field_job_employment_type

field_job_occupational_field_parents_all

field_job_experience

job_organization_name

Blessing Hospital seeks Hospitalists to diagnose and treat inpatients. The worksite is in Quincy, Illinois. Job applicants should send their CV to Ginger Hodson at <a href="mailto:ginger.hodson@blessinghealth.org" target="_blank">ginger.hodson@blessinghealth.org</a>.

Family Medicine Physician

Horse trainer and groom- er wanted to work with 6-8 horses, to include 2 under a year old. Must have knowledge of grooming and training horses. Also looking for fawn care professional to cut about 2 ares of grass. Must cut, trim, and have own equipment. Applicant will be subject to background check and must be a non-smoker. Wage negotiable. Call 217-653-7777. DO NOT TEXT.

Horse Trainer/Groomer

Person wanted to help elder couple in their home: cooking, cleaning and encouraging them to take their medicine. $25.00/hour. Must work evenings and some weekends. (person seeking this employment will be subject to a background check and must be patient). Call 217-653-7777. Do NOT text.

Home Care

CAFETERIA MANAGER

We are growing again and looking for a salesperson! $736 per week plus commissions and health insurance. Our top salespeople earn $100K plus. You can, too! 44 hour week – Saturday and Sunday required. Need 2 years successful experience in retail sales. We sell Mobile and Modular homes. Customers come to our huge sales center. No need to travel. Great location across from the outlet center.

Camelot Home Center

Salesperson Wanted for Busy Mobile Home Sales Center

Join Northern New Mexico Dental Center! Earn up to $55/hr, a 401K with match, PTO, and paid holidays! Be part of a fun, patient-focused, fast paced practice. Apply today and love where you work!&nbsp;
What We Offer:
<ul>
<li>$48-55/hour starting salary! (BOE)&nbsp;</li>
<li>50% Medical coverage after 90 days of employment&nbsp;</li>
<li>Optional life, disability, pet, vision, dental, FSA/HSA</li>
<li>PTO and holidays&nbsp;</li>
<li>401K plus match!</li>
<li>Full-time schedule - days flexible 36 hours&nbsp;</li>
</ul>
What We’re Looking For:&nbsp;
<ul>
<li>New Grads Welcome!&nbsp;</li>
<li>Valid RDH license in New Mexico</li>
<li>CPR/BLS and Local Anesthesia certified</li>
<li>Laser certification is a plus!&nbsp;</li>
<li>Friendly and patient-focused with great interpersonal skills</li>
<li>Passionate about oral health and patient education</li>
</ul>
 Join our team now! Don’t miss your chance to be part of the Northern New Mexico Dental Center Family located in Taos, New Mexico. Apply today!

Northern New Mexico Dental Center 

Registered Dental Hygienist - Earn up to $55/hr + 401K match, PTO, and paid holidays!

