Program Specialist (Bilingual)

CalOptima Health Partnership; Orange (CA); Hybrid; USD 56,000 - 84,000; Full time

Benefits offered by this job

Partial Telework

Comprehensive benefits package

Competitive pay range

Job summary

CalOptima Health Partnership is seeking a Program Specialist (Bilingual) to support Community Health programs and engage with members and providers in California. The role involves coordinating activities, maintaining documentation, and ensuring regulatory compliance with CMS, DHCS, NCQA and DMHC.

A flexible schedule includes occasional evenings and weekends. The candidate will work in a partial telework arrangement, with in-person days at the Orange, CA office as required, and must be fluent in

Qualifications

• Bachelor’s degree in public health, healthcare, health administration or related field PLUS 1 year of program coordination experience required.
• Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese) required.

Responsibilities

• Supports coordination and implementation of Community Health programs, projects and initiatives.
• Assists with activities to ensure compliance with CMS, DHCS, NCQA and DMHC requirements.
• Coordinates program activities, maintains documentation, tracks deliverables and supports reporting requirements.
• Engages with members to gather insights and inform improvements to the Community Health program.
• Maintains databases and prepares routine and ad hoc reports and summaries for program monitoring.

Skills

Bilingual English-Spanish

Education

Bachelor’s degree in public health/healthcare/health administration

Job description

Join Us in this Amazing Opportunity

The Team You’ll Join

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

More About the Opportunity

We are hoping you will join us as a Program Specialist (Bilingual)and help shape the future of healthcare where you’ll be an integral part of our Community Healthteam, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to bePartial Telework.

• If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

The Program Specialist for Community Health will support the coordination and implementation of Community Health programs, projects and initiatives that advance organizational goals and improve member health outcomes. You'll assist with activities that help ensure compliance with regulatory requirements established by the Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS), the National Committee for Quality Assurance (NCQA) and the California Department of Managed Health Care (DMHC). Additionally, you'll coordinate program activities, maintain project documentation, tracks deliverables and supports reporting requirements. Working under general supervision, the incumbent will collaborate with internal departments, community-based organizations and other stakeholders to support program implementation, member engagement activities and community outreach efforts. You'll engage with members to gather insights, assess members' experiences and inform improvements to the Community Health program. Finally, you'll also support other CalOptima Health staff on related projects. You'll need to maintain a flexible schedule to participate in evening and weekend events when scheduled. Together, we are building a stronger, more equitable health system.

Your Contributions To the Team:

• 90% - Program Support
  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
  • Coordinates program activities, timelines and deliverables requirements to ensure programs meet regulatory and organizational requirements.
  • Assists with the development and implementation of member engagement and community outreach strategies to support department initiatives.
  • Assists with departmental programs and process improvement strategies to enhance the effectiveness of community health initiatives.
  • Serves as a liaison between departments to support equitable communication workflows and continuous improvement of member communication initiatives.
  • Updates and maintains department databases and status reports.
  • Prepares routine and ad hoc reports, dashboards and summaries for program and departmental needs for program monitoring and evaluation purposes.
  • Assists with developing, documenting and updating desktop procedures for departmental processes and workflows.
  • Assists with administrative duties to support program and department operations.
• 10% - Other
  • Completes other projects and duties as assigned.

Do You Have What the Role Requires?

• Bachelor's degree in public health, health care, health administration or related field PLUS 1 year of program coordination experience required, preferably in a managed care setting; 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.
• Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese) required.

You’ll Stand Out More If You Possess the Following:

• Experience with data analysis and interpretation.

What the Regulatory Agencies Need You to Possess?

• N/A

Your Knowledge & Abilities to Bring to this Role:

• 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.
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• 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.

Your Physical Requirements (With or Without Accommodations):

• Ability to visually read information from computer screens, forms and other printed materials and information.
• Ability to speak (enunciate) clearly in conversation and general communication.
• Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
• Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
• Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Ways We Are Here For You

• You’ll enjoy competitive compensation for this role.
  • Our current hiring range is: Pay Grade:305 - $55,966 - $83,949 ($26.91 - $40.3601).
  • The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.
• This position is approved forPartial Telework (If the position is Telework, it is eligible in California only)
• A comprehensive benefits package
• CalPERS pension program and additional retirement packages.
• Additional benefits and perks including:
  • A generous PTO program
  • A quality work life balance
  • Various wellness programs
  • Tuition Reimbursement
  • Professional development opportunities
  • Career development opportunities
  • Flexible scheduling
  • And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.

Our Work Environment:

If located at the 500, 505 Building or a remote work location:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
• There are no harmful environmental conditions present for this job.
• The noise level in this work environment is usually moderate.

If located at PACE:

• Work is typically indoors in a clinical setting serving the frail and elderly.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.

If located in the Community:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
• Employee will occasionally work outdoors in varied temperatures.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.

Why Join Us?

We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare.

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.

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