Sr Program Specialist, Medi-Cal & CalAIM

Overview

Sr Program Specialist, Medi-Cal & CalAIM – Cal Optima

Join Us in this Amazing Opportunity

The Team You'll Join

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

The Opportunity

We are hoping you will join us as a Sr Program Specialist, Medi-Cal & CalAIM and help shape the future of healthcare where you'll be an integral part of our Medi-Cal & CalAIM team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.

This position has been approved for Full Office
.

Work Location/Telework

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

The Program Specialist Sr (Medi-Cal & CalAIM) will be responsible for supporting various projects related to Medi-Cal and the Department of Health Care Services (DHCS) California Advancing and Innovating Medi-Cal (CalAIM) initiatives. The incumbent will plan, analyze, research and coordinate Medi-Cal and CalAIM projects. You will support the Medi-Cal and CalAIM department in implementing projects and new programs, including coordinating regulatory reporting and ongoing maintenance of operations of assigned programs.

Together, we are building a stronger, more equitable health system.

Your Contributions To the Team:

• 80% - Program Support
• Participates and provides support to cross-functional teams responsible for developing, implementing, monitoring and evaluating various Medi-Cal and CalAIM projects, activities and reports.
• Assists with planning and monitoring the development and implementation of new Medi-Cal and CalAIM initiatives/pilots or modifying existing policies, processes and procedures.
• Analyzes and communicates the operational impacts of applicable statutory, regulatory and contractual requirements for compliance.
• Identifies and analyzes potential barriers for Medi-Cal and CalAIM projects and reports.
• Coordinates with necessary internal and external stakeholders to address potential barriers and identify opportunities for improvement.
• Conducts data analysis on Medi-Cal and CalAIM programs and coordinates regulatory reporting for assigned programs.

15% - Administrative Support

• Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the department in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.

5% - Other

• Completes other projects and duties as assigned.

Do You Have What the Role Requires?

• Bachelor's degree in health policy, health care economics, public policy, public health, sociology, psychology, social work or related field PLUS 3 years of experience in program development, implementation and operations or related experience in a managed health care organization 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.

• Have access to means of transportation for work away from the primary office approximately 10% of the time required.

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

• Master's degree in health policy, health care economics, public policy, public health, sociology, psychology, social work or a related field.
• 3 years of experience working with health care delivery systems and/or in a public agency/organization serving Medi-Cal, Medicare or any other under resourced populations.

What the Regulatory Agencies Need You to Possess?

• N/A

Your Knowledge & Abilities to Bring to this Role:

• Develop rapport and establish and maintain effective working relationships with Cal Optima Health's leadership…