About Us
KSTP 5 Eyewitness News is the award-winning ABC network affiliate for the Twin Cities. Part of Hubbard Broadcasting, KSTP-TV is a longtime market leader, and is committed to excellence in all that it does-broadcast news with hyper-local coverage, important public service that deals powerfully with today's issues, and now, more than ever, top-notch digital content, to reach our viewers and followers with information the way they want to receive it. When you work for KSTP, or our other local, independently operated station KSTC, Channel 45, you will find yourself among dedicated, passionate people who work hard every day to improve our product and our community. If you have the qualifications, and you are a person of talent and integrity, we invite you to apply!
Job Overview
The position of Director of Sales is responsible for planning and directing all sales activities for KSTP-TV (ABC affiliate), KSTC-TV (full power independent), MeTV, and the stations’ digital products. This position is also responsible for meeting and exceeding revenue goals by developing sales managers and sales staff, creating a solid and creative sales strategy, building on an already customer-focused sales culture, and being an essential part of a dynamic station management team
Job Responsibilities
<ul>
<li>Create, communicate and implement a sales strategy that will grow the stations’ on-air and digital ad revenue</li>
<li>Set and maintain sales targets and new business development goals for Local, National and Digital Sales</li>
<li>Drive expected revenue performance as well as create new ideas and "outside the box" revenue streams from new technologies and growing television markets, and develop business models to monetize these revenue streams</li>
<li>Responsible for building and managing the department’s annual budget</li>
<li>Oversee sales and traffic departments and ensure employees work and sell with integrity while upholding company sales standards. Clearly communicate expectations of performance and establish and maintain a professional and motivated staff</li>
<li>Work cooperatively and in partnership with all other station departments</li>
<li>Oversee the planning and execution of sales meetings, community and goodwill events and station representation at trade association meetings</li>
<li>Proactively recruit, hire, and retain sales/traffic department personnel</li>
<li>Oversee the station’s National Sales Representative and other key vendor relationships</li>
<li>Coach and mentor sales/traffic management and other personnel to identify and communicate areas of strength and needed improvement</li>
<li>Develop strategies to enhance traditional revenue opportunities as well as identify new revenue opportunities</li>
<li>Oversee sales research to create presentations, determine estimates on programs, and assist GM and other departments with analysis</li>
<li>Complete other duties as assigned</li>
</ul>
Qualifications
<ul>
<li>Minimum five years prior experience in a broadcast, digital sales or marketing role.&nbsp; TV sales management highly preferred</li>
<li>Minimum three years prior experience managing a sales team with direct responsibility in strategic planning, growing revenue, and teaching and motivating sales staffs</li>
<li>Familiarity with and understanding of the laws and rules of the broadcasting industry, including those of the Federal Communications Commission (FCC) (e.g., sponsorship identification, “payola-plugola,” political broadcasting, etc.)</li>
<li>Possess a “want-to win” attitude</li>
<li>Great people skills with a solid background in building and cultivating strategic relationships both internal and external</li>
<li>Must have strong budgeting skills, demonstrate creative use of available resources and proven planning, prioritizing and achievement of financial and strategic objectives for the department</li>
<li>Experience with, and an understanding of, the ever-evolving digital marketplace and an innovative mindset to stay current with industry trends and customer expectations</li>
</ul>
Must be able to perform the essential functions of the job. The Company will make reasonable physical accommodations to facilitate the ability to perform essential job functions.
Valid driver’s license and clean driving history as determined by the Company. Driving record will be checked.
EEO Statement
We are an equal opportunity employer, including disability/vets.
Diversity Statement
Hubbard Broadcasting has been committed to representing the communities we serve since our founding over 100 years ago. The same holds true today. We know the best way to accomplish this is by recruiting and retaining top talent from diverse cultures, life experiences, and world views. With dignity and respect, we value YOU and everything that makes YOU uniquely YOU.
Compensation and Benefits
When extending an offer, the company considers a variety of factors such as (but not limited to) the candidate's work experience, education/training &amp; key skills as well as internal peer equity and other market and business considerations. The annual base salary range for this position is $175,000.00 - $300,000.00 plus bonuses. For information regarding our benefits, please copy the link below and paste in your browser: <a href="https://hubbardbroadcasting.com/our-company/working-here/" target="_blank">https://hubbardbroadcasting.com/our-company/working-here/</a>

