Program Assistant (GARS)
Program Assistant (GARS)
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Job Description
Program Assistant (GARS) 6-Month Contract
Location: Orange County CA
Pay Rate: $23.92 $33.49 per hour
Schedule: Monday Friday 8:00 a.m. 5:00 p.m.
Job Type: Full-Time 6-Month Contract
About the Role
CalOptima Health is seeking a detail-oriented Program Assistant (Grievance & Appeals Resolution Services) for a 6-month this role you will support the department by processing complaints appeals and state hearings while ensuring compliance with regulatory requirements. This is an on-site position based in Orange County CA.
Responsibilities
- Process member and provider grievances and appeals.
- Monitor and log complaints received via phone email fax and mail.
- Track and respond to inquiries from regulatory agencies (DMHC CMS DSS QIO) within required timelines.
- Maintain accurate case files and prepare acknowledgment letters.
- Provide administrative support for hearings and departmental processes.
- Coordinate with internal teams and external stakeholders to ensure timely resolution.
Qualifications
- High School Diploma or equivalent required.
- At least 1 year of experience in grievance/appeals or Medi-Cal/Medicare programs.
- Strong communication organizational and problem-solving skills.
- Ability to work independently and meet deadlines.
- Preferred: Bilingual in one of CalOptimas threshold languages (Arabic Chinese Farsi Korean Spanish Vietnamese).
About CalOptima Health
CalOptima Health is Orange Countys largest health plan serving nearly one in four residents. We are committed to delivering quality healthcare with dignity respect and excellence in service.
How to Apply
Please send your resume to or call (Nick) for more details
Employment Type
Full-time
