New Policy Specialist jobs in Modesto, CA

New Policy Specialist processes incoming applications for new and renewing policies to include changes/updates according to company guidelines for group health, dental and/or life policies. Responsibilities include reviewing and screening requests, calculating new premiums, issuing new policies and associated documentation. Being a New Policy Specialist serves assigned accounts by responding to inquiries and resolving issues of concern. May handle more complex situations or issues. Additionally, New Policy Specialist requires a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The New Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a New Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Consultant III, Medi-Cal Policy and Engagement
  • Kaiser Permanente
  • Modesto, CA OTHER
  • Overview: 


    The Consultant will focus on deepening Kaiser Permanente’s local engagement related to our Medi-Cal program including representing Kaiser Permanente in key external forums and managing critical external partnerships such as with county agencies, other managed care plans (MCPs), community-based providers, DHCS PATH Collaborative facilitators, and the general community as it relates to KP Medi-Cal. The consultant will cultivate deep, trusting relationships in the community to influence and validate policy, operations, and programmatic decision-making in service of our members and communities. Consultant IV, Medi-Cal Policy and Engagement position will support various Medi-Cal regulatory policy, advocacy, and engagement efforts. This includes regulatory policy analysis, development of materials, and attendance/presentation at various Medi-Cal focused meetings.- 




    Job Summary:

    Serves as part of a consulting team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Supports strategic planning and organizational alignment and prioritization of business initiatives. Manages moderately complex projects or project components, participates in change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.



    Essential Responsibilities:


    • Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.

    • Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.

    • Serves as part of a consultant team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects within a functional track or workstream by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; identifying and escalating tough stakeholder issues while maintaining an independent perspective; preparing presentations and reports; and leading or facilitating team meetings.

    • Develops requirements for business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.

    • Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a working understanding of how current processes impact business operations; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.

    • Supports strategic planning and organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; and managing assigned initiatives to ensure delivery of measurable results and alignment with strategic objectives.

    • Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; and serving as an advocate to ensure continuous learning and improvement is championed as a people strategy.

    • Manages moderately complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.

    • Participates in change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; collaborating with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; using appropriate change management methods and approaches; and ensuring stakeholders embrace a change management mindset, and understand initiative intent and purpose.

    • Performs data analyses to support business initiatives by using appropriate data analysis tools and approach to assess business performance; deploying suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.

    • Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; and partnering with Procurement and/or Legal to assist in the development of service level and/or scope of work agreements as appropriate.

    • Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

  • 11 Days Ago

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AM Host
  • New Waterloo
  • Merced, CA OTHER
  • Job Details Job Location: El Capitan Hotel - Merced, CA Salary Range: $16.00 - $16.00 Hourly DescriptionRAINBIRD is hiring for a PART-TIME HOST A luxurious translation of a road trip pit stop, El Capi...
  • 18 Days Ago

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Courtyard Bartender
  • New Waterloo
  • Merced, CA OTHER
  • Job Details Job Location: El Capitan Hotel - Merced, CA Salary Range: $17.50 - $17.50 Hourly DescriptionEL CAPITAN HOTEL is hiring for a SEASONAL FULL-TIME BARTENDER A luxurious translation of a road ...
  • 22 Days Ago

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Housekeeping Supervisor El Capitan
  • New Waterloo
  • Merced, CA OTHER
  • Job Details Job Location: El Capitan Hotel - Merced, CA Salary Range: $19.50 - $19.50 Hourly DescriptionEL CAPITAN HOTEL is hiring for a HOUSEKEEPING SUPERVISOR A luxurious translation of a road trip ...
  • 22 Days Ago

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El Capitan Front Desk Agent PT
  • New Waterloo
  • Merced, CA OTHER
  • Job Details Job Location: El Capitan Hotel - Merced, CA Salary Range: $16.50 - $16.50 Hourly DescriptionEL CAPITAN HOTEL is hiring for a FRONT DESK AGENT A luxurious translation of a road trip pit sto...
  • 6 Days Ago

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Director of People and Culture
  • New Waterloo
  • Merced, CA OTHER
  • Job Details Job Location: El Capitan Hotel - Merced, CA Position Type: Full Time Salary Range: $67,000.00 - $70,000.00 Salary/year Job Category: Human Resources DescriptionHave fun, be nice » Be a stu...
  • 14 Days Ago

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0 New Policy Specialist jobs found in Modesto, CA area

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Risk and Safety Consultant
  • BBSI
  • Modesto, CA
  • Our focus is business owners. Is yours? BBSI helps business owners focus on their business. We eliminate organizational ...
  • 4/26/2024 12:00:00 AM

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Field Service Engineer
  • Remetronix Powered By Probo Medical
  • Modesto, CA
  • REMETRONIX work activities may include the coordination, installation, de-installation, relocation, service and service ...
  • 4/26/2024 12:00:00 AM

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Risk and Safety Consultant
  • Bbsi
  • Modesto, CA
  • Our focus is business owners. Is yours? BBSI helps business owners focus on their business. We eliminate organizational ...
  • 4/26/2024 12:00:00 AM

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Benefits Administrator
  • Bronco Wine Co.
  • Modesto, CA
  • Job description JOB STATEMENT: The Benefit Specialist position is responsible for directing and planning the day-to-day ...
  • 4/26/2024 12:00:00 AM

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Benefits Specialist
  • Balance Staffing Company
  • Modesto, CA
  • We are seeking a highly organized and detail-oriented Benefit Specialist to join our team. As a Benefit Specialist, you ...
  • 4/26/2024 12:00:00 AM

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Travel Nurse RN - ICU - Intensive Care Unit - $2,395 per week
  • Hiring Now!
  • Modesto, CA
  • Travel Nurses, Inc. is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Modesto, Californ...
  • 4/26/2024 12:00:00 AM

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Travel CT Technologist - $2,117 per week
  • Hiring Now!
  • Modesto, CA
  • Fusion Medical Staffing-Radiology is seeking a travel CT Technologist for a travel job in Modesto, California. Job Descr...
  • 4/26/2024 12:00:00 AM

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Legal Admin Specialist (Estate & Gift Tax) (Estate Tax Technical Advisor) (TEMP NTE 1 YR MBE, MBP)
  • Department Of The Treasury
  • Modesto, CA
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
  • 4/26/2024 12:00:00 AM

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for New Policy Specialist jobs
$59,756 to $76,429
Modesto, California area prices
were up 2.5% from a year ago

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