Health eCareers
Overview
Program Assistant (Credentialing) role at CalOptima Health. The Program Assistant (Credentialing) will assist the department leadership and Credentialing staff in executing all responsibilities related to credentialing and provide administrative support to the Credentialing area. The incumbent will support and interact with other departments, external stakeholders and CalOptima Health's general office system. Position Information Department: Quality Improvement Salary Grade: 302 $49,754 $69,655 ($23.92 $33.4880) Work Arrangement: Partial Telework (This position is eligible for telework in California.) Duties & Responsibilities
Program Support (95%) 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. Monitors incoming and outgoing emails related to credentialing activities, including receipt of credentialing and re?credentialing applications. Runs reports to ensure that licenses, certificates and insurance are current. Conducts data entry in the credentialing system to update provider credentialing information, such as credentialing renewal dates. Generates appropriate written correspondence to providers, members, credentialing delegates and internal staff to address general inquiries regarding credentialing. Sends provider communications regarding expired provider licenses, certificates and/or insurance. Processes termination requests as needed. Prepares credentialing reports such as the Monthly Record Closures. Supports and coordinates department projects for the credentialing team as needed. Other Completes other projects and duties as assigned. Minimum Qualifications
High school diploma or equivalent plus 1 year of experience in a program support role; equivalent combination of education and experience may be qualifying. Preferred Qualifications
Experience with entry level credentialing. Experience in health care administration. Required Licensure / Certifications
N/A Knowledge & Abilities
Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership, staff and external contacts at all levels and with 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. Physical Requirements (With Or Without Accommodations)
Ability to visually read information from computer screens, forms and other printed materials. Ability to speak clearly in conversation and general communication. Hearing ability for verbal communication via telephone and face?to?face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds. Work Environment
Work is typically indoors and sedentary; schedule changes and/or variable work hours may occur with travel as needed. There are no harmful environmental conditions present for this job, with noise level usually moderate. About CalOptima Health
CalOptima Health is the single largest health plan in Orange County. Our motto is "Better. Together." We are a public agency focused on diversity and inclusion, and strive to create a culture where employees feel a sense of belonging and are valued for their ideas and contributions. About Our Benefits & Wellness Options
CalOptima Health offers a comprehensive benefits package, including CalPERS participation, low-cost medical/vision/dental options, paid time off, flexible scheduling during core hours, telework options for some positions, a wellness program, and retirement plans (401(a), 457(b)) with pre/post-tax contribution options. For more information, please apply. #J-18808-Ljbffr
Program Assistant (Credentialing) role at CalOptima Health. The Program Assistant (Credentialing) will assist the department leadership and Credentialing staff in executing all responsibilities related to credentialing and provide administrative support to the Credentialing area. The incumbent will support and interact with other departments, external stakeholders and CalOptima Health's general office system. Position Information Department: Quality Improvement Salary Grade: 302 $49,754 $69,655 ($23.92 $33.4880) Work Arrangement: Partial Telework (This position is eligible for telework in California.) Duties & Responsibilities
Program Support (95%) 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. Monitors incoming and outgoing emails related to credentialing activities, including receipt of credentialing and re?credentialing applications. Runs reports to ensure that licenses, certificates and insurance are current. Conducts data entry in the credentialing system to update provider credentialing information, such as credentialing renewal dates. Generates appropriate written correspondence to providers, members, credentialing delegates and internal staff to address general inquiries regarding credentialing. Sends provider communications regarding expired provider licenses, certificates and/or insurance. Processes termination requests as needed. Prepares credentialing reports such as the Monthly Record Closures. Supports and coordinates department projects for the credentialing team as needed. Other Completes other projects and duties as assigned. Minimum Qualifications
High school diploma or equivalent plus 1 year of experience in a program support role; equivalent combination of education and experience may be qualifying. Preferred Qualifications
Experience with entry level credentialing. Experience in health care administration. Required Licensure / Certifications
N/A Knowledge & Abilities
Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership, staff and external contacts at all levels and with 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. Physical Requirements (With Or Without Accommodations)
Ability to visually read information from computer screens, forms and other printed materials. Ability to speak clearly in conversation and general communication. Hearing ability for verbal communication via telephone and face?to?face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds. Work Environment
Work is typically indoors and sedentary; schedule changes and/or variable work hours may occur with travel as needed. There are no harmful environmental conditions present for this job, with noise level usually moderate. About CalOptima Health
CalOptima Health is the single largest health plan in Orange County. Our motto is "Better. Together." We are a public agency focused on diversity and inclusion, and strive to create a culture where employees feel a sense of belonging and are valued for their ideas and contributions. About Our Benefits & Wellness Options
CalOptima Health offers a comprehensive benefits package, including CalPERS participation, low-cost medical/vision/dental options, paid time off, flexible scheduling during core hours, telework options for some positions, a wellness program, and retirement plans (401(a), 457(b)) with pre/post-tax contribution options. For more information, please apply. #J-18808-Ljbffr