Description
CalOptima Health is seeking a highly motivated an experienced Program Specialist (Behavioral Health) to join our team. The Program Specialist (Behavioral Health) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of behavioral health (BH) services. Primary responsibilities include, but are not limited to, participating in and supporting BH workgroups, activities and projects focused on implementing targeted quality initiatives designed to improve access to care, awareness and understanding of BH services.
Position Information:
- Department: Behavioral Health
- Salary Grade: 305 - $55,966 - $83,949
- Work Arrangement: Full Telework
**This position is eligible for telework in California.**
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.
- Reviews, monitors and tracks quality performance data related to, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS) and member and provider experience and access to care against internal and external benchmarks to identify performance gaps and identify opportunities for improvement in a timely manner.
- Assists with creating and updating project plans, develops and maintains process flows, maintains project related materials (ex., action plans, intervention logs, tracking and trending) and completes other project related tasks as needed.
- Creates, develops and edits member and provider communication pieces.
- Prepares and provides coverage for health fairs, continuing education events, material requests and educational sessions.
- Conducts comprehensive research on BH topics, interventions and best practices.
- 10% - Administrative Support
- Attends and supports cross-functional quality improvement work teams responsible for the identification, implementation and evaluation of BH quality improvement projects, activities and reports.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- 5% - Completes other projects and duties as assigned.
Minimum Qualifications:
- Bachelor's degree in public health, health policy, health care, public policy administration or related field required.
- 2 years of experience in a managed care organization required; preferably in behavioral health, quality, population health and/or health equity.
- 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 20% of the time required.
Preferred Qualifications:
- Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
To apply and see full details, please visit: https://apptrkr.com/5487963
Compensation Information:
$55966.0 / Annually - $55966.0 / Annually
Starting At: 55966.0 Annually
Up To: 83949.0 Annually
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