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CalOptima · 14 hours ago

Program Assistant (Claims Administration)

Orange, CA

Full-time

Hybrid

Entry Level

$50K/yr - $70K/yr

1+ years exp

CalOptima is a mission-driven community-based organization dedicated to serving member health with excellence and dignity. The Program Assistant will provide administrative support to the Claims Administration team, assisting in day-to-day activities and collaborating with various stakeholders to enhance healthcare services.

GovernmentHealth CareNon Profit

Comp. & Benefits

Responsibilities

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 calendar and schedule of the department Directors, including scheduling appointments, meetings and events

Exercises discretion in committing time, evaluating needs, and making meeting arrangements

Interacts with other departments, external stakeholders and CalOptima Health's general office system, and coordinates work or processes with other administrative staff within CalOptima Health

Supports the managers and supervisors with claims audit file assembly and submissions

Serves as the timekeeper and coordinates records retention for the department, including maintenance and coordination of retrieving files stored at an offsite facility

Serves as the point of contact for claims provider escalation cases and follows through with the leadership team on deliverables

Answers telephone calls and assists internal and external callers as necessary

Prioritizes situations requiring the Directors' attention and either redirects them to the appropriate staff or handles them personally

Handles all incoming vendor/purchase services invoices and expense reports for management personnel as appropriate which includes reconciliations of transaction records, files and counts

Coordinates travel arrangements for management personnel

Prepares/updates routine and ad hoc reports for all lines of business including budget and department statistics

Develops materials, coordinates and analyzes data and prepares information for reports while providing administrative support for specific and/or ongoing projects

Provides support to staff, including but not limited to preparing meeting materials, maintaining minutes, routing documents, performing data entry and handling incoming and outgoing correspondence per administrative policy

Maintains an inventory of supplies, including monitoring needs and ordering

Maintains confidential and sensitive information and files regarding management projects, policy, and personnel ensuring appropriate follow-up

Completes other projects and duties as assigned

Qualification

Administrative support experienceClaims reportingData analysisMicrosoft OfficeCommunication skillsOrganizational skillsProblem-solving skillsProject management skills

Required

High school diploma or equivalent PLUS 1 year of administrative support 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