Claims Resolution Specialist (Claims) CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Resolution Specialist (Claims) to join our team. The Claims Resolution Specialist (Claims) will be responsible for overseeing and managing the claims resolution process. The incumbent will follow regulatory and internal guidelines in conjunction with CalOptima Health's policies and procedures that apply to claims adjudication and adjustment of claims. The incumbent will work closely with claims management and trainers to identify training opportunities from trend reports. The incumbent will also process Medi-Cal and OneCare claims. Position Information: Department: Claims Administration Salary Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Claims 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. Responsible for accurate and timely adjudication of claims according to AB1455 regulatory guidelines. Processes claims based upon contractual and/or CalOptima Health's agreements involving the use of established payment methodologies, division of financial responsibility, applicable regulatory legislation, claim processing guidelines and company policies and procedures. Informs the supervisor or manager of issues impacting production and quality (i.e., incorrect database configurations, incorrect claim payments, etc.). Analyzes, processes, researches and adjusts all provider reconsideration requests and correspondence. 5% - Completes other duties or projects as assigned. Minimum Qualifications: High School diploma or equivalent required. 2 years of experience processing on-line claims in a health care/managed care setting specifically in adjudicating and adjusting claims required. 1 year of experience in both Medicare and Medi-Cal billing 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. Preferred Qualifications: Bachelor's degree in business administration, health care management or related field. Experience in claims billing systems. Required Licensure / Certifications: N/A Knowledge & Abilities: 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. 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 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. 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 & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide 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 September 17, 2024 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: https://jobs.caloptima.org/jobs/claims-resolution-specialist-claims-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-68cfda419b152c4e9b3a9b15f780e07d
Sep 05, 2024
Claims Resolution Specialist (Claims) CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Resolution Specialist (Claims) to join our team. The Claims Resolution Specialist (Claims) will be responsible for overseeing and managing the claims resolution process. The incumbent will follow regulatory and internal guidelines in conjunction with CalOptima Health's policies and procedures that apply to claims adjudication and adjustment of claims. The incumbent will work closely with claims management and trainers to identify training opportunities from trend reports. The incumbent will also process Medi-Cal and OneCare claims. Position Information: Department: Claims Administration Salary Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - Claims 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. Responsible for accurate and timely adjudication of claims according to AB1455 regulatory guidelines. Processes claims based upon contractual and/or CalOptima Health's agreements involving the use of established payment methodologies, division of financial responsibility, applicable regulatory legislation, claim processing guidelines and company policies and procedures. Informs the supervisor or manager of issues impacting production and quality (i.e., incorrect database configurations, incorrect claim payments, etc.). Analyzes, processes, researches and adjusts all provider reconsideration requests and correspondence. 5% - Completes other duties or projects as assigned. Minimum Qualifications: High School diploma or equivalent required. 2 years of experience processing on-line claims in a health care/managed care setting specifically in adjudicating and adjusting claims required. 1 year of experience in both Medicare and Medi-Cal billing 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. Preferred Qualifications: Bachelor's degree in business administration, health care management or related field. Experience in claims billing systems. Required Licensure / Certifications: N/A Knowledge & Abilities: 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. 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 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. 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 & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide 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 September 17, 2024 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: https://jobs.caloptima.org/jobs/claims-resolution-specialist-claims-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-68cfda419b152c4e9b3a9b15f780e07d
City of Buckeye, AZ
Buckeye, Arizona, United States
Position Scope Posting will remain open until filled. First review of applications will begin on Monday, August 26, 2024. Provides complex and confidential legal and administrative support to the Civil Division’s attorneys and department staff. The ideal candidate will assist with legal research, documenting information, public records request review and redaction, legal request management, and drafting legal memorandums and documents. Embrace the New - Do Right - Lend a Hand - Find a Way - Enjoy our Work - Celebrate Uniqueness Primary Duties and Responsibilities The following duties ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in this classification, only a representative summary of the primary duties and responsibilities. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties. Prepares correspondence and other documents on a wide variety of subjects requiring knowledge of the procedures and policies of the City Attorney’s office Schedules appointments and prepares calendar, reports, minutes, agendas, resolutions, ordinances, communications, litigation holds, written documents, and correspondence requiring independent judgment in handling format, procedure, and context with a high degree of thoroughness and accuracy Provides legal support and assists attorneys and higher-level staff as needed Assists attorneys in drafting, reviewing, or revising legal documents; and with litigation, including managing and monitoring case progress, performing legal research, and generally performing as a paralegal Assists with risk management functions, including claims management and subrogation as needed. Monitors status of claims, complaints, court decisions, and litigation matters for the city and provides updates to legal staff May assist in the production of legal forms and templates, development of city processes and policies, and revisions to city documents as needed Maintains department files and records; compiles statistical data; prepares a variety of technical and statistical reports; updates manual and computer records and tracking systems; compiles management reports; maintains compliance with city record retention schedules for different types of files Coordinates and manages the legal review process for public records requests in the city using eDiscovery and other software as appropriate Organizes, reviews, and redacts documents responsive to public records requests, media requests, subpoenas, and litigation holds Reads and understands business and legal documents, i.e., leases, easements, subpoenas, notices Reviews requests for legal services and evaluates sufficiency of materials provided by internal clients prior to attorney review Performs factual and document