Hubbard Broadcasting

Director of Sales

Awesome growth and leadership opportunity!
Alpha Media – Portland is searching for a powerhouse VP of Sales to lead our high-performing team. This is your chance to make a major impact in one of the most exciting cities in the country, working with a company that champions creativity, innovation, and results. We’re looking for someone with a proven track record in leading radio advertising sales across both terrestrial and digital platforms—who thrives in a fast-paced, competitive environment.
Join us and lead the charge across our powerhouse group of seven brands: 101.9 KINK, KXL, Live 95.5, 98.7 The Bull, 750 The Game, and News Talk Freedom 970. If you're passionate about helping local businesses grow, building strong teams, and driving revenue, we want to talk to you.&nbsp;
Why Alpha Portland?&nbsp; Alpha prides itself on its strong community presence in small to mid-size markets. Portland is a dream market for anyone passionate about radio and storytelling. Known for its vibrant culture and eclectic energy, Portland offers a rich and diverse audience eager to connect with local voices and businesses. Selling radio here means tapping into a community that values authenticity, creativity, and connection — and that's what radio does best.
Beyond the microphone, Portland is simply an incredible place to live and work. Nestled between the majestic Cascade Mountains and the stunning Oregon Coast, it's just 90 minutes to the beach and an hour to snow-capped peaks. The Columbia and Willamette Rivers cut through the city, offering endless outdoor recreation and food exploration.&nbsp;
Working in radio here means being part of a forward-thinking, creative community, and selling in Portland means helping local businesses thrive in one of the most unique cities in America.
What Alpha has to offer?&nbsp;&nbsp;
<ul>
<li>Career Development and the tools and training to make you succeed.</li>
<li>The opportunity to make an impact on others in your team, the company as a whole, and in the community.</li>
<li>A seat with market decision makers.</li>
<li>A team that lives up to its core values: Passion, Competitiveness, Creativity, A Can-do Attitude, Business Integrity...all while having FUN.&nbsp;&nbsp;</li>
</ul>
What will be expected of you?
<ul>
<li>Leadership and inspiration.</li>
<li>Negotiating skills.</li>
<li>Build and support a strong team of account managers and digital account executives.</li>
<li>Develop spot, non-spot, and digital sales opportunities.</li>
<li>Implement ongoing team management routines - sales staff meetings, and one-on-one meetings.</li>
<li>Direct sales forecasting activities and set performance goals accordingly.</li>
<li>Develop innovative sales commission and incentive plans that enhance sales results.</li>
<li>Implement sales activities that generate new business and deepen existing relationships.</li>
<li>Assist in the collection of accounts receivable.</li>
<li>Actively participate in business and community associations to develop extensive relationships with local influencers and decision-makers.</li>
<li>Manage department expenses.</li>
<li>Provide weekly, monthly, and annual revenue/pacing reports to the SVP Market Manager.</li>
<li>Create a positive, energetic, collaborative, and transparent team environment.</li>
<li>Other duties as assigned and consistent with the position.</li>
</ul>
Requirements of this position include the following:
<ul>
<li>A minimum of three years of sales management experience.</li>
<li>Experience with strategic account management, sales training/leadership, pricing, and budgeting.</li>
<li>Understanding of broadcast media, ratings, marketing, promotion, and collection standards.</li>
<li>Knowledge of sales principles and practices</li>
<li>Ability to coach and collaborate.</li>
<li>Organizational skills.</li>
<li>Inventory management, digital media, and non-spot/event revenue development.</li>
<li>Valid driver's license and current vehicle insurance.</li>
<li>Prior broadcast industry experience.</li>
</ul>
Benefits:
Alpha Media invests in people who invest in themselves and offers employees a competitive package of health and welfare benefits. Learn more about our benefits on our&nbsp;<a href="https://www.alphamediausa.com/careers/" target="_blank">Careers page.</a>&nbsp;
<ul>
<li>Medical, Dental, Vision.&nbsp;&nbsp;</li>
<li>17 days of PTO starting accrual, 10 Company Holidays, and a day off in the birth month.</li>
<li>Company-Sponsored Employee Assistance Program (EAP).</li>
<li>401(k) Retirement Plan with discretionary employer matching.</li>
<li>Alpha Cares – paid volunteer hours.</li>
<li>Pet adoption subsidy.&nbsp;</li>
</ul>
Who we are:&nbsp;
<a href="https://www.alphamediausa.com/" target="_blank">Alpha Media</a> is a diverse multimedia company that shares music, sports, and news content across various platforms. Alpha owns and operates over 200 live broadcast radio stations and digital properties across the United States. We believe in hiring top talent who are innovative and vibrant, and we strive to create progressive products and world-class events while building strong relationships in our communities. Additionally, our&nbsp;<a href="https://www.alphamediadigital.com/?__hstc=230364739.3d87d0e813ddf1e99cbdd2ce6547f3c4.1684879176518.1684879176518.1684948641808.2&amp;__hssc=230364739.1.1684948641808&amp;__hsfp=2642313323" target="_blank">Alpha Digital division</a> specializes in building custom audiences and implementing digital strategies such as web design, SEO/SEM, mobile, social media, video, OTT/CTV, and more to generate leads for businesses. We are committed to the "Live and Local" philosophy and approach clients' digital needs strategically to expand brand awareness and drive conversions.
Alpha values Integrity, a Can Do Attitude, Passion, Competitiveness, Creativity, and embraces that work can be FUN. If these qualities are important to you and you feel you check off the qualities we are looking for, apply now, and let's talk.
Alpha Media is an equal opportunity employer and participates in<a href="https://www.e-verify.gov/" target="_blank"> E-Verify.</a>
If you need an accommodation to complete the application process, please contact us at 1-877-459-5750 or <a href="mailto:alpha.recruitment@alphamediausa.com" target="_blank">alpha.recruitment@alphamediausa.com</a> and include your full name, contact information, and the accommodation needed to assist you with the application process.&nbsp;

