out the strategic and tactical execution of CalOptima Health business operations, ensuring compliance with business rules and government regulations. Position Information: 
<ul>
<li>Department: Claims Administration </li>
<li>Salary Grade: 316 - $120,881 - $193,410 ($58.12 - $92.9856) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>40% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Hires, manages, trains, reviews and sets goals for the department and staff.</li>
<li>Provides an environment that engages staff to fully participate in the overall department functions and workload balancing strategies.</li>
<li>Develops and implements corrective action plans and trains staff as needed.</li>
<li>Establishes and manages teams to a set of standards and governance to improve performance and support effective development and outputs.</li>
<li>Provides management oversight and direction to Data Analysts Business team and serves as a liaison with internal and external entities such as Clearinghouse and health networks to ensure claims and authorization data load integrity.</li>
<li>Provides management oversight and direction to the Clearinghouse Data Analyst team for intake requirements, analysis, conducting clearinghouse user acceptance testing and identifies impacts to systems and processes.</li>
<li>Tracks and trends teams performances by way of dashboards, monitoring day-to-day activities of each claim operational areas, claims operational vendors and all clearinghouses.</li>
<li>Represents Claims department and participates in regulatory audit presentations and demonstrations and conducts follow up remediation action items from the audit as needed.</li>
<li>Works collaboratively with the Office of Compliance, Information Technology (IT), claims vendors and internal business teams on regulatory changes impacting claims adjudication and data integrity.</li>
<li>Manages all claims vendor contract or scope of work (SOW) renewals and takes the lead for any request for proposal projects.</li>
<li>Participates in CalOptima Health's enterprise projects impacting claims or operational payments and procedures/policies.</li>
<li>Conducts claims presentation to staff, senior level leadership and CalOptima Health network providers.</li>
<li>Maintains quality goals and production level within the department by collaborating with Claims department leadership teams and ensures that performance goals are consistently met and/or exceeded.</li>
<li>Anticipates future demands of initiatives, strategic plans and regulatory updates and design/implement solutions to meet these needs. </li>
</ul>
</li>
<li>35% - Program Oversight
<ul>
<li>Ensures compliance with applicable internal policies and procedures and external state and federal regulations for multiple product lines (Medi-Cal, Medicare, Commercial (Covered California) and Program of All-Inclusive Care for the Elderly (PACE). Ensures overall claims adjudication is in accordance with the California Department of Managed Health Care (DMHC), California Department of Health Care Services (DHCS) and Centers for Medicare &amp; Medicaid Services (CMS) health plan regulatory requirements and guidelines.</li>
<li>Intakes and reviews All Plan Letters (APL), CMS bulletins and regulatory guidance; oversees the development, timely and accurate implementation and publication/posting of claims-related regulatory requirements and reporting.</li>
<li>Serves as the primary point of contact to answer questions related to system configuration business rules, various claim adjudication issues and resolves complex claims or benefit adjudication issues for department staff as well as other internal customers; responsible for the identification and resolution of provider claim issues including support of provider education and customer service staff in communications back to providers.</li>
<li>Reviews and maintains department policies and procedures, recommends changes for more efficient operations, drafts new policies and procedures for director's review, communicates changes and updates to staff when appropriate.</li>
<li>Stays current with regulatory guidelines impacting essential functions and data requirements. </li>
</ul>
</li>
<li>20% - Technical Operations
<ul>
<li>Develops the claims data standards and deploys automation tools to obtain and process claims data from different sources. Constructs datasets to analyze, inform, identify trends and support stakeholder decision-making.</li>
<li>Identifies claims transaction inconsistencies, as well as implementation of controls and changes to systems and policies that support claims adjudication, thereby minimizing incorrect claims payment.</li>
<li>Manages activities/service requests with Facets configuration, IT and EDI teams to scope, prioritize, and implement requirement changes.</li>
<li>Manages and intakes all program implementation impacting Facets and systems supporting the Claims, Grievance and Appeals Resolution Services (GARS)/Provider Dispute Resolution (PDR) and Customer Service operations. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in health information management, business administration, health administration or related field PLUS 5 years of experience in information technology business experience implementing claims adjudication programs and projects in a health plan setting 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 management/leadership experience that manages claims operation from intake to output of the claims payment required. </li>
