Qureos Mentor

Caloptima

<div><div>Sr. Configuration Analyst (ITS Analyst, Sr.) 
 
CalOptima</div> 

Join Us - Where Your Talent Meets Opportunity. We're Better Together
 
 
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 Sr Configuration Analyst (ITS Analyst Sr) and help shape the future of healthcare where you'll be an integral part of our CM - Clinic Ops Admin 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 Analyst Sr will lead the design, development, and implementation of configuration solutions within the JIVA system to support enhancement and configuration requests for clinical applications, operating within an Agile Framework. You will collaborate with Configuration Management Specialist, business stakeholders, Information Technology (IT), and 3rd party vendors hosting the SAS solution in Agile ceremonies to deliver high-quality, compliant, and efficient configuration solutions iteratively. You will ensure configurations meet business needs, system capabilities, and regulatory requirements while contributing to sprint goals. Together, we are building a stronger, more equitable health system.
 
 
Your Contributions To the Team:
 
<ul><li>60% - Configuration Implementation and Delivery
<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>Configuration Implementation: Executes configuration tasks within the JIVA system during sprints, creating and modifying assessments, letters, and business rules to align with business needs and system standards.</li>
<li>Vendor Collaboration: Engages in ticket review meetings to escalate issues, discuss complex tickets, and ensure timely resolution of challenges.</li>
<li>Cross-Team Collaboration: Works closely with IT, shared services, and Configuration Management Specialists in Agile ceremonies to address complex requests, resolve dependencies, and ensure seamless integration of configurations with other systems.</li>
<li>Testing and Validation: Conducts unit testing during sprints and support user acceptance testing (UAT) in sprint reviews to validate configurations meet acceptance criteria and business requirements.</li>
<li>Documentation: Maintains detailed documentation of configuration changes, technical specifications, and processes in Agile tools (e.g., Jira) to ensure traceability, compliance, and knowledge sharing.</li>
<li>Issue Resolution: Troubleshoots and resolves configuration-related issues within sprints, escalating to the JIVA vendor or IT teams when necessary to maintain system stability and sprint commitments.</li>
<li>Compliance and Standards: Ensures all configurations adhere to organizational standards, regulatory requirements (e.g., HIPAA), and JIVA system best practices throughout the Agile delivery process.</li>
<li>Knowledge Sharing: Serves as a subject matter expert and shares expertise with team members through mentoring, training, or documentation during sprints, enhancing team capabilities and maintaining consistency in configuration practices.</li>
<li>Process Improvement: Contributes to Agile retrospectives to identify opportunities to optimize configuration workflows, tools, or processes within the JIVA system, improving efficiency and quality of sprint deliverables.</li>
Agile Collaboration: Actively participates in Agile ceremonies, including sprint planning, daily standups, sprint reviews, and retrospectives, to foster collaboration and continuous improvement. 
<li>
 
 
</li></ul></li><li>30% - Feature Planning
<ul><li>Solution Development: Collaborates with Configuration Management Specialist during backlog refinement and sprint planning to design and develop configuration solutions (e.g., assessments, letters, business rules) that meet user story acceptance criteria within the JIVA system.</li>
<li>Initial Request Review: Assesses incoming configuration and enhancement requests during sprint planning to determine feasibility, compatibility with JIVA system capabilities, and resource requirements, providing input for user story sizing.</li>
Sizing and Planning: Participates in Agile ceremonies (e.g., sprint planning, backlog refinement) to size configuration tasks, provide technical insights on feasibility, and helps establish sprint delivery timelines and priorities. 
<li>
 
 
</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, or a related field PLUS 7 years of experience in application configuration, software development, or clinical systems support, of that, 5 years must be in a healthcare operations setting 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>5 years of experience with troubleshooting, testing, and documentation in an Agile or Kanban setting required. 
</li>
<li>5 years of experience with Software Management Applications such as Service Now (SNOW), JIRA, SharePoint required. 
</li>
<li>3 years of experience in application configuration, software development, or clinical systems support, preferably with the JIVA system required.</li> 
</ul> 
You'll Stand Out More If You Possess the Following: 
<ul>
<li>Agile certifications (e.g., Certified Scrum Developer, SAFe Developer). 
</li>
<li>2 years of JIVA application experience in application configuration, software development. 
</li>
<li>Experience with vendor coordination and cross-functional Agile team collaboration.</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: 314 - $99,902 - $159,843 ($48.03 - $76.8476).
<ul><li>The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience 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 October 20, 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/sr-configuration-analyst-its-analyst-sr-505-city-parkway-west-california-united-states 
 
jeid-1df08fd7fd35504db18dd261dffc675c</div>

Sr. Configuration Analyst (ITS Analyst, Sr.)

<div><div>Actuarial Analyst Sr 
 
CalOptima</div> 

Join Us - Where Your Talent Meets Opportunity. We're Better Together
 
 
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 Actuarial Analyst Sr and help shape the future of healthcare where you'll be an integral part of our Financial Analysis 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. You will perform actuarial analysis on projects and support the Financial Analysis and other departments within CalOptima Health. You will also develop and design reports, create and maintain databases to support the business requirements of the team and continually improve data acquisition and reporting methods. Together, we are building a stronger, more equitable health system.
 
 
Your Contributions To the Team:
 
<ul><li>95% - Actuarial Analysis 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>Prepares, analyzes and reports the monthly Incurred But Not Reported (IBNR) reserve estimate.</li>
<li>Prepares the semi-annual Chronic Illness &amp; Disability Payment System (CDPS) risk score and analyzes and reports the financial impact for the risk score adjusted capitation rate.</li>
<li>Prepares the annual rate development template/bid for all lines of business.</li>
<li>Generates and analyzes monthly enrollment, claims and utilization reports.</li>
<li>Provides support to the Accounting department in preparing reports related to claims data and/or reserve estimation for internal and external auditors.</li>
<li>Designs reports from the data warehouse as needed and ensures data integrity.</li>
<li>Analyzes and assists in making recommendations regarding the monthly IBNR reserve estimate and the financial aspects of certain major policy issues.</li>
<li>Cross-trains as backup for various departmental functions.</li>
Supports with ad-hoc analysis requests. 
<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>Bachelor's degree in actuarial science, business administration, finance, economics, mathematics or other related field PLUS 2 years of actuarial experience 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>2 actuarial exams with passing scores required.</li>
</ul> 
You'll Stand Out More If You Possess the Following: 
<ul>
<li>Master's degree in actuarial science, business administration, finance, economics, mathematics or other related field.
 
</li><li>Experience with managed health care programs and financial modeling.</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 base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. 
</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 October 21, 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/actuarial-analyst-sr-505-city-parkway-west-california-united-states 
 
jeid-8a88c7794ed8494fb2c2859d09d93cdf</div>

Actuarial Analyst Sr

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

Sr. Configuration Analyst (ITS Analyst, Sr.)

Actuarial Analyst Sr