research, analyzes data for projects, prepares legal documents, prepares responses Prepares and/or reviews resolutions, ordinances, drafts for contracts, agreements, leases for assigned attorney(s) or as needed Conducts and coordinates assigned projects; identifies and resolves routine problems within scope of authority Keeps immediate supervisor and designated others fully and accurately informed concerning work progress, including present and potential work problems and suggestions for new or improved ways of addressing such problems Assists in training and onboarding department staff and provides support to others within the department as needed Works closely with staff fostering an open, positive, communicative relationship with internal and external customers Maintains strict confidentiality and demonstrates ethical behavior Performs other duties as assigned or required Minimum Qualifications & Position Requirements Education and Experience: An Associate's Degree in a Legal Assistant/Paralegal program or a related field; and five (5) years of experience in a law office or related environment; or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job such as those listed above. Necessary Knowledge, Skills and Abilities: Knowledge of: City policies and procedures Procedures and policies of the City Attorney’s Office Customer service principles Filing and recordkeeping procedures and practices Mathematical concepts Report preparation techniques State and Federal Rules of Civil Procedure Working within legal time constraints and deadlines imposed by law Legal request and case management procedures Legal principles and practices, legal terminology, legal research, and legal document processing/preparation Skill in: Basic research techniques Using Microsoft Office products and other relevant technologies Operating a personal computer utilizing a variety of business software Operate a variety of office equipment Preparing accurate reports, documents, and correspondence Effective oral and written communication Consensus building techniques and conflict resolution Grammar, punctuation, spelling, basic editing, and formatting of a wide variety of legal documents Ability to: Compile and analyze data and information Display good analytical reasoning skills Read and comprehend legal documents, motions, resolutions, ordinances, codes, statutes, policies and procedures, court rules, statutes and various case law and various case law Work effectively under stress and adapt to changing priorities Work within time constraints and meeting deadlines Prepare and proofread a variety of reports and/or documentation Use proper English, grammar, punctuation and spelling Exercise judgment and discretion Maintain records and files Maintain calendars Recognize problems and identify alternative solutions Prioritize work and perform multiple tasks simultaneously Work independently Protect privileged and/or confidential information Work cooperatively with city staff, stakeholders, and members of the public Understand and follow oral and written instructions Establish and maintain positive, effective working relationships with those contact in the performance of work 12-month objectives: Learn the policies, procedures, processes, and technologies used in City Attorney’s office and City of Buckeye. Develop an understanding of the City Attorney’s office structure, purpose, and goals in the City of Buckeye. Provide high quality and complex legal administrative support to Civil Division attorneys. Develop working relationships with city employees and offer excellent customer service and guidance to department and external partners of the City of Buckeye. Assist in developing and implementing processes which require Legal review in the city in support of Civil Division including Risk Management matters, Real Estate/Land matters, Public Records Requests review/redaction methods. Assist with implementation of eDiscovery/redaction software in the city. Additional Information Valid Driver’s license and ability to pass a background check Employee Benefits & Wellness The City offers a comprehensive benefits package to full-time classified and management employees. Part-time classified employees may be eligible for select benefits where defined. For complete Benefit Plan & Wellness Information, please visit the City website at: Benefits & Wellness City benefit plans are subject to change at any time. Closing Date/Time: Continuous
Aug 08, 2024
Full Time
Position Scope Posting will remain open until filled. First review of applications will begin on Monday, August 26, 2024. Provides complex and confidential legal and administrative support to the Civil Division’s attorneys and department staff. The ideal candidate will assist with legal research, documenting information, public records request review and redaction, legal request management, and drafting legal memorandums and documents. Embrace the New - Do Right - Lend a Hand - Find a Way - Enjoy our Work - Celebrate Uniqueness Primary Duties and Responsibilities The following duties ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in this classification, only a representative summary of the primary duties and responsibilities. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties. Prepares correspondence and other documents on a wide variety of subjects requiring knowledge of the procedures and policies of the City Attorney’s office Schedules appointments and prepares calendar, reports, minutes, agendas, resolutions, ordinances, communications, litigation holds, written documents, and correspondence requiring independent judgment in handling format, procedure, and context with a high degree of thoroughness and accuracy Provides legal support and assists attorneys and higher-level staff as needed Assists attorneys in drafting, reviewing, or revising legal documents; and with litigation, including managing and monitoring case progress, performing legal research, and generally performing as a paralegal Assists with risk management functions, including claims management and subrogation as needed. Monitors status of claims, complaints, court decisions, and litigation matters for the city and provides updates to legal staff May assist in the production of legal forms and templates, development of city processes and policies, and revisions to city documents as needed Maintains department files and records; compiles statistical data; prepares a variety of technical and statistical reports; updates manual and computer records and tracking systems; compiles management reports; maintains compliance with city record retention schedules for different types of files Coordinates and manages the legal review process for public records requests in the city using eDiscovery and other software as appropriate Organizes, reviews, and redacts documents responsive to public records requests, media requests, subpoenas, and litigation holds Reads and understands business and legal documents, i.e., leases, easements, subpoenas, notices Reviews requests for legal services and evaluates sufficiency of materials provided by internal clients prior to attorney review Performs factual and document research, analyzes data for projects, prepares legal documents, prepares responses Prepares and/or reviews resolutions, ordinances, drafts for contracts, agreements, leases for assigned attorney(s) or as needed Conducts and coordinates assigned projects; identifies and resolves routine problems within scope of authority Keeps immediate supervisor and designated others fully and accurately informed concerning work progress, including present and potential work problems and suggestions for new or improved ways of addressing such problems Assists in training and onboarding department staff and provides support to others within the department as needed Works closely with staff fostering an open, positive, communicative relationship with internal and external