California Department of Health Care Services
Health Program Monitoring Specialist
California Department of Health Care Services, Sacramento, California, United States, 95828
California Department of Health Care Services provided pay range
This range is provided by California Department of Health Care Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range Job Description And Duties
Why Join DHCS?
The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies, counties, and partners for the care of low‑income families, children, pregnant women, older adults, and persons with disabilities. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today!
About this Role The Managed Care Quality and Monitoring Division has an opening for a Health Program Specialist (HPS) II Under the Managed Care Monitoring Branch, Process Compliance Section, the HPS II is responsible for leading the development, interpretation, and implementation of policies related to Medi‑Cal managed care plans. The HPS II will serve as a highly skilled technical program consultant, performing functions where the level of expertise required is substantially greater than that of other nonsupervisory positions. This HPS II position exercises a large degree of independence in serving as the subject matter expert in corrective actions and other enforcement related to noncompliance with SB 1120: Health Care Coverage: Utilization Review (chaptered in 2024), and other programs, policies and projects as assigned across the managed care delivery system. The HPS II will lead efforts to resolve policy related escalation issues within PCS, which will involve engaging with multidisciplinary staff at all levels to assess and evaluate operational challenges, and facilitate effective solutions.
Responsibilities
Lead development, interpretation, and implementation of policies related to Medi‑Cal managed care plans.
Serve as the subject matter expert in corrective actions and enforcement related to noncompliance with SB 1120 and other programs.
Resolve policy related escalation issues within PCS by engaging with multidisciplinary staff.
Facilitate effective solutions to operational challenges across the managed care delivery system.
Qualifications Class specification. Minimum requirements and qualifications are detailed in the Class Specification. The applicant must meet the Minimum Qualifications stated in the Classification Specification(s). The HPS II will serve as a highly skilled technical program consultant. Experience in health policy, public administration, or a related field is desirable. Candidates are expected to demonstrate strong written and verbal communication skills, and the ability to analyze complex regulations and translate them into clear, actionable policy.
Application Steps
Review the education and experience minimum qualifications (MQ’s) of the Health Program Specialist II.
Complete the statement of qualifications and the state application by clicking “Apply Now.”
Submit your application package with all required documents, which include the statement of qualifications.
Once you have applied, take the Health Program Specialist II Examination.
Benefits
Medical, including health, dental, and vision insurance.
Paid Holidays and vacation/leave.
Defined retirement program.
Savings Plus Program (401(k), 457).
Medical/Dependent Care Reimbursement Accounts.
Continuous and ongoing training.
Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug‑free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
Contact Information Recruit@dhcs.ca.gov
#J-18808-Ljbffr
Base pay range Job Description And Duties
Why Join DHCS?
The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies, counties, and partners for the care of low‑income families, children, pregnant women, older adults, and persons with disabilities. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today!
About this Role The Managed Care Quality and Monitoring Division has an opening for a Health Program Specialist (HPS) II Under the Managed Care Monitoring Branch, Process Compliance Section, the HPS II is responsible for leading the development, interpretation, and implementation of policies related to Medi‑Cal managed care plans. The HPS II will serve as a highly skilled technical program consultant, performing functions where the level of expertise required is substantially greater than that of other nonsupervisory positions. This HPS II position exercises a large degree of independence in serving as the subject matter expert in corrective actions and other enforcement related to noncompliance with SB 1120: Health Care Coverage: Utilization Review (chaptered in 2024), and other programs, policies and projects as assigned across the managed care delivery system. The HPS II will lead efforts to resolve policy related escalation issues within PCS, which will involve engaging with multidisciplinary staff at all levels to assess and evaluate operational challenges, and facilitate effective solutions.
Responsibilities
Lead development, interpretation, and implementation of policies related to Medi‑Cal managed care plans.
Serve as the subject matter expert in corrective actions and enforcement related to noncompliance with SB 1120 and other programs.
Resolve policy related escalation issues within PCS by engaging with multidisciplinary staff.
Facilitate effective solutions to operational challenges across the managed care delivery system.
Qualifications Class specification. Minimum requirements and qualifications are detailed in the Class Specification. The applicant must meet the Minimum Qualifications stated in the Classification Specification(s). The HPS II will serve as a highly skilled technical program consultant. Experience in health policy, public administration, or a related field is desirable. Candidates are expected to demonstrate strong written and verbal communication skills, and the ability to analyze complex regulations and translate them into clear, actionable policy.
Application Steps
Review the education and experience minimum qualifications (MQ’s) of the Health Program Specialist II.
Complete the statement of qualifications and the state application by clicking “Apply Now.”
Submit your application package with all required documents, which include the statement of qualifications.
Once you have applied, take the Health Program Specialist II Examination.
Benefits
Medical, including health, dental, and vision insurance.
Paid Holidays and vacation/leave.
Defined retirement program.
Savings Plus Program (401(k), 457).
Medical/Dependent Care Reimbursement Accounts.
Continuous and ongoing training.
Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug‑free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
Contact Information Recruit@dhcs.ca.gov
#J-18808-Ljbffr