Sr Program Specialist, Medi-Cal & CalAIM

Sr Program Specialist, Medi-Cal & CalAIM

Join Us in this Amazing Opportunity

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

More About the Opportunity

We are hoping you will join us as a Sr Program Specialist, Medi-Cal & CalAIM and help shape the future of healthcare where you'll be an integral part of our Medi-Cal & CalAIM team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Office.

If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

The Program Specialist Sr (Medi-Cal & CalAIM) will be responsible for supporting various projects related to Medi-Cal and the Department of Health Care Services (DHCS) California Advancing and Innovating Medi-Cal (CalAIM) initiatives. The incumbent will plan, analyze, research and coordinate Medi-Cal and CalAIM projects. You will support the Medi-Cal and CalAIM department in implementing projects and new programs, including coordinating regulatory reporting and ongoing maintenance of operations of assigned programs. Together, we are building a stronger, more equitable health system.

Your Contributions To the Team :

80% - Program Support

Participates and provides support to cross-functional teams responsible for developing, implementing, monitoring and evaluating various Medi-Cal and CalAIM projects, activities and reports.

Assists with planning and monitoring the development and implementation of new Medi-Cal and CalAIM initiatives / pilots or modifying existing policies, processes and procedures.

Analyzes and communicates the operational impacts of applicable statutory, regulatory and contractual requirements for compliance.

Identifies and analyzes potential barriers for Medi-Cal and CalAIM projects and reports.

Coordinates with necessary internal and external stakeholders to address potential barriers and identify opportunities for improvement.

Conducts data analysis on Medi-Cal and CalAIM programs and coordinates regulatory reporting for assigned programs.

15% - Administrative Support

Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.

Assists the department in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.

5% - Other

Completes other projects and duties as assigned.

Do You Have What the Role Requires?

Bachelor's degree in health policy, health care economics, public policy, public health, sociology, psychology, social work or related field PLUS 3 years of experience in program development, implementation and operations or related experience in a managed health care organization 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.

Have access to means of transportation for work away from the primary office approximately 10% of the time required.

You'll Stand Out More If You Possess the Following :

Master's degree in health policy, health care economics, public policy, public health, sociology, psychology, social work or a related field.

3 years of experience working with health care delivery systems and / or in a public agency / organization serving Medi-Cal, Medicare or any other under resourced populations.

What the Regulatory Agencies Need You to Possess?

N / A

Your Knowledge & Abilities to Bring to this Role :

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.

Work independently and exercise sound judgment.

Communicate clearly and concisely, both orally and in writing.

Work a flexible schedule; available to participate in evening and weekend events.

Organize, be analytical, problem-solve and possess project management skills.

Work in a fast-paced environment and in an efficient manner.

Manage multiple projects and identify opportunities for internal and external collaboration.

Motivate and lead multi-program teams and external committees / coalitions.

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.

Your Physical Requirements (With or Without Accommodations) :

Ability to visually read information from computer screens, forms and other printed materials and information.

Ability to speak (enunciate) clearly in conversation and general communication.

Hearing ability for verbal communication / conversation / responses via telephone, telephone systems, and face-to-face interactions.

Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.

Lifting and moving objects, patients and / or equipment 10 to 25 pounds

Ways We Are Here For You

You'll enjoy competitive compensation for this role.

Our current hiring range is : Pay Grade : 309 - $68,015 - $108,824 ($32.70 - $52.3192).

The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.

This position is approved for Full Office (

• If the position is Telework, it is eligible in California only
• ).

CalPERS pension program and additional retirement packages.

Additional benefits and perks including :

A generous PTO program

A quality work life balance

Various wellness programs

Tuition Reimbursement

Professional development opportunities

Career development opportunities

Flexible scheduling

And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.

Our Work Environment :

If located at the 500, 505 Building or a remote work location :

Work is typically indoors and sedentary and is subject to schedule changes and / or variable work hours, with travel as needed.

There are no harmful environmental conditions present for this job.

The noise level in this work environment is usually moderate.

If located at PACE :

Work is typically indoors in a clinical setting serving the frail and elderly.

There may be harmful or hazardous environmental conditions present for this job.

The noise level in this work environment is usually moderate to loud.

If located in the Community :

Work is typically indoors and sedentary and is subject to schedule changes and / or variable work hours, with travel as needed.

Employee will occasionally work outdoors in varied temperatures.

There may be harmful or hazardous environmental conditions present for this job.

The noise level in this work environment is usually moderate to loud.

Why Join Us?

We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare.

What's Your Next Step?

All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is February 17, 2026 at 9 : 00 PM (PST). We are encouraging you to apply early.