customers Maintains strict confidentiality and demonstrates ethical behavior Performs other duties as assigned or required Minimum Qualifications & Position Requirements Education and Experience: An Associate's Degree in a Legal Assistant/Paralegal program or a related field; and five (5) years of experience in a law office or related environment; or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job such as those listed above. Necessary Knowledge, Skills and Abilities: Knowledge of: City policies and procedures Procedures and policies of the City Attorney’s Office Customer service principles Filing and recordkeeping procedures and practices Mathematical concepts Report preparation techniques State and Federal Rules of Civil Procedure Working within legal time constraints and deadlines imposed by law Legal request and case management procedures Legal principles and practices, legal terminology, legal research, and legal document processing/preparation Skill in: Basic research techniques Using Microsoft Office products and other relevant technologies Operating a personal computer utilizing a variety of business software Operate a variety of office equipment Preparing accurate reports, documents, and correspondence Effective oral and written communication Consensus building techniques and conflict resolution Grammar, punctuation, spelling, basic editing, and formatting of a wide variety of legal documents Ability to: Compile and analyze data and information Display good analytical reasoning skills Read and comprehend legal documents, motions, resolutions, ordinances, codes, statutes, policies and procedures, court rules, statutes and various case law and various case law Work effectively under stress and adapt to changing priorities Work within time constraints and meeting deadlines Prepare and proofread a variety of reports and/or documentation Use proper English, grammar, punctuation and spelling Exercise judgment and discretion Maintain records and files Maintain calendars Recognize problems and identify alternative solutions Prioritize work and perform multiple tasks simultaneously Work independently Protect privileged and/or confidential information Work cooperatively with city staff, stakeholders, and members of the public Understand and follow oral and written instructions Establish and maintain positive, effective working relationships with those contact in the performance of work 12-month objectives: Learn the policies, procedures, processes, and technologies used in City Attorney’s office and City of Buckeye. Develop an understanding of the City Attorney’s office structure, purpose, and goals in the City of Buckeye. Provide high quality and complex legal administrative support to Civil Division attorneys. Develop working relationships with city employees and offer excellent customer service and guidance to department and external partners of the City of Buckeye. Assist in developing and implementing processes which require Legal review in the city in support of Civil Division including Risk Management matters, Real Estate/Land matters, Public Records Requests review/redaction methods. Assist with implementation of eDiscovery/redaction software in the city. Additional Information Valid Driver’s license and ability to pass a background check Employee Benefits & Wellness The City offers a comprehensive benefits package to full-time classified and management employees. Part-time classified employees may be eligible for select benefits where defined. For complete Benefit Plan & Wellness Information, please visit the City website at: Benefits & Wellness City benefit plans are subject to change at any time. Closing Date/Time: Continuous
Program Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist to join our team. The Program Specialist will provide administrative clinical support services to the Grievance and Appeals Nurse Specialists in the investigation and preparation of cases for review based on clinical information, benefits, applicable regulations related to member or provider dispute of decisions. The incumbent will collect additional medical information from CalOptima Health members, and/or providers to complete appeal case reviews. The incumbent will support the department with the external medical review request process as it relates to appeals. Position Information: Department: Grievance & Appeals Salary Grade: 305 - $55,966 - $83,949 ($26.91 - $40.3601) Work Arrangement: Full Office Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists with case pre-analysis and procures appropriate medical records and supporting documentation prior to sending appeal to internal stakeholders for case review. Supports the external medical review request process as it relates to appeals. Maintains departmental database and records' integrity by accurately entering case actions to assigned cases. Works with internal and external departments to gather additional information such as claims copies, referrals, authorization or resolution and other related procedures. Assists with State Fair Hearing preparation. Assists with the notification process to members or providers on the clinical decision issued. Works with Grievance and Appeals Nurse Specialists and Medical Directors, who oversee clinical aspects of the business, to ensure that the clinical issues are appropriately evaluated. 10% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Participates in departmental meetings, trainings and audits as needed. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required PLUS 3 years of clinical experience required, preferably in a managed care environment; 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. 1 year of experience with Medi-Cal, Healthy Families and Medicare reporting requirements including data validation audits required. Preferred Qualifications: Certified Medical Assistant (CMA). Bilingual in English and in one of CalOptima's defined threshold language (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: n/a Knowledge & Abilities: 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. 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 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. 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 & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide 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 September 25, 2024 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: https://jobs.caloptima.org/jobs/program-specialist-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-c852a5c07b64f641a76cf45eefa5869e
Sep 13, 2024
Full Time
Program Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist to join our team. The Program Specialist will provide administrative clinical support services to the Grievance and Appeals Nurse Specialists in the investigation and preparation of cases for review based on clinical information, benefits, applicable regulations related to member or provider dispute of decisions. The incumbent will collect additional medical information from CalOptima Health members, and/or providers to complete appeal case reviews. The incumbent will support the department with the external medical review request process as it relates to appeals. Position Information: Department: Grievance & Appeals Salary Grade: 305 - $55,966 - $83,949 ($26.91 - $40.3601) Work Arrangement: Full Office Duties & Responsibilities: 85% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists with case pre-analysis and procures appropriate medical records and supporting documentation prior to sending appeal to internal stakeholders for case review. Supports the external medical review request process as it relates to appeals. Maintains departmental database and records' integrity by accurately entering case actions to assigned cases. Works with internal and external departments to gather additional information such as claims copies, referrals, authorization or resolution and other related procedures. Assists with State Fair Hearing preparation. Assists with the notification process to members or providers on the clinical decision issued. Works with Grievance and Appeals Nurse Specialists and Medical Directors, who oversee clinical aspects of the business, to ensure that the clinical issues are appropriately evaluated. 10% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Participates in departmental meetings, trainings and audits as needed. 5% - Completes other projects and duties as assigned. Minimum Qualifications: High School diploma or equivalent required PLUS 3 years of clinical experience required, preferably in a managed care environment; 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. 1 year of experience with Medi-Cal, Healthy Families and Medicare reporting requirements including data validation audits required. Preferred Qualifications: Certified Medical Assistant (CMA). Bilingual in English and in one of CalOptima's defined threshold language (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Required Licensure / Certifications: n/a Knowledge & Abilities: 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. 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 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. 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 & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide 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 September 25, 2024 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: https://jobs.caloptima.org/jobs/program-specialist-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-c852a5c07b64f641a76cf45eefa5869e
Pharmacy Services Specialist, Sr. (Clinical Programs) CalOptima CalOptima Health is seeking a highly motivated an experienced Pharmacy Services Specialist Sr to join our team. The Pharmacy Services Specialist Sr will be responsible for utilizing specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima Health departments, health networks and other entities in assuring the efficient, timely and effective provision of pharmaceutical products and services to CalOptima Health members. The incumbent will interact with other staff throughout the organization, as well as external contacts daily. The incumbent will be responsible for ongoing public contacts including, but not limited to, members, individual pharmacies, member advocates, family members, health networks, Public Guardian's Office, Regional Centers and other agencies. The incumbent will have the authority to make and carry out decisions on behalf of the Pharmacy department within established policies and procedures. Position Information: Department: Pharmacy Management Salary Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - 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. Serves as lead for pharmacy services operations activities for the Medication Therapy Management (MTM) program in various systems such as Guiding Care, MTM vendor software and Facets. Coordinates outbound call efforts to MTM eligible members in accordance with MTM program desktops. Maintains documentation of member and pharmacy cases in MTM vendor software and manages case load to ensure completion within departmental standards as needed. Functions efficiently and productively in the pharmacy call center as needed. Using a pharmacy computer program, retrieves drug-specific technical data and information necessary for the completion of departmental and interdepartmental pharmacy-related functions and operations. Coordinates resolution of provider and member pharmacy issues requiring specialized technical and professional knowledge and expertise, including pharmacy authorizations. Resolves claims disputes between providing pharmacies, the pharmacy claims administrator, CalOptima Health Claims Department and other entities as necessary. Interprets and articulates Pharmacy Management program policies and procedures to pharmacy providers, other providers, other CalOptima Health staff, external agencies and others as required. Assists in the processing of pharmaceutical prior authorization and appeals requests as per the CalOptima Health Prior Authorization Guidelines as needed. Establishes and maintains key contacts both internally and externally to assure appropriate coordination and provision of pharmacy services to CalOptima Health Members. Accepts referrals from Member Services and work in conjunction with employees from this department to resolve all pharmacy-related member complaints, including those related to the MTM program process. Assists pharmacies and health plans in resolving member-specific pharmacy services access issues, removing barriers to access to pharmaceutical services. Runs daily, weekly and monthly pharmacy compliance report. Provides ongoing staff training to new hires as needed. 5% - Completes other duties as assigned by management. Minimum Qualifications: High School diploma or equivalent required PLUS 5 years of experience as a Pharmacy Technician in the ambulatory, community, home infusion, inpatient, long-term care or managed care 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. Preferred Qualifications: An associate degree in health-related field. Lead work experience in Clinical Programs. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: A current, valid and unrestricted California Pharmacy Technician license required. Pharmacy Technician Certification Board (PTCB) Certification required. Knowledge & Abilities: 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. 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 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. 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 & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide 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 September 12, 2024 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: https://jobs.caloptima.org/jobs/pharmacy-services-specialist-sr-clinical-programs-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-7af5f2522efec441859b7f5aea979d88
Aug 31, 2024
Full Time
Pharmacy Services Specialist, Sr. (Clinical Programs) CalOptima CalOptima Health is seeking a highly motivated an experienced Pharmacy Services Specialist Sr to join our team. The Pharmacy Services Specialist Sr will be responsible for utilizing specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima Health departments, health networks and other entities in assuring the efficient, timely and effective provision of pharmaceutical products and services to CalOptima Health members. The incumbent will interact with other staff throughout the organization, as well as external contacts daily. The incumbent will be responsible for ongoing public contacts including, but not limited to, members, individual pharmacies, member advocates, family members, health networks, Public Guardian's Office, Regional Centers and other agencies. The incumbent will have the authority to make and carry out decisions on behalf of the Pharmacy department within established policies and procedures. Position Information: Department: Pharmacy Management Salary Grade: 304 - $53,813 - $80,720 ($25.87 - $38.8077) Work Arrangement: Full Telework **This position is eligible for telework in California.