Program Specialist, Medi-Cal & CalAIM

About the role

We are seeking a Program Specialist, Medi-Cal & CalAIM to join our team. This position is full-time and requires occasional travel within the State of California.

Responsibilities

• Provides comprehensive support for CalOptima Health's CalAIM program, including Enhanced Care Management, Community Support services and the Community Health Worker benefit.
• Contributes to broader Medi-Cal projects by participating in administrative responsibilities, service coordination, and program monitoring.
• Coordinates calendars and schedules of the CalAIM program, including scheduling appointments, prepping meeting materials, taking minutes, coordinating travel, meetings and events.
• Communicates with necessary external partners, providers and stakeholders to ensure accurate program updates, reminders and relevant information are distributed in a timely manner.
• Maintains confidential and sensitive information and files regarding management projects, policies and personnel while ensuring appropriate follow-up.
• Responds to Street Medicine referral calls and directs inquiries to the appropriate provider while offering support via phone and electronic communication during regular business hours, ensuring all incoming questions are addressed within one business day.
• Coordinates and monitors email communication with external partners for the CalAIM initiative.

Requirements

• Bachelor's degree in health policy, health care economics, public policy, public health, sociology, psychology, social work or a related field PLUS 1 year of experience providing support in program development, implementation and operations or related experience in a managed health care organization required.
• Access to means of transportation for work away from the primary office approximately 20% of the time required.

Qualifications

• 2 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.
• 2 years of experience working with community-based organizations.
• Bilingual in English and one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese).

Skills

• Develops rapport and establishes and maintains effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
• Works independently and exercises sound judgment.
• Communicates clearly and concisely, both orally and in writing.
• Works a flexible schedule; available to participate in evening and weekend events.
• Organizes, be analytical, problem-solves and possesses project management skills.
• Manages multiple projects and identifies opportunities for internal and external collaboration.
• Motivates and leads multi-program teams and external committees/coalitions.
• Utilizes 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.

Benefits

• Comprehensive benefits package including a CalPERS pension program and additional retirement packages.
• A generous PTO program.
• Quality work-life balance.
• Variety of wellness programs.
• Tuition reimbursement.
• Professional development opportunities.
• Career development opportunities.
• Flexible scheduling.

Pay

The current pay grade for this role is Pay Grade: 305 - $55,966 - $83,949 ($26.91 - $40.3601). The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.

Schedule

This position is approved for 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.