<li>5 years of experience utilizing Microsoft technologies required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>N/A</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=6372553&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 22, 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/6372553" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-operation-and-business-configuration-sr-manager-i-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-f254b5d52e384f44aad2de542f28a181

Sr Manager, Operation and Business Configuration (Sr Manager I)

Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) CalOptima CalOptima Health is seeking a highly motivated Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I) to join our team. The Sr Manager I for Fraud, Waste and Abuse (FWA) will be responsible for leading the team of CalOptima Health investigators to detect, investigate and mitigate FWA issues. The incumbent will ensure investigations are handled effectively and in a timely manner and will engage with regulatory agencies. The incumbent will partner with the director in long-term strategy planning to accomplish the department's goals and mission to enhance the program and payment integrity of the organization. Position Information: 
<ul>
<li>Department: Office of Compliance </li>
<li>Salary Grade: 316 - $120,881 - $193,410 ($58.12 - $92.9856) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<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>Hires, manages, trains, supports, develops and evaluates direct reports.</li>
<li>Directs work assignments, measures results and initiates personnel actions.</li>
<li>Ensures that team members are trained and equipped with the necessary skills and resources.</li>
<li>Collaborates with the director in departmental budgeting activities.</li>
<li>Oversees the planning, scoping and execution of audits and the development of audit tools; ensures alignment with organizational goals and regulatory requirements.</li>
<li>Oversees the planning, scoping and execution of investigations and the development of investigative tools; ensures alignment with organizational goals and regulatory requirements.</li>
<li>Assists the director on development of the annual FWA risk assessment and Anti-Fraud, Waste and Abuse Plan.</li>
<li>Assists department leadership in the management of critical business risks by communicating best practices, promoting process improvement, and monitoring remediation activities. </li>
</ul>
</li>
<li>35% - Program Oversight
<ul>
<li>Provides expertise and guidance to staff, management and other department areas on sensitive and complicated program integrity concerns, oversight and referrals.</li>
<li>Creates and manages effective monitoring of ongoing investigations, including quality control, timeliness and business relations to continually evaluate FWA related activities.</li>
<li>Performs reviews of investigations for sufficiency of content and documentation and escalates where appropriate.</li>
<li>Prepares timely and accurate reporting on investigations, including scope, activities, methodologies, observations, deficiencies, recommendations and remediation activities.</li>
<li>Presents investigative reports including findings, risks and recommendations to senior management.</li>
<li>Collaborates with business areas to enhance systems, workflows and internal controls.</li>
<li>Identifies benchmarking standards (leading practices) for identifying potential control gaps and/or opportunities for improving efficiency and compliance.</li>
<li>Proposes recommendations for enhancing operational efficiency and identifying other areas of improvement.</li>
<li>Provides excellent customer service by addressing concerns promptly and delivering actionable, professional insights. </li>
</ul>
</li>
<li>15% - Investigative Activities
<ul>
<li>Performs investigation activities for complex cases.</li>
<li>Partners with staff in performing investigations of difficult cases. </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, accounting, health information management, or another related field PLUS 5 years of relevant work experience in health care investigations 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 managerial experience within a managed care health plan in audits or investigations, or as an outside consultant engaged to perform audit work for a managed care health plan required. </li>
<li>Have access to means of transportation for work away from the primary office approximately 15% of the time.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) or similar certification completion, currently pursuing a related certification or has completed more than half of the requirements towards a certification.</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=6305723&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 30, 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/6305723" target="_blank">https://jobs.caloptima.org/jobs/sr-manager-fraud-waste-and-abuse-investigations-sr-manager-i-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-7b45ba9efc4d8747a6f8e14e16e01d8e

Sr Manager, Fraud, Waste and Abuse (Investigations) (Sr Manager I)