** Duties & Responsibilities: 95% - 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. Serves as lead for pharmacy services operations activities for the Medication Therapy Management (MTM) program in various systems such as Guiding Care, MTM vendor software and Facets. Coordinates outbound call efforts to MTM eligible members in accordance with MTM program desktops. Maintains documentation of member and pharmacy cases in MTM vendor software and manages case load to ensure completion within departmental standards as needed. Functions efficiently and productively in the pharmacy call center as needed. Using a pharmacy computer program, retrieves drug-specific technical data and information necessary for the completion of departmental and interdepartmental pharmacy-related functions and operations. Coordinates resolution of provider and member pharmacy issues requiring specialized technical and professional knowledge and expertise, including pharmacy authorizations. Resolves claims disputes between providing pharmacies, the pharmacy claims administrator, CalOptima Health Claims Department and other entities as necessary. Interprets and articulates Pharmacy Management program policies and procedures to pharmacy providers, other providers, other CalOptima Health staff, external agencies and others as required. Assists in the processing of pharmaceutical prior authorization and appeals requests as per the CalOptima Health Prior Authorization Guidelines as needed. Establishes and maintains key contacts both internally and externally to assure appropriate coordination and provision of pharmacy services to CalOptima Health Members. Accepts referrals from Member Services and work in conjunction with employees from this department to resolve all pharmacy-related member complaints, including those related to the MTM program process. Assists pharmacies and health plans in resolving member-specific pharmacy services access issues, removing barriers to access to pharmaceutical services. Runs daily, weekly and monthly pharmacy compliance report. Provides ongoing staff training to new hires as needed. 5% - Completes other duties as assigned by management. Minimum Qualifications: High School diploma or equivalent required PLUS 5 years of experience as a Pharmacy Technician in the ambulatory, community, home infusion, inpatient, long-term care or managed care 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. Preferred Qualifications: An associate degree in health-related field. Lead work experience in Clinical Programs. Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Required Licensure / Certifications: A current, valid and unrestricted California Pharmacy Technician license required. Pharmacy Technician Certification Board (PTCB) Certification required. Knowledge & Abilities: 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. 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 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. 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 & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide 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 September 12, 2024 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: https://jobs.caloptima.org/jobs/pharmacy-services-specialist-sr-clinical-programs-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-7af5f2522efec441859b7f5aea979d88
California State Polytechnic University Pomona
3801 West Temple Avenue, Pomona, CA 91768, USA
Type of Appointment : Full-time, Management Personnel Plan (MPP II) Anticipated Salary Range: $145,000 - $160,000 Annually (Commensurate with qualifications and experience) Benefits Include: (15) Paid Holidays, (24) Vacation Days, Comprehensive Benefits Package Recruitment Closing Date: Open Until Filled First Application Review Date: June 18, 2024 THE DEPARTMENT: Facilities Planning and Management (FP&M) leads the campus efforts in planning, development, and maintenance of the campus ‘natural and built environments in support of the university’s mission. The department seeks to preserve and enhance CPP’s history, aesthetics, physical assets, and natural ecosystems through coordinated planning, design, and construction of buildings, transportation systems, infrastructure, landscaping and other physical improvements. FP&M includes the EH&S function as well. As an advocate on behalf of the university and its auxiliaries, FPM strives to provide facilities that meet scope, budget, operational needs, functional and legal requirements. FPM is comprised of approximately 130 facilities professionals that also provides Facilities Operations and maintenance services including custodial services, landscaping, recycling, building and mechanical trades, energy and utility management, fleet and auto services. The workforce is culturally diverse and multilingual. Its composition includes full time staff throughout FPM who are also earning their degrees and many whom have graduated from Cal Poly Pomona. The staff includes architects and engineers, accountants, planners, project managers, administrative staff, carpenters, plumbers, locksmiths, painters, electricians, landscape architects, computer technicians, custodians and other building and mechanical trade technicians. DUTIES AND RESPONSIBILITIES: Manages all aspects of assigned projects through the full course of the project life cycle including planning, design, construction, and closeout phases. Independently leads and direct projects requiring high levels of functional integration and involving multiple disciplines to be managed. This includes those associated with real estate development, capital improvements, major maintenance and repair, capital renewal, deferred maintenance, and infrastructure improvements. Administers and interprets CSU’s design and construction policies, procedures, and guidelines for all campus projects to ensure compliance with approved project program, budget and scheduling goals. Responsible for quality and cost control of projects. Oversees all project development milestone activities to ensure that: adequate plan and constructability reviews are performed, required agency plan checks for code compliance, and appropriate peer reviews are conducted for all public works or capital improvement projects, including the selection, contract preparation, hiring and contract administration, payment, and evaluation of retained professional consultants. Submits reports, as requested, concerning all facets of a project including budget, schedule, cash flow, outstanding issues, quality control, RFIs, submittal logs, inspection logs, contingency balance and other pertinent issues. The incumbent may serve as point of contact for any system or campus audits of capital projects. The incumbent directs, oversees and when necessary completes tasks personally with the Design and Construction team to ensure the design documents, bid documents and procedures, reviews and construction meet the requirements of the campus, CSU and laws. Oversees the team’s administration of design contracts, bid documents and administration, construction administration and closeout and all the associated tasks. Chairs monthly construction impact meetings during the construction period to facilitate communication of construction progress and impacts affecting the campus community. Coordinates bid package reviews including constructability and/or value engineering reviews, preparation of bid documents, advertising, award of construction contracts, and issuance of the Notice to Proceed. Arranges onsite inspection approval of contractor payments analyzes and negotiates change orders, filing of “Notice of Completion”, dispute resolution, etc. Reviews and approves construction contract change orders and progress payment requests and documents the progress of the construction work. Conducts claims management and final project close out. Resolves all project related contractual issues collaboratively with the Chancellor’s Office of General Counsel and Capital Planning, Design and Construction (CPDC). Collaborate openly with FP&M’s Transportation and Capital Planning unit to review and receive the results of Planning efforts through feasibility, early programming and securing funding phases. The incumbent will then lead the Design and Construction of the improvements funded. The incumbent will be responsible for contributing design and construction perspective in the preparation and submittals and receipts of requests for Capital Improvements for both campus-funded and systemwide funded projects. The incumbent will serve