Bachelor's degree in healthcare administration, business management, or a related field., Proven experience in program management, preferably in the Medicare sector., Strong analytical and problem-solving skills to assess program effectiveness., Excellent communication and interpersonal skills for stakeholder engagement..
Key responsibilities:
Oversee the planning and execution of Medicare programs to ensure compliance and effectiveness.
Collaborate with cross-functional teams to develop program strategies and objectives.
Monitor program performance metrics and prepare reports for senior management.
Facilitate meetings with clients and stakeholders to gather feedback and improve services.
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CalOptima Health is a county organized health system that administers health insurance programs for low-income children, adults, seniors and people with disabilities in Orange County.
As Orange County’s largest health insurer, we provide coverage through four major programs.
- Medi-Cal (California's Medicaid Program) for low-income children, adults, seniors and people with disabilities
- OneCare (HMO SNP) (a Medicare Advantage Special Needs Plan) for low-income seniors and people with disabilities who qualify for both Medicare and Medi-Cal
- PACE (Program of All-Inclusive Care for the Elderly) for older adults, providing comprehensive health services through the CalOptima PACE center
- OneCare Connect Cal MediConnect Plan (Medicare-Medicaid Plan) for people who qualify for both Medicare and Medi-Cal, combining Medicare and Medi-Cal benefits, adding supplemental benefits for vision, transportation and dental services, and providing comprehensive care coordination
“Better. Together.” is our motto, but it’s also our philosophy. We believe that by working together, we can make things better – for our members and community.