I. General Summary: Coordinates and delivers on all Human Resources (HR) matters including planning and organization of company events as well as company sponsored community programs. Perform clerical duties to ensure timely and accurate human resources administration. Provide broad level administration support for HR policies, programs, procedures, and services II. Essential Job Functions: A. Assist with questions related to TBA procedures and standards. B. Maintains proper documentation and recordkeeping. C. Handle administrative details of the General Affairs and Human Resources Departments. a. Prepare presentations, special reports, and routine correspondence. b. Maintain team member personnel and medical files including other required records and documents. c. Assist Sr Specialist with scheduling interviews and clerical tasks aiding in recruiting. d. Assist in preparation and scheduling of new hire orientation. e. Assist with the reimbursement of safety equipment. D. Assist with directing the third-party general housekeeping staff. Provide feedback to 3rd party staff as needed to ensure compliance to the contractual agreement. E. Communication 1. Create well written plant communications for Senior/Executive Management 2. Interact with internal and external customers in a professional manner; communicate across all levels of the organization (local and group companies) 3. Plan, organize and execute team member communications; monthly calendar and bi-weekly plant dispatch publications, and bulletin board. 4. Assist in scheduling and organizing content for the monthly plant-wide meeting F. Manage visitor protocol and approval policy 1. Envoy system best practice - visitor record retention and contractor safety compliance 2. Maintain badge system and badge approval for permanent and temporary employees as well as visitors. G. Collaborate with HR Specialists to create practices that consolidate processes and optimize efficiencies. H. Provide general plant administrative support. a. Prepare outgoing mail and sort and distribute incoming mail. b. Complete filing, correspondence, meeting preparations, and other administrative support functions for office staff. c. Provide refreshments to customers and meeting participants as needed. I. Supports the organization and development of training room(s), multimedia visual aids, testing and evaluating procedures, and other educational materials. 1. Coordinates and monitor training room(s) and area(s). 2. Assists with maintaining training records and documents. 3. Assists with coordinating training with outside sources, such as corporate trainers and technical and professional schools. J. Follow safety, quality, confidentiality, and information security policies and procedures. K. Other duties as required in support of the business. III. Minimum Qualifications/Requirements: Education: • Associate's degree in Business Administration, or related field, or an equivalent combination of education and relevant experience. Experience and Technical Skills: • Minimum of two (2) years administrative experience, preferably supporting HR functions in a manufacturing setting. • Strong attention to detail. • Highly motivated, ambitious self-starter. • Must possess excellent interpersonal skills. • Excellent project, analytical and written communication skills. • Ability to relate and communicate with individuals at all levels. • Ability to work in a fast-paced, multicultural work environment. • Ability to work with multiple departments and prioritize activities. • Ability to create reports, business correspondence, and procedures. • Ability to take initiative on assigned tasks without significant supervision. • Ability to foresee problems and take action. • Ability to multi-task, prioritize, work efficiently within time constraints and deadlines and handle challenging situations. • Be able to maintain the confidentiality of any information s/he encounters. • Ability to compile effective and concise visual reports in charts, graphs, and table format. • As unique situations present themselves, the incumbent must be sensitive to Toyota Boshoku America (TBA) needs, team member goodwill, and the public image. • Thorough understanding and working knowledge of TBA's organization, automotive plants and processes/principles, company products, trade terminology, manufacturing processes, tooling and equipment, and machine operation is a plus. Language Skills: • Strong verbal and written communication skills in English. Computer/Software: • Solid working knowledge and experience with Microsoft Office and other related Business HR/IT applications (e.g., MS Word, MS Excel, MS Access, MS PowerPoint, Outlook, Internet, Oracle, etc.). IV. Work Environment/Conditions: Office: Open Office Environment, moderate noise level. Plant: Standard automotive plant environment with moderate noise level. PPE (Personal Protective Equipment) such as safety glasses, steel toe shoes, hearing protection, etc. may be required in engineering, manufacturing, or industrial areas. Personal attire standards may apply. Travel: 0-5% V. Physical Demands: Ability to sit and work on a computer for extensive periods of time is required. While performing the duties of this job, the team member is required to talk, see, and hear. The team member must be capable of walking, sitting, and standing for extended periods of time and is occasionally required to lift up to 30 pounds. Disclaimer: This job description is intended to identify the general nature and level of work performed by team members within this classification, as well as certain essential job functions. It is not intended, and should not be interpreted, as a comprehensive inventory of all duties, responsibilities, and qualifications required of team members assigned to this job. To qualify for this job, however, a team member must be able to perform its essential functions with or without reasonable accommodation. Under no circumstances may this job description be construed as altering the at-will nature of the employment relationship between TBA and any team member. EOE Toyota Boshoku America is an equal opportunity employer and considers applications for all positions without regard to race, sex, religion, color, national origin, pregnancy, genetic information or any other characteristic protected by applicable law. If you require a reasonable accommodation to apply for a posted position, please email us at .