as the Campus Deputy Building Official maintaining and updating the building permitting and inspection program to best in CSU class status. Incumbent is responsible for all construction work to be reviewed, permitted, inspected and finalized in compliance with all applicable codes and standards, through the required agency plan checks, appropriate peer reviews and receive all necessary approvals. The specific detailed authorities, duties and processes for CSU as the Authority Having Jurisdiction are outlined in the Guidelines, Requirements and Best Practices for CSU Construction Document, Plan Review and Permit Authorizations document published by CSU’s Chief Building Official. The incumbent will provide general oversight of the Document Resource Center (DRC) which is the repository for record drawings. The Document Resource Center also holds the records for system-wide reports and studies related to long-range facilities programming. Directs, oversees and coordinates Project Managers, Project Coordinators, Inspector(s) of Record and contracted staff, as required for each capital project in design and construction. Applies a "team leader/coach” approach, with a service-oriented win-win attitude, strong technical skills and communication skills, both written and oral. Promotes and projects a positive attitude, a quality customer service philosophy in the department, and leads by example. Conducts performance evaluations, counsels’ staff on job functions and attendance, and deals with personnel issues. Communicates effectively to ensure that all staff are kept current and aware of new materials, methods, equipment, safety, and regulations in their particular field. Updates and reviews job descriptions and leads the hiring process for teammates when funding is available. Actively works to achieve CPP’s Strategic Plan Initiative 5 to advance organizational development and employee excellence and become a workplace of choice and developing teammates. QUALIFICATIONS: Valid California Driver’s License and insurance Graduation from an accredited four-year college/university with an undergraduate degree in engineering, architecture, or construction management, or a closely related field, or any combination of education and experience that totals at least 10 years. One or more of the following licenses or credentials A current State of California Architect license A current State of California Professional Engineer license An International Code Council (ICC) certification as a B2 Commercial Building Inspector or B3 Building Plans examiner Alternatively, the ability to secure the qualifications within 12 months of appointment. Seven (7) years of progressively responsible professional and administrative experience involving public works design and construction. Experience in the administration of Building Code. The successful candidate must have superior verbal and written communication skills. The individual should demonstrate the ability to act independently with high integrity, exercise good judgment, provide constituencies and management with clear feedback, and make independent decisions as appropriate. The incumbent must possess strong interpersonal skills; the ability to establish and maintain a productive working relationship to communicate effectively with diverse constituencies within the university, the Chancellor’s Office and with contractors and consultants. The ability to read, interpret and formulate capital project budget estimates and make formal presentations to campus constituents. The incumbent must continue to be current of all state and federal laws and codes relating to physical barrier removal (e.g., compliant signage, curb cuts, and accessible doors/entrances and construction). PREFERRED EXPERIENCE: Certified Access Specialist (CASp) designation to facilitate an inclusive Cal Poly through its physical facilities and comply with the law. An advanced degree in related field. Equity, Diversity, and Inclusion At Cal Poly Pomona, we are committed to the urgent and ongoing work of creating and sustaining an inclusive campus where all students, faculty, and staff are welcomed, respected and can flourish to achieve their dreams of success. We believe diversity strengthens community. Cal Poly Pomona proudly holds designations as both a Hispanic-Serving Institution (HSI) and an Asian American and Native American Pacific Islander-Serving Institution (AANAPISI). In 2022, the campus launched the Black Thriving Initiative recognizing that Cal Poly Pomona’s future as a university must be linked to the success of its Black community. More information about our campus initiatives can be found on the Office of Inclusive Excellence’s website . Out of State Work The California State University (CSU) system is a network of twenty-three public universities providing access to a quality education through the support of California taxpayers. Part of CSU’s mission is to prepare educated, responsible individuals to contribute to California’s schools, economy, culture, and future. As an agency of the State of California, the CSU’s business operations almost exclusively reside within California. The CSU Out-of-State Employment Policy prohibits hiring employees to perform CSU-related work outside California. For more information, go to https://calstate.policystat.com/policy/10899725/latest/ . Background Check Cal Poly Pomona will make a conditional offer of employment to final job candidates, pending the satisfactory completion of a background check (including a criminal records check). The conditional offer of employment may be rescinded if the background check reveals disqualifying information, and/or it is discovered that the candidate knowingly withheld or falsified information. In determining the suitability of the candidate for the position, Cal Poly Pomona will give an individualized assessment to any information that the applicant submits for consideration regarding the criminal conviction history such as the nature, gravity and recency of the conviction, the candidate’s conduct, performance or rehabilitation efforts since the conviction and the nature of the job applied for. For more information, go to https://calstate.policystat.com/policy/13813878/latest/ . Employment Eligibility Verification Cal Poly Pomona hires only individuals lawfully authorized to work in the United States. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. For more information, go to https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents . Conflict of Interest This position is a “designated position” in the California State University’s Conflict of Interest Code. The successful candidate accepting this position is required to file financial interest disclosure forms subject to state regulations. For more information, go to https://www.cpp.edu/eoda-hr/departments/hrpar/coi.shtml . Outside Employment Disclosure Executive and Management Plan Personnel employees must disclose all current outside employment at the time of hire as a precondition of hire and at the following times after hire: annually in July, within 30 days of accepting outside employment, and upon their manager’s request. For more information, go to https://www.cpp.edu/eoda-hr/departments/hrpar/outside-employment-disclosure.shtml . Child Abuse/Neglect Reporting Act (CANRA) The person holding this position is considered a “mandated reporter” under the California Child Abuse and Neglect Reporting Act and is required to comply with the requirements set forth in CSU Executive Order 1083 as a condition of employment. See policy at https://calstate.policystat.com/v2/policy/10927154/latest/ . Security & Fire Safety In compliance with state and federal crime awareness and campus security legislation, including The Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act, California Education Code section 67380, and the Higher Education Opportunity Act (HEOA), Cal Poly Pomona’s Annual Security