Jobs · OTHR · California

Customer Service Representative Sr (OneCare) (Bilingual Required)

CalOptima · Orange, CA · 4 wk ago
OTHR$50k–$70k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must remove boilerplate. Must preserve all substantive info. We need to parse the posting. Key sections: - About the role / Team description: "Join Us in this Amazing Opportunity The Team You'll Join ..." and "More About The Opportunity". This is prose about role. - Responsibilities: The "Your Contributions To The Team" with percentages and bullet points. Also "95% - Program Support" list of duties. Also "5% - Other". So we can create a Responsibilities section with
  • items. - Requirements: "Do You Have What the Role Requires?" includes high school diploma or equivalent plus 2 years experience, typing speed 35 wpm, bilingual required. Also "You'll Stand Out More If You Possess The Following" (preferred). Also "What the Regulatory Agencies Need You to Possess? N/A" (skip). Also "Your Knowledge & Abilities To Bring To This Role" (skills/abilities). Also "Your Physical Requirements (With Or Without Accommodations)" (maybe under Requirements or separate? Could be a separate section but not in list; but we can include under Requirements or maybe a separate "Physical Requirements" not in allowed headings. Since only allowed headings are those listed, we might incorporate physical requirements into Requirements or Skills? Probably under Requirements as part of qualifications. But we can also create a separate section if not listed? The instruction: "Use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., implying those are examples but we should use those headings. It says "include a section ONLY when the posting has real, specific content for it". So we can use those headings. Physical requirements could go under Requirements or Qualifications. Probably under Requirements. - Qualifications: maybe education/experience etc. Could be separate from Requirements. But we have overlapping. We could treat Requirements as mandatory qualifications, and Qualifications as preferred? However the posting has "Do You Have What the Role Requires?" (mandatory) and "You'll Stand Out More If You Possess The Following" (preferred). Also "Your Knowledge & Abilities To Bring To This Role" (skills). So we can map: - About the role: introductory paragraphs. - Responsibilities: the contributions list. - Requirements: mandatory: high school diploma or equivalent + 2 years experience (including 1 year call center), typing speed 35 wpm, bilingual English + one of threshold languages. - Qualifications: preferred: 1 year HMO, Medi-Cal/Medicaid and health services experience. - Skills: knowledge & abilities list (develop rapport, work independently, communicate clearly, flexible schedule, organize, analytical, problem-solve, project management, fast-paced, manage multiple projects, motivate/lead teams, utilize computer and software). - Benefits: "Ways We Are Here For You" includes competitive compensation, benefits package, CalPERS pension, additional retirement packages, generous PTO, work life balance, wellness programs, tuition reimbursement, professional development, career development, flexible scheduling, satisfaction. - Pay: "Our current hiring range is: Pay Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880)." Also note final salary based on factors. - Schedule: The posting mentions "This position has been approved to be Full Office. 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." Also later: "Work a flexible schedule; available to participate in evening and weekend events." Also "Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed." So we have schedule info: Full Office, telework within CA, partial telework requires 2 days in office, flexible schedule, evening/weekend events. So we can include Schedule section. We must not include boilerplate like EEO, application instructions, etc. Also remove duplicated lines. We must not include placeholders like "N/A". So skip the Regulatory Agencies line. We must not include "Copyright ©2025 Jobelephant.com Inc." etc. We must output only HTML fragment, no /, no markdown fences. Let's craft. Structure:

    About the role

    ... combine the introductory paragraphs.

    Responsibilities

    • ...
    • ...
    We need to capture all responsibilities from "Your Contributions To The Team". Let's extract bullet points: From the text: "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." "Addresses member and provider inquiries, questions and concerns in all areas, including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically." "Serves as a senior resource for other team members (i.e., solves complex challenges, answers uncommon questions and shares complex processes and procedures)." "Supports in the coordination of member's health care and social service needs both within and outside the medical group and CalOptima Health." "Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction." "Initiates referrals to both internal and external care management departments and other department/government or community agencies." "Maintains departmental productivity and quality standards." "Follows through and completes all member and provider inquiries or requests during the original member and provider interaction. Provides additional follow-up assistance as needed." "5% - Other Completes other projects and duties as assigned." We could combine 95% and 5% but we can just list all. We'll produce
    • each.

      Requirements

      • High school diploma or equivalent
      • 2 years of experience in customer/member service, including 1 year of call center capacity
      • Typing speed of 35 words per minute (WPM) required
      • Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese)
      Maybe also include physical requirements? Could add as separate bullet under Requirements: "Ability to visually read information from computer screens, forms and other printed materials", etc. But those are physical requirements; we could include them under Requirements as well. But we might also create a separate "Qualifications" for preferred experience.

      Qualifications

      • 1 year of Health Maintenance Organization (HMO), Medi-Cal/Medicaid and health services experience (preferred)

      Skills

      • Develop rapport and establish and maintain effective working relationships with leadership, staff, and external contacts at all levels and 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

      Benefits

      • Competitive compensation
      • Comprehensive benefits package
      • CalPERS pension program and additional retirement packages
      • Generous PTO program
      • Quality work‑life balance
      • Various wellness programs
      • Tuition reimbursement
      • Professional development opportunities
      • Career development opportunities
      • Flexible scheduling
      • Satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families

      Pay

      Pay Grade: 302 – $49,754 – $69,655 per year ($23.92 – $33.49 per hour). The final salary offered will be based on education, job‑related knowledge and experience, skills relevant to the role and internal equity among other factors.

      Schedule

      Position approved for Full Office. If telework is approved, work must be within the State of California only. For partial telework, required to work at the Main Office in Orange, CA at least two (2) days per week. Flexible schedule; availability for evening and weekend events as needed. Work is typically indoors and sedentary, subject to schedule changes and/or variable work hours, with travel as needed.

      We must ensure we didn't repeat job title as heading. We didn't. We must not include any boilerplate like EEO, application instructions, etc. We removed. Check for any duplicated content: we included all substantive info. Check for any placeholders: we didn't include "N/A". Good. Check for any missing info: The posting also mentions "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." Also other location specifics. We could incorporate into Schedule or maybe a separate "Work Environment" but not in allowed headings. Could incorporate into Schedule or maybe under About the role? Probably schedule covers some but not environmental conditions. Since we don't have a heading for Work Environment, we could add those details under Schedule or About the role as extra prose. The instruction: "Prefer a few substantive sections over many thin ones." So we could add a short paragraph under About the role covering work environment. Or we could add a separate section "Work Environment" but not allowed heading; we could still use

      Work Environment

      but the instruction says use those headings as examples, not strictly limited? It says "Use

      for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." The e.g. suggests those are examples but we could still use others? Safer to stick to those. So we can incorporate work environment details into Schedule or About the role. Let's add a sentence under About the role: "Work is typically indoors and sedentary, subject to schedule changes and/or variable work hours, with travel as needed; no harmful environmental conditions are present in the primary office setting, with a moderate noise level." Also mention other location variations maybe not needed. We'll incorporate. Now ensure we didn't miss any substantive info: The posting also mentions "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." etc. That's location-specific; maybe not essential to include but it's substantive. Could add a note: "Depending on work location (e.g

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