Human Resources Analyst

Job Title: Controller Location: Tenino, WA (On-site) Salary Range: $120,000+ annually (Based on experience) Reports to:&nbsp;President
Company Overview: CV Resources is partnering with a well-established construction company located just south of Olympia, WA. Our client is a growing organization with multiple entities under its umbrella. They are seeking a talented and experienced Controller to join their team. This individual will play a key role in overseeing all accounting functions and ensuring the financial health of the company. If you have strong accounting expertise, leadership experience, and enjoy working in a dynamic and growing organization, this is an excellent opportunity for you.
Job Summary: The Controller will be responsible for overseeing and managing the company’s full-cycle accounting operations. This includes the preparation of accurate financial reports, maintaining accounting records, overseeing the month-end and year-end closing processes, and ensuring compliance with regulatory requirements. The Controller will work closely with the executive team to provide financial insights that help drive business strategy and growth. CMA certification is preferred for this position.
Key Responsibilities:
<ul>
<li>Oversee and manage the day-to-day accounting operations for the company and its multiple entities.</li>
<li>Ensure the accurate preparation of financial statements, including general ledger, balance sheets, income statements, and cash flow statements.</li>
<li>Lead the month-end and year-end closing processes, ensuring accurate and timely completion.</li>
<li>Manage accounts payable and receivable processes, including reconciliations and payment oversight.</li>
<li>Prepare and submit regulatory and tax filings in compliance with local, state, and federal regulations.</li>
<li>Develop and manage the company’s budgeting, forecasting, and financial reporting processes.</li>
<li>Provide in-depth financial analysis and insights to the executive team to drive informed business decisions.</li>
<li>Supervise accounting staff, providing guidance and leadership to ensure smooth and efficient operations.</li>
<li>Assist with audits, preparing necessary documentation, and coordinating with external auditors during year-end audits.</li>
<li>Ensure compliance with accounting standards, policies, and internal controls.</li>
<li>Monitor intercompany transactions and ensure proper allocation of resources across entities.</li>
<li>Collaborate with internal departments to streamline processes and enhance financial operations.</li>
<li>Assist with the implementation and maintenance of accounting software systems (Buildertrend, QuickBooks).</li>
</ul>
Qualifications:
<ul>
<li>Bachelor's degree in Accounting, Finance, or a related field (CMA preferred).</li>
<li>7+ years of accounting experience, with at least 3 years in a leadership or supervisory role.</li>
<li>Strong proficiency in accounting software, especially Buildertrend and QuickBooks.</li>
<li>In-depth understanding of full-cycle accounting, financial reporting, and regulatory compliance.</li>
<li>Experience in construction accounting, including job costing, work in progress, and billing.</li>
<li>Knowledge of GAAP (Generally Accepted Accounting Principles) and regulatory requirements.</li>
<li>Proven ability to lead and manage teams while working collaboratively with other departments.</li>
<li>Strong communication skills, with the ability to present financial data and insights to senior management.</li>
<li>Exceptional organizational skills and attention to detail, with the ability to manage multiple priorities.</li>
<li>Ability to work independently, with strong problem-solving and critical thinking skills.</li>
<li>Flexibility and adaptability in a fast-paced and growing company environment.</li>
</ul>
Why Join Us?
<ul>
<li>Competitive salary with performance-based incentives.</li>
<li>Opportunity to work with a growing, dynamic company in the construction industry.</li>
<li>Hands-on leadership role with the ability to influence company financial strategy.</li>
<li>A supportive work environment that encourages growth and development.</li>
</ul>

Controller

CV Resources is partnering with a dynamic and growing nonprofit organization based in Oregon to identify an experienced Accounting Manager for their expanding accounting team. This organization is dedicated to making a positive impact in the community, and as they scale, they are seeking a dedicated professional to help manage and streamline their financial operations.