Report and Annual Fire Safety Report are available for viewing at: https://www.cpp.edu/pdfs/annual_security_report.pdf and https://www.cpp.edu/housing/documents/fire_safety_report.pdf. Pay Transparency Nondiscrimination As a federal contractor, Cal Poly Pomona will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. For more information, see the Pay Transparency Nondiscrimination Provision poster . Reasonable Accommodation We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact the ADA Coordinator by email at ADACoordinator@cpp.edu . For more information, go to Employment Notices . Equal Employment Opportunity Cal Poly Pomona is an Equal Opportunity Employer, committed to promoting an inclusive and diverse workforce. The university subscribes to all state and federal regulations that prohibit discrimination based on race, color, religion, national origin, sex, gender identity/gender expression, sexual orientation, marital status, pregnancy, age, disability, genetic information, medical condition, and veteran or military status. We engage the talents of all qualified workers, regardless of their background. More information is available at Equal Employment Opportunity statement . Other Notices For other important employment notices, we invite you to visit Cal Poly Pomona’s Employment Notices web page. Advertised: Jun 04 2024 Pacific Daylight Time Applications close: Closing Date/Time:
Jul 14, 2024
Type of Appointment : Full-time, Management Personnel Plan (MPP II) Anticipated Salary Range: $145,000 - $160,000 Annually (Commensurate with qualifications and experience) Benefits Include: (15) Paid Holidays, (24) Vacation Days, Comprehensive Benefits Package Recruitment Closing Date: Open Until Filled First Application Review Date: June 18, 2024 THE DEPARTMENT: Facilities Planning and Management (FP&M) leads the campus efforts in planning, development, and maintenance of the campus ‘natural and built environments in support of the university’s mission. The department seeks to preserve and enhance CPP’s history, aesthetics, physical assets, and natural ecosystems through coordinated planning, design, and construction of buildings, transportation systems, infrastructure, landscaping and other physical improvements. FP&M includes the EH&S function as well. As an advocate on behalf of the university and its auxiliaries, FPM strives to provide facilities that meet scope, budget, operational needs, functional and legal requirements. FPM is comprised of approximately 130 facilities professionals that also provides Facilities Operations and maintenance services including custodial services, landscaping, recycling, building and mechanical trades, energy and utility management, fleet and auto services. The workforce is culturally diverse and multilingual. Its composition includes full time staff throughout FPM who are also earning their degrees and many whom have graduated from Cal Poly Pomona. The staff includes architects and engineers, accountants, planners, project managers, administrative staff, carpenters, plumbers, locksmiths, painters, electricians, landscape architects, computer technicians, custodians and other building and mechanical trade technicians. DUTIES AND RESPONSIBILITIES: Manages all aspects of assigned projects through the full course of the project life cycle including planning, design, construction, and closeout phases. Independently leads and direct projects requiring high levels of functional integration and involving multiple disciplines to be managed. This includes those associated with real estate development, capital improvements, major maintenance and repair, capital renewal, deferred maintenance, and infrastructure improvements. Administers and interprets CSU’s design and construction policies, procedures, and guidelines for all campus projects to ensure compliance with approved project program, budget and scheduling goals. Responsible for quality and cost control of projects. Oversees all project development milestone activities to ensure that: adequate plan and constructability reviews are performed, required agency plan checks for code compliance, and appropriate peer reviews are conducted for all public works or capital improvement projects, including the selection, contract preparation, hiring and contract administration, payment, and evaluation of retained professional consultants. Submits reports, as requested, concerning all facets of a project including budget, schedule, cash flow, outstanding issues, quality control, RFIs, submittal logs, inspection logs, contingency balance and other pertinent issues. The incumbent may serve as point of contact for any system or campus audits of capital projects. The incumbent directs, oversees and when necessary completes tasks personally with the Design and Construction team to ensure the design documents, bid documents and procedures, reviews and construction meet the requirements of the campus, CSU and laws. Oversees the team’s administration of design contracts, bid documents and administration, construction administration and closeout and all the associated tasks. Chairs monthly construction impact meetings during the construction period to facilitate communication of construction progress and impacts affecting the campus community. Coordinates bid package reviews including constructability and/or value engineering reviews, preparation of bid documents, advertising, award of construction contracts, and issuance of the Notice to Proceed. Arranges onsite inspection approval of contractor payments analyzes and negotiates change orders, filing of “Notice of Completion”, dispute resolution, etc. Reviews and approves construction contract change orders and progress payment requests and documents the progress of the construction work. Conducts claims management and final project close out. Resolves all project related contractual issues collaboratively with the Chancellor’s Office of General Counsel and Capital Planning, Design and Construction (CPDC). Collaborate openly with FP&M’s Transportation and Capital Planning unit to review and receive the results of Planning efforts through feasibility, early programming and securing funding phases. The incumbent will then lead the Design and Construction of the improvements funded. The incumbent will be responsible for contributing design and construction perspective in the preparation and submittals and receipts of requests for Capital Improvements for both campus-funded and systemwide funded projects. The incumbent will serve as the Campus Deputy Building Official maintaining and updating the building permitting and inspection program to best in CSU class status. Incumbent is responsible for all construction work to be reviewed, permitted, inspected and finalized in compliance with all applicable codes and standards, through the required agency plan checks, appropriate peer reviews and receive all necessary approvals. The specific detailed authorities, duties and processes for CSU as the Authority Having Jurisdiction are outlined in the Guidelines, Requirements and Best Practices for CSU Construction Document, Plan Review and Permit Authorizations document published by CSU’s Chief Building Official. The incumbent will provide general oversight of the Document Resource Center (DRC) which is the repository for record drawings. The Document Resource Center also holds the records for system-wide reports and studies related to long-range facilities programming. Directs, oversees and coordinates Project Managers, Project Coordinators, Inspector(s) of Record and contracted staff, as required for each capital project in design and construction. Applies a "team leader/coach” approach, with a service-oriented win-win attitude, strong technical skills and communication skills, both written and oral. Promotes and projects a positive attitude, a quality customer service philosophy in the department, and leads by example. Conducts