Qureos Mentor

Caloptima

<div><div>Part-Time -Customer Service Representative Sr (OneCare) (Bilingual Required) 
 
CalOptima</div> 

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, we encourage you to review and apply today and help us build healthier communities for all. 
 
More About the Opportunity
 
 
We are hoping you will join us as a PART-TIME Customer Service Representative Sr (OneCare) (Bilingual Required) and help shape the future of healthcare where you'll be an integral part of our CS - OneCare Customer Service 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 to be Partial Telework.
 
<ul><li>Part-time will be 20 - 28 hrs. per week. 
</li>
<li>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.
</li></ul> 
The Customer Service Rep Sr (OneCare) will serve as a senior point of contact for OneCare members and providers and assist them with questions and/or complaints related to the OneCare plan services. You will provide information regarding eligibility, enrollment, benefits and services to OneCare eligible members and providers. Together, we are building a stronger, more equitable health system.
 
 
Your Contributions To the Team:
 
<ul><li>95% - Program Support
<ul><li>Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>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.</li>
<li>Serves as a senior resource for other team members (i.e., solves complex challenges, answers uncommon questions and shares complex processes and procedures).</li>
<li>Supports in the coordination of member's health care and social service needs both within and outside the medical group and CalOptima Health.
</li><li>Enters accurate and complete documentation into internal application systems regarding all concerns and/or inquiries from the member and provider interaction.</li>
<li>Initiates referrals to both internal and external care management departments and other department/government or community agencies.</li>
<li>Maintains departmental productivity and quality standards.</li>
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. 
<li>
 
 
</li></ul></li><li>5% - Other
<ul><li>Completes other projects and duties as assigned.
</li></ul></li></ul> 
Do You Have What the Role Requires? 
<ul>
<li>High school diploma or equivalent PLUS 2 years of experience in customer/member service, including 1 year of call center capacity 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. 
</li>
<li>Typing speed of 35 words per minute (WPM) required. 
</li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese) required.</li>
</ul> 
You'll Stand Out More If You Possess the Following: 
<ul>
<li>1 year of Health Maintenance Organization (HMO), Medi-Cal/Medicaid and health services experience.</li>
</ul> 
What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul> 
Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>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.
</li><li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>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.</li>
</ul> 
Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul> 
Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul><li>Our current hiring range is: Pay Grade: 302 - $49,754 - $69,655 ($23.92 - $33.4880).
<ul><li>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. 
</li>
<li>*Training will be held in the office the first 4 weeks from 8:30am - 5:00pm, Monday - Friday.
 
 
**We have two schedules available for this role for this PART-TIME role. Please indicate your preferred shift to apply for, enter &quot;both&quot; if open for both shifts. 
 
- Monday - Friday, 10:00 a.m. to 3:00 p.m. 
 
- Monday - Friday, 1:00 p.m. to 6:00 p.m. 
</li></ul></li></ul></li><li>This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**)
</li><li>A comprehensive benefits package
</li><li>CalPERS pension program and additional retirement packages.
</li><li>Additional benefits and perks including:
<ul><li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul></li></ul> 
Our Work Environment: 
 
If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul> 
If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul> 
If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
</li><li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul> 
Why Join Us? 
 
We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. 
 
What's Your Next Step? 
 
All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is June 25, 2026 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.
 
 
Our Commitment to You 
 
Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. 
 
If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. 
 
We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process.
 
 
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/part-time-customer-service-representative-sr-onecare-bilingual-required-505-city-parkway-west-california-united-states-744875cb-dcbd-4ca5-9a00-b7614887f0ba 
 
jeid-283e12ed41a86f409554e3e61cf88842</div>

Part-Time -Customer Service Representative Sr (OneCare) (Bilingual Required)

<div><div>Configuration Management Analyst (ITS Analyst Int) 
 
CalOptima</div> 

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, we encourage you to review and apply today and help us build healthier communities for all. 
 
More About the Opportunity
 
 
We are hoping you will join us as a Configuration Management Analyst (ITS Analyst Int) and help shape the future of healthcare where you'll be an integral part of our Medical Management 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. The Configuration Management Specialist will serve as a critical liaison between business and technical teams within the Clinical Operations Configuration and Application Configuration department, operating within an Agile framework. You'll oversee the clinical application configuration request lifecycle from intake to delivery, ensuring effective prioritization, capturing business requirements and coordination and alignment with organizational goals through iterative and collaborative processes. Additionally, you'll work closely with business stakeholders, Information Technology (IT), shared services and the JIVA vendor in Agile ceremonies to deliver high-quality configuration solutions. Together, we are building a stronger, more equitable health system.
 
