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Financial Analyst I (Budgeting) CalOptima CalOptima Health is seeking a highly motivated Financial Analyst I (Budgeting) to join our team. The Financial Analyst I (Budgeting) will be responsible for supporting the Budget department's annual preparation and ongoing maintenance of CalOptima Health's administrative, medical and capital budgets. The incumbent will possess strong analytical and problem-solving skills, have excellent attention to detail and the ability to work independently and as part of the team. Position Information: 
<ul>
<li>Department: Budget </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>80% - Program Support
<ul>
<li>Supports the preparation and development of annual operating and capital budgets by collaborating with department business owners.</li>
<li>Assists with department inquiries on budget related issues and conducts research to provide recommendations.</li>
<li>Gathers, analyzes and reconciles financial data from various sources, including financial statements.</li>
<li>Prepares and maintains monthly and quarterly financial reports using financial reporting and accounting software.</li>
<li>Maintains capital project reconciliation report and monitors capital expenditures.</li>
<li>Reviews purchase requisitions and travel and training requests to ensure compliance with Board approved budget and policies. </li>
</ul>
</li>
<li>15% - Administrative 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>Assists with the development and implementation of financial policies and procedures. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, finance, accounting or related field required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience in budgeting, forecasting and financial modeling.</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=6374978&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/6374978" target="_blank">https://jobs.caloptima.org/jobs/financial-analyst-i-budgeting-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-b0409e78f19d554488b6272cf1b3aa62

Financial Analyst I (Budgeting)

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)

Sr. ServiceNow Analyst (ITS Analyst Sr) CalOptima CalOptima Health is seeking a highly motivated Sr. ServiceNow Analyst (ITS Analyst Sr) to join our team. The ITS Analyst Sr (Corporate Applications (ServiceNow)) will facilitate the coordination and integration of program related activities through vendor-supported corporate applications. The incumbent will define system scope, objectives and business requirements to meet user needs. The incumbent will assist business customers in making informed decisions regarding the development, configuration and functionality of various applications and provide technical consulting to end users on systems projects. The incumbent will provide coordination and services relevant to key functions of software supported by the Information Technology Services (ITS) department, which supports a variety of end users and software, usually provided by a third-party vendor. The incumbent will contribute to the support and maintenance of assigned applications and serve as a technical point-of-contact. Position Information: 
<ul>
<li>Department: ITS - Infrastructure </li>
<li>Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>70% - 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>Optimizes existing and develops new service catalog offerings and associated flows with a focus on continual improvement and automation.</li>
<li>Leverages Flow Designer to further mature the service catalog and migrates away from workflows.</li>
<li>Identifies inefficiencies to ultimately implement areas of automation.</li>
<li>Supports the design of custom catalog items; works with business partners and the Service Catalog manager and application owner for implementation.</li>
<li>Maintains an ongoing knowledge of the ServiceNow product, version upgrades, enhancements, new features, etc. </li>
</ul>
</li>
</ul>
<ul>
<li>25% - Technical Support
<ul>
<li>Processes core system configuration as well as day-to-day user requests and incidents.</li>
<li>Creates technical design, ServiceNow code and architecture, and works with key business units to build solutions and processes, supporting maintenance, continual service improvement, and new capabilities on the ServiceNow platform.</li>
<li>Provides technical guidance on existing workflows for streamlining and improved efficiency. </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 information services or related field required PLUS 5 years of direct experience as a ServiceNow admin or application owner; 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 ITS technical application support experience required.</li>
<li>5 years of computer hardware and/or software troubleshooting techniques and system support required. </li>
</ul>
 Preferred Qualifications: 
<ul>
<li>ServiceNow Certified Implementation Specialist a plus.</li>
<li>ServiceNow Certified Application Developer a plus.</li>
<li>ITIL Certification is highly desirable. </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=6372541&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/6372541" target="_blank">https://jobs.caloptima.org/jobs/sr-servicenow-analyst-its-analyst-sr-505-city-parkway-west-california-united-states-0be25507-edbb-4b69-82f3-63ed5d658ae6</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-c7813acbb4eb9e41a5d8518b55927940

Sr. ServiceNow Analyst (ITS Analyst Sr)

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)