Position Overview: We are looking for an Accounting Manager to join our partner nonprofit’s team on a permanent basis. This is a remote position that reports directly to the Director of Finance and will manage a team of 4 accounting professionals. The ideal candidate will have expertise in nonprofit accounting, excellent leadership skills, and experience working with Blackbaud Financial Edge.
Key Responsibilities:
<ul>
<li>Supervise and support a team of 4 accounting professionals to ensure accurate and timely processing of financial transactions.</li>
<li>Oversee daily accounting operations, including accounts payable, accounts receivable, payroll, and general ledger.</li>
<li>Prepare monthly, quarterly, and annual financial statements, ensuring compliance with nonprofit accounting standards and organizational policies.</li>
<li>Assist with budgeting and forecasting processes, providing insight and recommendations for financial planning.</li>
<li>Review and reconcile general ledger accounts, ensuring all financial discrepancies are resolved.</li>
<li>Ensure accurate and timely reporting in accordance with nonprofit regulations and best practices.</li>
<li>Collaborate with the Director of Finance to improve financial reporting processes, policies, and controls.</li>
<li>Utilize Blackbaud Financial Edge for all accounting functions and maintain the integrity of the financial data.</li>
<li>Provide leadership, training, and professional development opportunities for team members.</li>
</ul>
Qualifications:
<ul>
<li>Bachelor's degree in Accounting, Finance, or a related field (CPA or other relevant certifications a plus).</li>
<li>Minimum of 5 years of experience in accounting, with at least 2 years in a supervisory or management role, ideally in a nonprofit environment.</li>
<li>Strong proficiency with Blackbaud Financial Edge (Preferred).</li>
<li>Knowledge of nonprofit accounting principles, including fund accounting and restricted funds.</li>
<li>Proven ability to lead, motivate, and develop a high-performing accounting team.</li>
<li>Excellent attention to detail, strong organizational skills, and the ability to meet deadlines in a fast-paced environment.</li>
<li>Ability to work independently and manage multiple priorities effectively.</li>
<li>Strong communication skills, both written and verbal, with the ability to interact with staff at all levels.</li>
</ul>
Compensation:
<ul>
<li>Salary range: 69-72k&nbsp;</li>
<li>This is a contract role with the potential for permanent hire based on performance and organizational needs.</li>
</ul>
Job Types: Full-time, Contract, Temporary
Expected hours: 40 per week
Benefits:
<ul>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Vision insurance</li>
</ul>
Schedule:
<ul>
<li>8 hour shift</li>
<li>Monday to Friday</li>
</ul>
Hi Team, They've been super pleased with the work of our team on the other roles and would like us to help fill the restructured permanent position that we just placed an interim need in.&nbsp; Pay is low, but their expectations are reasonable and it is remote (local though to attend occasional all-hands/events).&nbsp; Company Website:&nbsp;<a href="https://hivalliance.org/" target="_blank">Welcome - HIV Alliance</a> About the Company:&nbsp;Nonprofit based in Eugene, OR Order Placer/Report To:&nbsp;Renee (Executive Director) and Wayne Hamblin (Finance Director) reporting to Wayne Job Title:&nbsp;Accounting Manager&nbsp; Why is this Position Open? We currently have an interim person in the seat - but her pay is too high so she is going to assist with processes and projects and train the new hire for the perm role. Onsite/Remote/Hybrid: Remote&nbsp; Team Dynamics/Company Overview:&nbsp;Accounting Team has Finance Director, Accounting Manager (JO), Staff Accountant, 2 Accounting Specialists, Payroll Clerk Annual Budget: 16M Worksite Address:&nbsp;1195 City View St, Eugene, OR 97402 Parking Available:&nbsp;Yes Pay Rate/Salary:&nbsp; sub 75K Benefits:&nbsp;<a href="http://hivalliance.org/employment/benefits" target="_blank">http://hivalliance.org/employment/benefits</a> Interview Process:&nbsp;One interview with Wayne and the team, then hoping to make a quick decision&nbsp; Start Date: ASAP&nbsp; Schedule:&nbsp;M-F | 8:30-5 Software/Tools:&nbsp;Blackbaud Financial Edge &amp; OS/Excel Are You Utilizing Any Other Resources to Fill This Role? Not currently &nbsp;&nbsp;&nbsp;&nbsp;Do you have an internal resource working on it or are there any other decision makers involved? Have it posted, but don't have a TA team and HR employee is swamped Preplacement Steps (Drug Screen/Background Check):
<ul>
<li>Background Check:&nbsp;[Yes]</li>
<li>Drug Screen:&nbsp;[No]</li>
<li>THC:&nbsp;[No]</li>
<li>TB TEST - YES</li>
</ul>
&nbsp;
CV Resources is partnering with a dynamic and growing nonprofit organization based in Oregon to identify an experienced Accounting Manager for their expanding accounting team. This organization is dedicated to making a positive impact in the community, and as they scale, they are seeking a dedicated professional to help manage and streamline their financial operations.
