Program Specialist

Job Description

Job description

We seeking a highly motivated and experienced Program Specialist to join our client's team. Under general supervision, the Program Specialist (Coordinator) will support Health's compliance with cultural and linguistic (C&L) state and federal regulatory requirements.

Position Information :

• Department : Cultural & Linguistic Services
• Salary Grade : $25-$28
• Work Arrangement : Full Office
• Work Schedule : Monday to Friday (8 : 00 a.m. to 5 : 00 p.m.)

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.

Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.

Coordinates incoming language translation and / or reviews requests of CalOptima Health member materials.

Interacts directly with members and providers to coordinate and book face-to-face interpreter requests with contracted interpreting vendors.

Coordinates the timely vending and completion of Alternative Format material, such as Braille, Audio and Large Print, with contracted vendors.

Coordinates the vending of professional translation and review services in one or more CalOptima Health's threshold languages.

Assists in completing and / or responding to regulatory agency reports (Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc.), surveys, audits and evaluations regarding CalOptima Health's C&L program.

Reviews, researches and responds to member grievances related to contracted vendor issues.

10% - Administrative Support

Processes vendor invoices for translation and interpreter services timely and accurately.

Reviews, analyzes, and interprets regulations and internal / external policies and procedures related to cultural and linguistic services.

5% - Completes other projects and duties as assigned.

Requirements

Preferred Qualifications :

Bachelor's degree in a health care related field or cultural and linguistic studies.

2 years of experience in health maintenance organization (HMO), Medicare, Medi Cal / Medicaid and health services.

1 year of experience with a health plan or working with culturally diverse populations.

Professional education in project management, translation, interpretation or cultural competency training.

Experience in managed care and / or government programs.

Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).

Benefits

Expected hours : 40 per week

Benefits :

401(k)

Dental insurance

Employee discount

Flexible schedule

Health insurance

Paid time off

Vision insurance

Schedule :

8 hour shift

Monday to Friday

Work Location : In person