Under general supervision, this position supports CalOptima’s compliance with cultural and linguistic (C&L) State and Federal regulatory requirements. The position assists in the development and/or implementation of cultural and linguistic services/activities, such as: 1) providing and coordinating professional translation and review services in one of CalOptima’s threshold languages; 2) coordinating interpreter services of non-English languages and American Sign Language; 3) planning and organizing cultural competency training; and 4) researching and analyzing issues and making recommendations to enhance CalOptima’s cultural and linguistic program and services.
POSITION RESPONSIBILITIES:
Provide and coordinate professional and timely translations and/or reviews of CalOptima member materials.
Assist in completing and/or responding to regulatory agency reports (DHCS, CMS, NCQA, etc.), surveys, audits and evaluations regarding CalOptima’s C&L program.
Ensure the timely delivery of interpreter services by working with qualified staff interpreters and contracted interpreter service vendors.
Plan, organize and develop cultural competency trainings for CalOptima staff, providers, contracted health networks and community based organizations.
Review, analyze and interpret regulations and internal/external policies and procedures related to cultural and linguistic services.
Review, research, resolve and trend member complaints and/or grievances related to cultural and language issues.
Represent the department and facilitate communications on cultural and linguistic services within, or outside CalOptima.
Identify cultural and/or linguistic barriers to members accessing health care services and health disparities where appropriate.
Timely and accurate processing of vendor invoices for translation and interpreter services.
Compile data and prepare reports to monitor trends and identify issues.
Other projects and duties as assigned.
Required Skills
Required Experience
EXPERIENCE & EDUCATION:
Bachelor’s degree in a health care related field or cultural and linguistic studies is preferred.
Professional education in the area of translation, interpretation and cultural competency training is preferred.
Professional level of written, reading and spoken proficiency in English and in one of CalOptima's threshold languages; Spanish, Vietnamese, Farsi, Korean, Chinese or Arabic.
1+ years of experience with a health plan, program or clinical environment working with culturally diverse populations is required.
Experience in managed care and/or government programs preferred.
KNOWLEDGE OF:
Grade: J
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