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 Summary: The Medical Records Analyst is responsible for the accurate and timely processing, retrieval, and management of medical records. This role involves preparing documents for scanning, ensuring high-quality imaging, verifying patient identification, and indexing documents within the electronic document management system. The analyst supports the incomplete records process and provides departmental coverage, including evenings and weekends, as needed. Additional duties may be assigned. This is a fully in-office position Key Responsibilities: - Prepare documents for scanning and scan records into the electronic document management system. - Examine scanned pages/images for quality and verify patient identification. - Index documents accurately within the electronic document management system and appropriately batch documents for scanning and indexing. - Provide support for the incomplete records process. - Offer departmental coverage during evenings and weekends. - Perform other duties as assigned. Knowledge and Experience: - Understanding of medical records formats and content for various visit types, filing systems, and medical office procedures. - Proficiency in computer skills, especially with scanning systems. - Strong customer service and communication skills. - Prior experience with scanning systems is preferred. Skills and Abilities: - Ability to handle multiple tasks, manage stress, and meet deadlines effectively. - Strong interpersonal and communication skills for effective, non-judgmental, and empathetic customer interactions. - Receptive to feedback and adaptable to a changing work environment, including flexible scheduling and department assignments. - Detail-oriented with strong multitasking abilities. - Capable of examining records to verify patient identification and identifying appropriate forms for inclusion in medical records. - Proficient with computer functions and has good eye-hand coordination. PandoLogic. Category:Healthcare, Keywords:Medical Records Analyst, Location:Helena, MT-59604

Medical Records Analyst

Job Summary: The Medical Records Analyst is responsible for the accurate and timely processing, retrieval, and management of medical records. This role involves preparing documents for scanning, ensuring high-quality imaging, verifying patient identification, and indexing documents within the electronic document management system. The analyst supports the incomplete records process and provides departmental coverage, including evenings and weekends, as needed. Additional duties may be assigned. This is a fully in-office position Key Responsibilities: - Prepare documents for scanning and scan records into the electronic document management system. - Examine scanned pages/images for quality and verify patient identification. - Index documents accurately within the electronic document management system and appropriately batch documents for scanning and indexing. - Provide support for the incomplete records process. - Offer departmental coverage during evenings and weekends. - Perform other duties as assigned. Knowledge and Experience: - Understanding of medical records formats and content for various visit types, filing systems, and medical office procedures. - Proficiency in computer skills, especially with scanning systems. - Strong customer service and communication skills. - Prior experience with scanning systems is preferred. Skills and Abilities: - Ability to handle multiple tasks, manage stress, and meet deadlines effectively. - Strong interpersonal and communication skills for effective, non-judgmental, and empathetic customer interactions. - Receptive to feedback and adaptable to a changing work environment, including flexible scheduling and department assignments. - Detail-oriented with strong multitasking abilities. - Capable of examining records to verify patient identification and identifying appropriate forms for inclusion in medical records. - Proficient with computer functions and has good eye-hand coordination. PandoLogic.Keywords:Medical Records Analyst, Location:Helena,MT-59604, PL:597189896