 
Your Contributions To the Team:
 
<ul><li>60% - Feature Planning, Prioritization and Requirements Grooming
<ul><li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Backlog Management: Maintains and grooms the configuration request backlog in alignment with Agile principles, ensuring requests are logged, categorized and prioritized based on business needs and strategic objectives for inclusion in sprint planning.</li>
<li>Request Triage and Intake: Acts as the primary point of contact for business stakeholders submitting configuration requests. Triages requests to assess urgency, impact and feasibility, refining them into actionable user stories or tasks for Agile sprints.</li>
<li>Requirements Grooming: Collaborates with business stakeholders in backlog refinement sessions to gather, clarify and document business-level requirements ensuring user stories are well-defined, meet acceptance criteria and align with technical capabilities and organizational goals.</li>
<li>Vendor Collaboration: Participates in Agile ticket review meetings with the JIVA vendor to escalate issues, discuss complex tickets and ensure timely resolution of configuration-related challenges within sprint cycles.</li>
<li>Stakeholder Coordination: Facilitates communication between business units, IT and shared services teams during Agile ceremonies (e.g., sprint planning, daily standups and retrospectives) to establish delivery timelines, resolve dependencies and manage expectations.</li>
<li>Prioritization and Sprint Planning: Works with business stakeholders and the Agile team to prioritize configuration requests while balancing urgency, resource availability and strategic priorities to create sprint goals and optimize delivery schedules.</li>
<li>Task Oversight: Monitors and ensures configuration tasks are completed accurately and on time within sprints, coordinating with the team to address gaps or delays before release.</li>
<li>Daily Standups and Barrier Resolution: Actively participates in daily Agile standups to report progress, address barriers, refine requirements, size tasks and resolve questions, ensuring smooth sprint execution.</li>
<li>Risk and Issue Management: Proactively identifies risks or impediments impacting sprint delivery, escalates as needed during Agile ceremonies and collaborates with the team to implement mitigation strategies.</li>
<li>Documentation and Reporting: Maintains clear documentation of user stories, decisions and processes in Agile tools (e.g., Jira). Provides sprint metrics, backlog health updates and delivery performance reports to stakeholders and leadership during sprint reviews.
</li></ul></li><li>30% - Coordinating and Collaborating With IT
<ul><li>Change Management Support: Coordinates user acceptance testing (UAT) within sprint cycles, support training efforts and ensure smooth adoption of configuration changes by business users.</li>
<li>Process Improvement: Contributes to Agile retrospectives to identify and implement opportunities to enhance request intake, prioritization and delivery processes, driving efficiency and team effectiveness.</li>
<li>Agile Collaboration: Actively engages in Agile ceremonies, including sprint planning, backlog refinement, sprint reviews and retrospectives to foster collaboration and continuous improvement.
</li></ul></li><li>10% - Other
<ul><li>Completes other projects and duties as assigned.</li>
</ul></li></ul> 
Do You Have What the Role Requires? 
<ul>
<li>Bachelor's degree in healthcare administration, information technology, business administration or a related field PLUS 5 years of experience in business analysis, project coordination or clinical systems management, with at least 1 year working in an Agile, Kanban or other software delivery processes 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. 
</li>
<li>1 year of experience with requirements gathering, documentation and Agile prioritization techniques.</li>
</ul> 
You'll Stand Out More If You Possess the Following: 
<ul>
<li>Agile and/or project management certifications (e.g., Certified ScrumMaster, SAFe Agilist).</li>
</ul> 
What the Regulatory Agencies Need You to Possess? 
<ul>
<li>n/a</li>
</ul> 
Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>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.
</li><li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>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.</li>
</ul> 
Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul> 
Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul><li>Our current hiring range is: Pay Grade: 312 - $84,092 - $134,548 ($40.43 - $64.6865).
<ul><li>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. 
</li>
</ul></li></ul></li><li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**)
</li><li>A comprehensive benefits package
</li><li>CalPERS pension program and additional retirement packages.
</li><li>Additional benefits and perks including:
<ul><li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul></li></ul> 
Our Work Environment: 
 
If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul> 
If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul> 
If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
</li><li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul> 
Why Join Us? 
 
We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. 
 
What's Your Next Step? 
 
All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is November 12, 2025 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.
 
 
Our Commitment to You 
 
Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. 
 
If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. 
 
We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process.
 
 
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/configuration-management-analyst-its-analyst-int-505-city-parkway-west-california-united-states 
 
jeid-1640950a61b74c4da7904f981d0f3897</div>

Configuration Management Analyst (ITS Analyst Int)

Join Caloptima and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Caloptima

About Company

Part-Time -Customer Service Representative Sr (OneCare) (Bilingual Required)

Configuration Management Analyst (ITS Analyst Int)