Senior Program Specialist, Community Health — Bilingual (Remote)

CalOptima; Orange (CA); On-site; USD 68,000 - 109,000; Full time

Benefits offered by this job

Competitive compensation

CalPERS pension program

Generous PTO program

Wellness programs

Tuition Reimbursement

Professional development opportunities

Flexible scheduling

Job summary

CalOptima Health in Orange, CA seeks a Sr Program Specialist in Community Health (Bilingual Required) to lead cross-functional projects and improve member health outcomes. The role supports CMS, DHCS, DMHC and NCQA compliance, with full telework and optional in-office cadence if needed.

You will engage with members, providers and community partners, manage timelines, and drive performance while maintaining flexible hours for evening events. The team values equity and service.

Qualifications

• Bachelor’s degree in public health, health care, health administration or related field plus 3 years in managed health care.
• 1 year of experience with CMS, DHCS and DMHC regulatory standards.
• Bilingual in English and one threshold language (Spanish) required.

Responsibilities

• Lead coordination of projects, pilots and initiatives to advance organizational goals and improve member health outcomes.
• Monitor timelines, deliverables and performance metrics while ensuring regulatory compliance.
• Engage with members and community stakeholders to inform program design and assess experience.

Skills

Bilingual English/Spanish

Regulatory knowledge

Education

Bachelor's degree in public health or related field

Job description

CalOptima Health in Orange, CA seeks a Sr Program Specialist in Community Health (Bilingual Required) to lead cross-functional projects and improve member health outcomes. The role supports CMS, DHCS, DMHC and NCQA compliance, with full telework and optional in-office cadence if needed.

You will engage with members, providers and community partners, manage timelines, and drive performance while maintaining flexible hours for evening events. The team values equity and service.