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    Medical Program Coordinator - Orange, United States - SUNSHINE ENTERPRISE USA LLC

    SUNSHINE ENTERPRISE USA LLC
    SUNSHINE ENTERPRISE USA LLC Orange, United States

    2 days ago

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    Description


    Job Summary

    Sunshine Enterprise is seeking a highly motivated and experienced Program Specialist to join the team. Under general supervision, the Program Coordinator will support compliance with cultural and linguistic (C&L) state and federal regulatory requirements.

    Duration: up to 6 months

    Location type: Onsite

    Position Responsibilities:

    • Coordinates incoming language translation and/or reviews requests of internal and external 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 of the following languages: Arabic, Farsi, Chinese, Korean, Spanish, or Vietnamese (+American Sign Language).
    • 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 C&L program.
    • Reviews, researches and responds to member grievances related to contracted vendor issues.
    • 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.
    • 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

    Experience & Education:

    • High School diploma or equivalent required.

    2 years of experience in project coordination, translations, or interpreting services 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.

    Preferred Qualifications:

    • Bachelor's degree in a health care related field or cultural and linguistic studies.
    • 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.
    • Professional education in project management, translation, interpretation, or cultural competency training.
    • Experience in managed care and/or government programs.

    Knowledge and Abilities to:

    • Develop rapport and establish and maintain effective working relationships with the supervisors, 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

    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

    Sunshine Enterprise USA is an "Equal Opportunity Employer—Minorities, Females, Veterans and Disabled Persons"


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