Alpha Media LLC

VP of Sales

Financial Analyst IV (Decision Support) CalOptima CalOptima Health is seeking a highly motivated Financial Analyst IV (Decision Support) to join our team. The Financial Analyst IV (Decision Support) will be responsible for providing analysis, guidance and expert knowledge on health care finance for various departments within CalOptima Health. Working independently, the incumbent will lead large-scale analytical initiatives and develop report suites and financial models used to forecast medical cost trends. The incumbent will provide support for provider contract negotiations, assess actuarial rate development studies, participate in annual budgeting functions, provide ad-hoc analytic support as needed and act as a resource to staff and other consultants within the department. The incumbent will evaluate various complex issues, perform detailed analysis and communicate well reasoned solutions to all levels of management within CalOptima Health. The incumbent will work with large amounts of claims, enrollment and provider data. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<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>Researches, assesses and develops advanced tools, models, reports and approaches to increase the accuracy and timeliness of data-driven work projects.</li>
<li>Develops medical expense, revenue and enrollment projections to support the budget process.</li>
<li>Develops financial models and reports to support provider contract negotiations.</li>
<li>Develops return on investment and business case analyses for program initiatives under consideration by management.</li>
<li>Provides clinical and utilization analysis to assist Medical Management with improving outcomes and quality of care for CalOptima Health members.</li>
<li>Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse.</li>
<li>Provides support and analyses around risk adjustment.</li>
<li>Mentors, trains and serves as a lead for analytical staff.</li>
<li>Designs, develops, implements and maintains report suites and dashboards for all levels of CalOptima Health management.</li>
<li>Serves as a subject matter expert around one or more of the following areas: Medi-Cal provider rate methodology, Medicare provider rate methodology, Department of Health Care Services (DHCS) revenue, Centers for Medicare &amp; Medicaid Services-Medicare Advantage (CMS-MA) revenue, population health member cohort identification, industry standard approaches to health care cost service categorization and metrics. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, finance, economics, actuarial sciences or related field PLUS 6 years of experience working with health care finance reporting and analytics in a medical group, hospital or health plan 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>3 years of experience in Provider Contract Modeling required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience working with commercial, Medi-Cal and Medicare large payer data sets and related pricing information that is publicly available. </li>
<li>Experience developing annual organizational budgets, forecasts and financial modeling. </li>
<li>Experience using Tableau and/or Microsoft SQL Server.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<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>
 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>
 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>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6299502&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 26, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. 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: <a href="https://apptrkr.com/6299502" target="_blank">https://jobs.caloptima.org/jobs/financial-analyst-iv-decision-support-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-f3569a1ca984034796c2553e8b161065

Financial Analyst IV (Decision Support)

Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) CalOptima CalOptima Health is seeking a highly motivated Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) to join our team. The Certified Coding Specialist Sr (HCC-Medicare and Medi-Cal) will be responsible for assisting with all Hierarchical Condition Categories (HCC) projects and Medi-Cal Annual Wellness Visit Initiative Program. The incumbent will handle risk adjustment-related activities to ensure the Centers for Medicare &amp; Medicaid Services (CMS) and Department of Health Care Services (DHCS) coding and documentation guidelines are met. The incumbent will assist in improving risk score performance through collaboration with CalOptima Health's health networks, contracted providers and Program of All-Inclusive Care for the Elderly (PACE) providers. The incumbent will substantiate and verify the member's medical records using International Classification of Diseases (ICD)-10 Clinical Modification (CM) official guidelines for coding and reporting during the review process. The incumbent will verify the accuracy, completeness and appropriateness of diagnosis codes based on the medical documentation provided. As part of the medical records review, travel may be required to physician offices or physician medical groups throughout Orange County. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 309 - $68,015 - $108,824 ($32.70 - $52.3192) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>80% - 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>Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes based on documentation and creates tools/tip sheets for audit staff to utilize for future audits based on findings.</li>
<li>Conducts in depth retrospective and prospective medical record audits to assess the accuracy of ICD-10 CM coding for chronic conditions as it pertains to HCC for CalOptima Health Community Network (CHCN), PACE providers and delegated health networks.</li>
<li>Tracks all network HCC activities, including training, audit results and evaluating future outcomes, which includes monitoring performance improvement of network providers by observing patterns and trends and recommending solutions to the manager.</li>
<li>Reviews medical record information to identify all appropriate coding CMS HCC categories and DHCS coding and monitors the DHCS and CMS websites for updates.</li>
<li>Reviews additional data identified from audits to ensure timely data entry for CMS sweeps.</li>
<li>Identifies providers for education and training opportunities following ICD-10-CM coding guidelines based on HCC audit results and Medi-Cal Annual Wellness Visit Initiative Program and reports findings to the Manager.</li>
<li>Assists with CMS Risk Adjustment Data Validation (RADV) and Office of Inspector General (OIG) audits, including workflow or data collection requirements and creating and maintaining HCC audit results when applicable.</li>
<li>Performs code abstraction on supported clinical documentation identified as opportunities through Natural Language Processing (NLP) software. </li>
</ul>
</li>
<li>15% - Administrative Support
<ul>
<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>Assists manager in evaluating existing reports for PACE members provided by CMS and collaborates with Financial Analysis to create any custom report required to assist with audits. </li>
</ul>
</li>
<li>5% - Other-
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in public health, business administration or related field PLUS 5 years of risk adjustment coding and chart audit/quality experience in a managed care or health care environment 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>Have access to means of transportation for work away from the primary office approximately 20% of the time required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Registered Health Information Technician (RHIT) or Certified Risk Adjustment Coder (CRC). </li>
<li>Experience with conducting presentations and performing physician education.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>Current Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) by the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) required. Certification is required to be current and maintained during employment.</li>
</ul>
 Knowledge &amp; Abilities: 
<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>
 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>
 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>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6299515&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is June 26, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. 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: <a href="https://apptrkr.com/6299515" target="_blank">https://jobs.caloptima.org/jobs/certified-coding-specialist-sr-hcc-medicare-and-medi-cal-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-d4deeaad9bc4a74cb61631e4900eb19a

225 Full Time Jobs in United States