performance evaluations, counsels’ staff on job functions and attendance, and deals with personnel issues. Communicates effectively to ensure that all staff are kept current and aware of new materials, methods, equipment, safety, and regulations in their particular field. Updates and reviews job descriptions and leads the hiring process for teammates when funding is available. Actively works to achieve CPP’s Strategic Plan Initiative 5 to advance organizational development and employee excellence and become a workplace of choice and developing teammates. QUALIFICATIONS: Valid California Driver’s License and insurance Graduation from an accredited four-year college/university with an undergraduate degree in engineering, architecture, or construction management, or a closely related field, or any combination of education and experience that totals at least 10 years. One or more of the following licenses or credentials A current State of California Architect license A current State of California Professional Engineer license An International Code Council (ICC) certification as a B2 Commercial Building Inspector or B3 Building Plans examiner Alternatively, the ability to secure the qualifications within 12 months of appointment. Seven (7) years of progressively responsible professional and administrative experience involving public works design and construction. Experience in the administration of Building Code. The successful candidate must have superior verbal and written communication skills. The individual should demonstrate the ability to act independently with high integrity, exercise good judgment, provide constituencies and management with clear feedback, and make independent decisions as appropriate. The incumbent must possess strong interpersonal skills; the ability to establish and maintain a productive working relationship to communicate effectively with diverse constituencies within the university, the Chancellor’s Office and with contractors and consultants. The ability to read, interpret and formulate capital project budget estimates and make formal presentations to campus constituents. The incumbent must continue to be current of all state and federal laws and codes relating to physical barrier removal (e.g., compliant signage, curb cuts, and accessible doors/entrances and construction). PREFERRED EXPERIENCE: Certified Access Specialist (CASp) designation to facilitate an inclusive Cal Poly through its physical facilities and comply with the law. An advanced degree in related field. Equity, Diversity, and Inclusion At Cal Poly Pomona, we are committed to the urgent and ongoing work of creating and sustaining an inclusive campus where all students, faculty, and staff are welcomed, respected and can flourish to achieve their dreams of success. We believe diversity strengthens community. Cal Poly Pomona proudly holds designations as both a Hispanic-Serving Institution (HSI) and an Asian American and Native American Pacific Islander-Serving Institution (AANAPISI). In 2022, the campus launched the Black Thriving Initiative recognizing that Cal Poly Pomona’s future as a university must be linked to the success of its Black community. More information about our campus initiatives can be found on the Office of Inclusive Excellence’s website . Out of State Work The California State University (CSU) system is a network of twenty-three public universities providing access to a quality education through the support of California taxpayers. Part of CSU’s mission is to prepare educated, responsible individuals to contribute to California’s schools, economy, culture, and future. As an agency of the State of California, the CSU’s business operations almost exclusively reside within California. The CSU Out-of-State Employment Policy prohibits hiring employees to perform CSU-related work outside California. For more information, go to https://calstate.policystat.com/policy/10899725/latest/ . Background Check Cal Poly Pomona will make a conditional offer of employment to final job candidates, pending the satisfactory completion of a background check (including a criminal records check). The conditional offer of employment may be rescinded if the background check reveals disqualifying information, and/or it is discovered that the candidate knowingly withheld or falsified information. In determining the suitability of the candidate for the position, Cal Poly Pomona will give an individualized assessment to any information that the applicant submits for consideration regarding the criminal conviction history such as the nature, gravity and recency of the conviction, the candidate’s conduct, performance or rehabilitation efforts since the conviction and the nature of the job applied for. For more information, go to https://calstate.policystat.com/policy/13813878/latest/ . Employment Eligibility Verification Cal Poly Pomona hires only individuals lawfully authorized to work in the United States. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. For more information, go to https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents . Conflict of Interest This position is a “designated position” in the California State University’s Conflict of Interest Code. The successful candidate accepting this position is required to file financial interest disclosure forms subject to state regulations. For more information, go to https://www.cpp.edu/eoda-hr/departments/hrpar/coi.shtml . Outside Employment Disclosure Executive and Management Plan Personnel employees must disclose all current outside employment at the time of hire as a precondition of hire and at the following times after hire: annually in July, within 30 days of accepting outside employment, and upon their manager’s request. For more information, go to https://www.cpp.edu/eoda-hr/departments/hrpar/outside-employment-disclosure.shtml . Child Abuse/Neglect Reporting Act (CANRA) The person holding this position is considered a “mandated reporter” under the California Child Abuse and Neglect Reporting Act and is required to comply with the requirements set forth in CSU Executive Order 1083 as a condition of employment. See policy at https://calstate.policystat.com/v2/policy/10927154/latest/ . Security & Fire Safety In compliance with state and federal crime awareness and campus security legislation, including The Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act, California Education Code section 67380, and the Higher Education Opportunity Act (HEOA), Cal Poly Pomona’s Annual Security Report and Annual Fire Safety Report are available for viewing at: https://www.cpp.edu/pdfs/annual_security_report.pdf and https://www.cpp.edu/housing/documents/fire_safety_report.pdf. Pay Transparency Nondiscrimination As a federal contractor, Cal Poly Pomona will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. For more information, see the Pay Transparency Nondiscrimination Provision poster . Reasonable Accommodation We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact the ADA Coordinator by email at ADACoordinator@cpp.edu . For more information, go to Employment Notices . Equal Employment Opportunity Cal Poly Pomona is an Equal Opportunity Employer, committed to promoting an inclusive and diverse workforce. The university subscribes to all state and federal regulations that prohibit discrimination based on race, color, religion, national origin, sex, gender identity/gender expression, sexual orientation, marital status, pregnancy, age, disability, genetic information, medical condition, and veteran or military status. We engage the talents of all qualified workers, regardless of their background. More information is available at Equal Employment Opportunity statement . Other Notices For other important employment notices, we invite you to visit Cal Poly Pomona’s Employment Notices web page. Advertised: Jun 04 2024 Pacific Daylight Time Applications close: Closing Date/Time: