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Now Hiring! Full-Time Driver (M-F) Full-Time Nurse (3-11 PM) For more details or to apply contact: careers@ scott-farrar.com or call 603-924-3691

Driver

Claims Examiner CalOptima CalOptima Health is seeking a highly motivated Claims Examiner to join our team. The Claims Examiner will be responsible for analyzing and validating claim data elements and claims processing. The incumbent will be responsible for adhering to the regulatory and internal processing guidelines in conjunction with CalOptima Health policies and procedures related to claims adjudication. Position Information: 
<ul>
<li>Department: Claims Administration </li>
<li>Salary Grade: 301 - $47,840 - $64,584 ($23.00 - $31.0500) </li>
<li>Work Arrangement: Full Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>85% - Claims Support
<ul>
<li>Performs thorough review of pending claims for billing errors and/or questionable billing practices that might include duplicate billing and unbundling of services.</li>
<li>Processes non-institutional claim types.</li>
<li>Corrects system generated errors manually prior to final claims adjudication.</li>
<li>Processes claims based upon CalOptima Health contractual agreements or pricing agreements, applicable regulatory legislation, claims processing guidelines and CalOptima Health policies and procedures.</li>
<li>Analyzes and validates Medi-Cal pricing; researches, adjusts and adjudicates claims; reviews services for accurate charges and utilizes current billing code sets, including International Classification Diseases (ICD10) codes, Current Procedural Terminology (CPT) codes and/or authorization guidelines as reference.</li>
<li>Validates eligibility and other possible health insurance coverage on the claim.</li>
<li>Alerts manager or supervisor of more complex issues that arise.</li>
<li>Processes claim exception reports as assigned. </li>
</ul>
</li>
<li>10% - Administrative 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>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>High school diploma or equivalent PLUS 1 year of related claims processing 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>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience processing online claims in a managed care environment. </li>
<li>Experience processing Medi-Cal claims.</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=6329575&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 July 11, 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/6329575" target="_blank">https://jobs.caloptima.org/jobs/claims-examiner-505-city-parkway-west-california-united-states-fd7ed77a-73a4-4bd2-9f12-47d82ac1ed30</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-a4cc42329aeb0d40b1127d796b9ce31e

Claims Examiner

Programmer Analyst III Lubbock 41415BR High Performance Computing Center Position Description The Programmer Analyst III's role is to develop, test, analyze, and maintain software applications in support of business requirements. Major/Essential Functions 
<ul>
<li>Research, design, document, and modify software specifications throughout the production life cycle.</li>
<li>Supervise and/or lead the development of new systems, directing changes to existing systems and controlling the interfaces between the systems, initiating complex feasibility studies and making recommendations of the action to be taken.</li>
<li>Perform systems analysis, develops, and reviews programming code defined in project plans to meet design specifications, customer requirements, and/or applies vendor supplied upgrades.</li>
<li>Design, development, documentation, analysis, creation, testing, or modification of computer systems or programs, including prototypes, based on user or system design specifications.</li>
<li>Completes application modifications to enhance functionality, adapt to technology changes, and correct application errors.</li>
<li>Supervises and/or leads programming projects and initiatives, as assigned by management.</li>
<li>Completes other programming tasks, as assigned by management.</li>
<li>Adheres to all appropriate institutional policies (including IT Ops) and other relevant internal department policies.</li>
</ul>
 Required Qualifications Bachelor's degree with coursework in computer science, MIS, IT, or other related area plus three (3) years related full-time paid experience OR a combination of related education and/or experience. Applicants for this Security Sensitive Level II position will be subject to a criminal background check and must pass a drug and alcohol test after a conditional offer of employment has been extended, but before employment can be confirmed. Preferred Qualifications Bachelor's degree in Computer Science or a related degree field with coursework in computer science, management information systems, or information technology. 3 years of experience as a computer programmer, software engineer, or other related role. Requires analytical design skills, including process description, logic problem diagnostics, and problem-solving; programming languages; and application and database design and development concepts and standards. Employer will accept a bachelor's degree equivalency based on a combination of education and experience. Special Instructions to Applicant Minimum Hire Rate To apply, visit <a href="https://apptrkr.com/6317620" target="_blank">workattexastech.com</a> All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran. 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-fdd102af9ca93b4bb658a7316bbd73f5

Programmer Analyst III

TOWN OF HARTFORD, VERMONT HIGHWAY OPERATOR I Full-time Pay Range $22.30 to $28.16/hour The Town of Hartford, Vermont is seeking qualified candidates for the position of Highway Equipment Operator 1. This position will primarily operate a variety of trucks and other highway equipment, involving plowing, salting and sanding roads in winter, and assisting in general highway maintenance and construction work in other seasons, with a focus on operation of basic to moderately complex trucks and equipment, as well as manual labor. Minimum qualifications include: 2 to 3 years of relevant work experience, or a combination of education and experience from which comparable knowledge and skills are acquired. Possess a Class B Commercial Drive License (CDL) with Tank Endorsement or be able to acquire within 1-year of employment. The pay range for this position is $22.30 to $28.16, based on experience. Benefit package includes health insurance with generous HRA and $600 well-being rewards; dental insurance; life insurance; VMERS pension plan; subsidized gym membership; vacation, sick, and personal days; 14 paid holidays; $600 uniform stipend. Please send a resume and indication of interest to Jeremy Delisle, Asst. Director of Operations at <a href="mailto:jdelisle@hartford-vt.org" target="_blank">jdelisle@hartford-vt.org</a> by July 18, 2025. View the full job description at: For information on the Town of Hartford, visit <a href="http://www.hartford-vt.org" target="_blank">www.hartford-vt.org</a> Hartford is an EOE Employer

HIGHWAY OPERATOR I

POMFRET ROAD CREW Seeking full-time Road Crew member. Competitive wages based on experience. To apply visit pomfretvt.us or call 802-457-2767. Pomfret is an EOE.

Road Crew

MASCOMA VALLEY REGIONAL SCHOOL DISTRICT VACANCY CES/EVS — Elementary SpEd Coordinator CES - Special Education Case Manager CES — Paraeducator (full-time) CES — Special Education Clerical (part-time) CES — Paraeducators (part-time) CES — Guidance Counselor MVRHS - Paraeducator (full-time) IRS/MVRHS - School Psychologist IRS - Title I Tutor IRS — Health Teacher IRS — 8th Grade Science Teacher (long-term sub) IRS — Assistant Football Coach IRS - Wrestling Coach MVRSD - English Language Learner Teacher (ELL) part-time Substitutes (Custodians, Nurses, Teachers, Paraeducators) Please visit our website at Mascomaschools.org (under career) or Apply on SchoolSpring.com for more information NE-468829

SCHOOL VACANCY

ACUPUNCTURIST (New York, NY): Identifies the correct anatomical and proportional point locations based on the patient's anatomy. Treats patients using tools such as needles, cups, and nutritional supplements. Takes precautions related to treatments such as intradermal needles, moxibustion, electricity, gua sha, and bleeding. Maintains detailed records of healthcare plans and prognoses. Formulates herbal preparations based on their herbal properties to treat conditions. Evaluates treatment outcomes and recommend new or altered treatments. Educates patients on topics such as meditation, ergonomics, stretching, exercise, nutrition, the healing process, breathing, and relaxation techniques. Must be bilingual fluent in Mandarin and English. Must have license of acupuncture by the State of New York. Min. $77,709/year. Send resume to WONGS ACUPUNCTURE, 425 Fifth Ave, Unit Office 4, New York, NY 10016. Attn: Tammy Huang.

ACUPUNCTURIST

Project Designer - Bound Brook, NJ - Create design, planning, occupancy studies &amp; design layouts. Prepare project specifications, compile &amp; analyze relevant data. Review completed reports, plans, estimates &amp; calculations. Reqs: Bach in Architecture, Design, or Sustainable Design. 6 mo exp as Project Designer, Project Architect, Architectural Designer or related. Resume: Varitronics Consulting DBA GRA Design Studio - <a href="mailto:marisa@gralpharchitect.com" target="_blank">marisa@gralpharchitect.com</a>

Project Designer

Senior Principal Architect: Drive major architecture selection &amp; oversee architecture design &amp; dev of large-scale enterprise platform, etc. Reqts: BS or foreign equiv in Comp Sci, Comp Info Sys, Elec Eng or rel field. 10 yrs exp as Soft Devp'r or rel occu of which 2 yrs must be as Soft Arch. See caju.ai/careers for full decrp'n, req'ts &amp; apply. FT. Jobsite: Var unanticipated jobsites throughout NYC metro area. Hybrid work, telecommute an option. Wage: $179,982-$179,982/yr. Send res to Caju Inc., 240 Main St #100 - CW124 Charlottesville VA 22902.

Senior Principal Architect

Engineer: CTC Trading Group, LLC seeks a Sr. Engineer in New York, NY to collaborate with traders, quants and technologists to drive requirements and propose solutions. Telecommuting is permitted. Wage Range: $200,000 - 300,000 per year. Apply at jobpostingtoday.com/ Ref #95434.

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