<h3>Job Description</h3>
Job DescriptionCompany Description 
The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.&nbsp;&nbsp;
<ul>
<li>Application Opening – July 11, 2025&nbsp;</li>
<li>Application Deadline – The application filing will close on or after July 20, 2025.&nbsp;</li>
<li>Salary: $215,202 - $313,274 Annually&nbsp;</li>
<li>Appointment Type: Permanent Civil Service&nbsp;</li>
<li>Recruitment ID:&nbsp;H00163</li>
</ul>
The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.&nbsp;
To apply please complete these two steps,&nbsp;
<ol>
<li>Complete this Training &amp; Experience Exam&nbsp;</li>
<li>Submit an online application by clicking the “Apply Now” button and filling one out&nbsp;</li>
</ol>
Application notes:&nbsp;
<ul>
<li>Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link.&nbsp;&nbsp;&nbsp;&nbsp;</li>
<li>Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address.&nbsp;&nbsp;&nbsp;</li>
<li>Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.&nbsp;</li>
</ul>
Job Description 
Under general supervision, directs the professional nursing and auxiliary staff of a number of patient-care units; plans and directs activities to provide maximum care within the limits of budgetary provisions; participates in guidance, educational and in-service training; directs procurement of supplies and equipment; coordinates services with those of other departments; engages in research activities to improve nursing services and patient care; and performs related duties as required.&nbsp;
Requires responsibility for: carrying out, interpreting, coordinating and enforcing existing policies, methods and procedures pertaining to hospital nursing services; achieving considerable economies and preventing considerable losses through enforcement of proper use and handling of hospital equipment, materials and supplies; making regular contacts with professional nursing and auxiliary personnel, physicians and persons in other departments concerning general nursing matters, and with relatives and visitors of hospital patients; reviewing detailed reports and medical records of patients in assigned units/departments/divisions. Nature of duties requires sustained physical effort with occasional exposure to minor accident or health hazards or several disagreeable elements inherent in general hospital ward services and patient care.&nbsp;
<ol>
<li>Directs and supervises the professional nursing staff and auxiliary personnel engaged in rendering patient care in various assigned units/departments/divisions; prepares work schedules, makes assignments and supervises activities and evaluates work performance.&nbsp;</li>
<li>Coordinates services rendered with those of other departments; checks each unit/department/division to assure compliance with instructions.&nbsp;</li>
<li>Supervises assigned personnel in units/departments/divisions; prepares and reviews related time and work performance reports and makes changes in personnel assignments as required or as directed by superior.&nbsp;</li>
<li>Personally makes periodic routine unit/department/division visits; confers with nurse managers and staff nurses concerning all new patients; makes bedside visits to all seriously and critically ill patients; discusses specific problems with assigned nurses or physicians.&nbsp;</li>
<li>Investigates complaints of patients and staff members; resolves difficulties or refers same to executive leadership; utilizes and makes interpretations of existing policies as related to nursing care in specific departments; reports unusual occurrences to superior; strives to establish and maintain good relations and good morale among all assigned personnel.&nbsp;</li>
<li>Participates in planning and coordinating with other hospital department personnel in order to promote and provide maximum patient care; maintains high quality of in-service training and adequacy of training materials in order to insure continuous best performances.&nbsp;</li>
</ol>
The Nursing Supervisor performs other related duties as required.&nbsp;
Qualifications 
Minimum Qualifications&nbsp;
<ul>
<li>LICENSE: Possession of a valid, including temporary or interim, California Registered Nurse License issued by the Board of Registered Nursing (BRN); AND&nbsp;&nbsp;</li>
<li>EDUCATION: Possession of a baccalaureate degree from an accredited college and/or university in Nursing, Nursing Administration or a closely related field; AND&nbsp;&nbsp;</li>
<li>EXPERIENCE: Two (2) years (equivalent to 4,000 hours) of experience, within the last five (5) years, in a designated nursing supervisory capacity (nurse manager or designated charge nurse) or administrative leadership/support role in a Medical-Surgical, Critical Care, Perioperative, Emergency, Psychiatry, Perinatal, or similar inpatient unit in an acute care hospital (a hospital which provides 24 hour inpatient care, including the following basic services: Medical, Nursing, Surgical, Anesthesia, Laboratory, Radiology, Pharmacy and Dietary Services).&nbsp;</li>
</ul>
Substitution&nbsp;
<ul>
<li>
Three (3) years (equivalent to 6,000 hours) of additional nursing supervisory experience beyond the required may substitute for the education requirement.&nbsp;
</li>
</ul>
Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.&nbsp;&nbsp;
One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).&nbsp;
Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.&nbsp;&nbsp;
 Additional Information 
Selection Procedures:&nbsp;&nbsp;
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.&nbsp;
Training and Experience Evaluation: (Weight: 100%):&nbsp; Candidates that meet the minimum qualifications will participate in a Training and Experience Evaluation that is designed to measure the knowledge, skills, and abilities in job related areas that have been identified as critical for satisfactory performance in this position.&nbsp;
Candidates will be required to respond to the training and experience evaluation in the time frame indicated and must submit the completed questionnaire as directed to have it evaluated. Responses cannot be changed once submitted. Candidates will be evaluated based on their responses. Candidates must achieve a passing score on the training and experience evaluation to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.&nbsp;
Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.&nbsp;
Certification&nbsp;
The certification rule for the eligible list resulting from this examination will be the Rule of Ten Scores.&nbsp;
Eligible List/Score Report:&nbsp;
Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit <a href="https://careers.sf.gov/knowledge/process/&amp;nbsp" target="_blank">https://careers.sf.gov/knowledge/process/&amp;nbsp</a>;
The duration of the eligible list resulting from this examination process will be 6 months and may be extended with the approval of the Human Resources Director.&nbsp;
Terms of Announcement and Appeal Rights:&nbsp;
Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at <a href="https://careers.sf.gov/" target="_blank">https://careers.sf.gov/</a>. The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at <a href="http://sfgov.org/civilservice/rules.&nbsp;&nbsp;&amp;nbsp" target="_blank">http://sfgov.org/civilservice/rules.&nbsp;&nbsp;&amp;nbsp</a>;
Additional information regarding Employment with the City and County of San Francisco:&nbsp;&nbsp;
<ul>
<li>Information about the Hiring Process&nbsp;&nbsp;</li>
<li>Conviction History&nbsp;&nbsp;</li>
<li>Employee Benefits Overview&nbsp;&nbsp;</li>
<li>Equal Employment Opportunity&nbsp;&nbsp;</li>
<li>Disaster Service Workers&nbsp;</li>
<li>Reasonable Accommodation&nbsp;</li>
<li>Right to Work&nbsp;</li>
<li>Copies of Application Documents&nbsp;</li>
<li>Diversity Statement&nbsp;</li>
<li>Veterans Preference&nbsp;&nbsp;</li>
<li>Seniority Credit in Promotional Exams&nbsp;&nbsp;</li>
</ul>
If you have any questions regarding this recruitment or application process, please contact the exam analyst, Stephen Lee at <a href="mailto:stephen.j.lee@sfdph.org" target="_blank">stephen.j.lee@sfdph.org</a> or (628) 271-6838.&nbsp;
We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.&nbsp;
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

Nursing Supervisor, Inpatient Services (2324) - Department of Public Health

<h3>Job Description</h3>
Job Description
We are looking for a Business Development &amp; Pricing Analyst to join our MGP team in St. Louis, MO. The Business Development and Pricing Analyst will play a pivotal role in our sales strategy by leveraging industry insights, economic analysis, and financial expertise to enhance the overall effectiveness of our sales team. This position focuses on delivering data-driven recommendations regarding product segments and pricing strategies that align with market dynamics and customer needs. By fostering strong relationships with internal teams and providing comprehensive analyses, this role will contribute to the sustained growth and competitive positioning of the Distilled Solutions division of MGPI.
What will you do?
Reporting &amp; Analysis
<ul>
<li>Conduct thorough analysis of market trends, customer preferences, and competitive positioning within the spirits industry.</li>
<li>Monitor economic conditions and theorize their impact on consumer behavior and pricing.</li>
<li>Identify emerging opportunities and potential risks in the marketplace and deliver insightful variance analysis of results versus plan, forecast, and prior year.</li>
<li>Evaluate various product segments to determine areas for growth and competition. </li>
<li>Provide fact-based recommendations on which product segments to prioritize based on market data and sales performance. </li>
<li>Develop key performance indicators (KPIs) to measure the effectiveness of pricing strategies and product segment performance. </li>
<li>Regularly assess and report on pricing changes impacts and market strategies on the overall sales performance. </li>
<li>Analyze financial results for the business unit and forecast against the current year, previous year and recommend actionable insights to maximize revenue. </li>
</ul>
Pricing &amp; Financial Modeling
<ul>
<li>Analyze current pricing structures and develop pricing models that maximize profitability while remaining competitive.</li>
<li>Conduct pricing sensitivity analyses to assess customer responsiveness to different pricing strategies.</li>
<li>Monitor competitor pricing and develop strategies to enhance our pricing position in the market.</li>
<li>Partner with finance to develop models to evaluate Distilling Solutions projects and product segments.</li>
<li>Develop and/or utilize tools to analyze volume and profit; identify actionable opportunities to improve revenue and profit.</li>
</ul>
Relationship Building
<ul>
<li>Communicate findings with the Sales team and provide actionable insights that align with Sales strategies.</li>
<li>Foster professional relationships with cross-functional teams including but not limited to Finance, Marketing, Research &amp; Development to ensure alignment on business objectives.</li>
<li>Collaborate with product development teams to align initiatives with market demand.</li>
</ul>
Data Management
<ul>
<li>Maintain comprehensive records of market research, pricing analyses, and sales performance metrics. </li>
<li>Ensure accurate and organized documentation of all analyses to support strategic decision-making.</li>
<li>Utilize CRM and analytical tools to track and report on pricing effectiveness and market trends.</li>
<li>Prepare and present analytical reports to management and sales teams to highlight key findings and recommendations. </li>
</ul>
What do you need to bring to the table?
<ul>
<li>Bachelor’s degree in Business, Economics, Finance, or a related field (Master’s preferred).</li>
<li>Proven experience in business development, pricing analysis, or a similar financial role (3+ years preferred).</li>
<li>Spirits industry experience preferred. </li>
<li>Strong analytical skills with the ability to interpret complex data and make informed recommendations.</li>
<li>Excellent communication and interpersonal skills to build rapport with internal teams and stakeholders.</li>
<li>High attention to detail and organizational skills, with a focus on accuracy in reporting.</li>
<li>Ability to complete pricing and financial modeling.</li>
<li>Proficiency in data analysis tools (e.g., Excel, SQL, Tableau) and CRM software.</li>
</ul>
What will we provide you with.
<ul>
<li>Medical </li>
<li>Dental </li>
<li>Vision </li>
<li>Short-term/long-term disability </li>
<li>Life insurance </li>
<li>401(k) / 401(K) Matching </li>
<li>PTO </li>
</ul>
Who are we? MGP Ingredients is a leading supplier of premium distilled spirits and food ingredient solutions. Its Distilling Solutions segment provides bourbons, whiskeys, ryes, gins and vodkas to craft and multinational brands. MGP’s own Branded Spirits business is growing following the 2021 acquisition of Luxco, a top spirits producer, bottler, supplier, and importer. Ingredient Solutions delivers nutritional, functional wheat- and pea-based ingredients aligned with consumer trends. The company operates in locations across the Midwestern U.S., and overseas in Northern Ireland and Mexico.

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