Position Overview: We are looking for an Accounting Manager to join our partner nonprofit’s team on a permanent basis. This is a remote position that reports directly to the Director of Finance and will manage a team of 4 accounting professionals. The ideal candidate will have expertise in nonprofit accounting, excellent leadership skills, and experience working with Blackbaud Financial Edge.
Key Responsibilities:
<ul>
<li>Supervise and support a team of 4 accounting professionals to ensure accurate and timely processing of financial transactions.</li>
<li>Oversee daily accounting operations, including accounts payable, accounts receivable, payroll, and general ledger.</li>
<li>Prepare monthly, quarterly, and annual financial statements, ensuring compliance with nonprofit accounting standards and organizational policies.</li>
<li>Assist with budgeting and forecasting processes, providing insight and recommendations for financial planning.</li>
<li>Review and reconcile general ledger accounts, ensuring all financial discrepancies are resolved.</li>
<li>Ensure accurate and timely reporting in accordance with nonprofit regulations and best practices.</li>
<li>Collaborate with the Director of Finance to improve financial reporting processes, policies, and controls.</li>
<li>Utilize Blackbaud Financial Edge for all accounting functions and maintain the integrity of the financial data.</li>
<li>Provide leadership, training, and professional development opportunities for team members.</li>
</ul>
Qualifications:
<ul>
<li>Bachelor's degree in Accounting, Finance, or a related field (CPA or other relevant certifications a plus).</li>
<li>Minimum of 5 years of experience in accounting, with at least 2 years in a supervisory or management role, ideally in a nonprofit environment.</li>
<li>Strong proficiency with Blackbaud Financial Edge (Preferred).</li>
<li>Knowledge of nonprofit accounting principles, including fund accounting and restricted funds.</li>
<li>Proven ability to lead, motivate, and develop a high-performing accounting team.</li>
<li>Excellent attention to detail, strong organizational skills, and the ability to meet deadlines in a fast-paced environment.</li>
<li>Ability to work independently and manage multiple priorities effectively.</li>
<li>Strong communication skills, both written and verbal, with the ability to interact with staff at all levels.</li>
</ul>
Compensation:
<ul>
<li>Salary range: 69-72k&nbsp;</li>
<li>This is a contract role with the potential for permanent hire based on performance and organizational needs.</li>
</ul>
Job Types: Full-time, Contract, Temporary
Expected hours: 40 per week
Benefits:
<ul>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Vision insurance</li>
</ul>
Schedule:
<ul>
<li>8 hour shift</li>
<li>Monday to Friday</li>
</ul>

Accounting Manager

Job Description Opportunité de Carrière chez Bétonel / Dulux : Bétonel / Dulux, une entreprise de PPC, embauche un(e) Directeur(trice) à Temps Plein pour nos magasins de détail. C'est une excellente occasion de développer votre carrière dans un environnement dynamique et collaboratif. Ce poste est pour le quart de jour. Les horaires d'ouverture des magasins varient selon les emplacements, mais sont généralement du lundi au samedi de 8 AM à 5 PM, et dimanche de 10 AM à 4 PM . Pour postuler, textez " PPGBetonel " au + 1 412-968-8670 Envie d'ajouter de la couleur à votre carrière ? Bétonel / Dulux, une société du groupe PPC, recrute immédiatement pour un poste de Directeur(trice) de Magasin de détail à Temps Plein. Relevant du directeur du groupe de magasins, vous utiliserez vos talents pour inspirer les autres à atteindre leurs objectifs. Vous relèverez le défi de gérer votre propre magasin, où vous dirigerez votre équipe afin de fournir un service à la clientèle exceptionnel. Vous serez responsable de tous les aspects de la gestion du magasin Bétonel/Dulux. Principales responsabilités du directeur de magasin de détail : • Assurer l'ouverture et la fermeture du