Job Description
Job Description Company Overview: Our client is a leading healthcare located in Orange, CA, seeking a highly motivated and experienced program specialist coordinating the compliance with cultural and linguistic (C&L) state and federal regulatory requirements.
Position Summary: The successful candidate must have at least 2 years of relevant experience in a healthcare setting and be bilingual.
Work Duration: Up to 6 months
Work type: On-site
Position Responsibilities: • 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 languages (Arabic, Chinese, Farsi, Korean, Spanish, and Vietnamese)
• 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 the client's C&L program.
• Reviews, researches and responds to member grievances related to contracted vendor issues.
• 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.
• 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.
• Complete additional assignments and projects as assigned.
Experience & Education: • High School diploma or equivalent required.
• Bachelor's degree in a health care related field or cultural and linguistic studies strongly preferred.
• 2 years of experience in project coordination, translations or interpreting services required.
• 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 strong preferred.
• 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.
• Bilingual in English and one of Arabic, Chinese, Farsi, Korean, Spanish, or Vietnamese.
• Professional education in project management, translation, interpretation or cultural competency training preferred.
• Experience in managed care and/or government programs preferred.
Necessary Attributes: • Establish effective relationships with internal and external stakeholders.
• Demonstrate independent judgment and decision-making skills.
• Communicate effectively both verbally and in writing.
• Flexible schedule availability for evening and weekend events.
• Strong organizational, analytical, and problem-solving abilities.
• Proficiency in Microsoft Office (Word, Outlook, Excel, PowerPoint) and job-specific applications/systems.
Please see HR for information on physical demands and work environment of this job.
Sunshine Enterprise USA is an "Equal Opportunity Employer-Minorities, Females, Veterans and Disabled Persons"
Job Tags
Work at office, Flexible hours, Weekend work, Afternoon shift,