magasin selon les normes établies. • Élaborer et exécuter un plan pour atteindre les objectifs de ventes et de profits, en contrôlant les dépenses, le fonds de roulement et les stocks. • Maintenir un service à la clientèle exceptionnel pour vous-même et votre équipe. • Encourager et maintenir un haut niveau d'engagement des employés par un leadership efficace. • Recruter, diriger et encadrer votre équipe, en leur donnant les moyens de réussir. • Garantir que l'apparence extérieure et intérieure du magasin, y compris la propreté et les présentoirs, respecte les standards de Bétonel/Dulux. Qualifications des directeurs de magasins de détail : • Au moins 1 an d'expérience dans la vente au détail. • Expérience en gestion de magasin ou en vente externe préférée. • Disponibilité pour des horaires flexibles, avec un minimum de 45 heures par semaine. • Maîtrise du français. • Capacité à se pencher, s'agenouiller, s'accroupir, et à soulever et porter régulièrement jusqu'à 50 livres, et occasionnellement jusqu'à 80 livres. Pour postuler, textez " PPGBetonel " au + 1 412-968-8670! Nous offrons des opportunités d'avancement et soutenons votre succès grâce à une collaboration en équipe tout en vous permettant de briller. Si vous recherchez une grande entreprise avec un fort potentiel de croissance de carrière, Bétonel / Dulux, une entreprise de PPC, est faite pour vous. POSTULEZ DÈS AUJOURD'HUI ! Ce rôle couvre des besoins portant sur l'entièreté du territoire du Canada et requiert dès lors un candidat bilingue (français-anglais). #LI-Sur-site #IQ #Dulux #Betonel PPG pay ranges and benefits can vary by location which allows us to compensate employees competitively in different geographic markets. PPG considers several factors in making compensation decisions including, but not limited to, skill sets, experience and training, qualifications and education, licensure and certifications, and other organizational needs. Other incentives may apply. Our employee benefits programs are designed to support the health and well-being of our employees. Any insurance coverages and benefits will be in accordance with the terms and conditions of the applicable plans and associated governing plan documents. About us: Here at PPG we make it happen, and we seek candidates of the highest integrity and professionalism who share our values, with the commitment and drive to strive today to do better than yesterday - everyday. PPG: WE PROTECT AND BEAUTIFY THE WORLD™ Through leadership in innovation, sustainability and color, PPG helps customers in industrial, transportation, consumer products, and construction markets and aftermarkets to enhance more surfaces in more ways than does any other company.. To learn more, visit <a href="http://www.ppg.com" target="_blank">www.ppg.com</a> and follow @ PPG on Twitter. The PPG Way Every single day at PPG: We partner with customers to create mutual value. We are "One PPG" to the world. We trust our people every day, in every way. We make it happen. We run it like we own it. We do better today than yesterday - everyday. PPG provides equal opportunity to all candidates and employees. We offer an opportunity to grow and develop your career in an environment that provides a fulfilling workplace for employees, creates an environment for continuous learning, and embraces the ideas and diversity of others. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, color, creed, religion, national origin, age, disability status, marital status, sexual orientation, gender identity or expression. If you need assistance to complete your application due to a disability, please email <a href="mailto:recruiting@ppg.com" target="_blank">recruiting@ppg.com</a>. PPG values your feedback on our recruiting process. We encourage you to visit Glassdoor.com and provide feedback on the process, so that we can do better today than yesterday. Benefits will be discussed with you by your recruiter during the hiring process.

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