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State of California

Eligibility & Enrollment Compliance Supervisor

State of California, Sacramento, California, United States, 95828

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Join the Covered California team!

The Covered California Policy, Eligibility, and Research Team are responsible for implementing Covered California's program eligibility rules and communications, which directly impact the lives of individuals who apply for health coverage through our organization. We are a very diverse and collaborative team, motivated, and passionate about improving all Californians' experience in obtaining health coverage through Covered California.

We might be a good match if you:

You are a dedicated leader with a passion for ensuring compliance and quality assurance. Covered California's Policy, Eligibility, and Research Division is seeking an Eligibility & Enrollment Compliance Supervisor (Staff Services Manager I) to oversee a team responsible for monitoring the accuracy of the eligibility and enrollment functions of the CalHEERS (California Healthcare Eligibility, Enrollment, and Retention System). This role is crucial in supporting Covered California's mission to provide the highest level of service to Californians seeking healthcare enrollment and services

Review the full duty statement on CalCareers to learn more about the duties and responsibilities of this position.

At Covered California, we recognize our employees are our most valuable asset. We have a variety of career fields that help make a difference in the lives of Californians, and we're looking for talented and enthusiastic individuals to join our team! Learn more about why you should join the Policy, Eligibility, and Research Division .

This position qualifies for telework and is headquartered in Sacramento County (1601 Exposition Blvd, Sacramento, CA 95815). Business travel may be required, and reimbursement considers an employee's designated headquarters office subject to regulations and bargaining unit contract provisions. Travel expenses associated with commuting to the employee's office headquarters location are not reimbursable, other than authorized transit subsidies.

NOTE: To be considered for this job opportunity, applicants must be reachable on an employment list, have transfer eligibility, or have reinstatement eligibility. If you are new to California State service and you do not have list eligibility, you must take the exam for this classification. To gain employment list eligibility, please click here to access the exam bulletin.

Possession of minimum qualifications will be verified prior to interview and/or appointment . If it is determined an applicant does not meet the minimum qualifications, the applicant's name may be removed from the eligibility list.

Covered California does not provide visa sponsorship and is not an E-Verify employer.

You will find additional information about the job in the Duty Statement .

Working Conditions This position may be eligible for telework. The amount of telework is at the discretion of the Department and based on Covered California's current telework policy. While Covered California supports telework, in-person attendance may be required based on operational needs. Employees are expected to be able to report to their worksite with minimal notification if an urgent need arises, as determined by the Department. Employees are no longer required to submit Covered California's Self-Screening Questionnaire prior to coming onsite. Additionally, the State of California COVID-19 Testing Program requirements, along with COVID-19 vaccination verification are no longer needed. Covered California's COVID-19 Prevention Plan has been updated to incorporate the revised CDPH Public Health Officer Orders.

Minimum Requirements

You will find the Minimum Requirements in the Class Specification.

STAFF SERVICES MANAGER I Additional Documents

Job Application Package Checklist Duty Statement

Position Details

Job Code #: JC-487882

Position #(s): 801-140-4800-004

Working Title: Eligibility & Enrollment Compliance Supervisor

Classification: STAFF SERVICES MANAGER I $7,172.00 - $8,910.00 New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

# of Positions: 1

Work Location: Sacramento County

Telework: Hybrid

Job Type: Permanent, Full Time

Department Information Covered California works to improve the health of all Californians by assuring their access to affordable, high quality healthcare. Our employees are the vital link that ensures that our vision, mission, and values are fully realized and are the driving force that allows us to continually provide exceptional service to those who need it most.

We offer an award-winning wellness program, inclusive and diverse atmosphere, employee recognition programs, on site fitness centers at our Sacramento and Service Center locations, and free parking at all of our locations!

Life can change in an instant - so can your career!

Visit our website to learn more about why Covered California is an employer of choice.

Department Website: Employment & Classification Services

Special Requirements Statement of Qualifications (SOQ) Instructions: A SOQ is required to apply. The SOQ will be used as a pre-interview screening tool. Applicants who do not follow the SOQ instructions and/or do not answer the prompt as stated below will not be considered. Please provide a Statement of Qualifications (SOQ) responding to the prompts below and detailing your relevant experience and education that demonstrates the desirable qualifications outlined below. Give specific examples, including your roles and responsibilities, as well as the outcomes. Responses should be no longer than two pages in length, 12pt. Arial font.

Artificial Intelligence (AI) tools can be useful in the development of written responses; however, it is important to use these tools responsibly and ethically. Where assistive tools may be used, responses within the SOQ should be your own original work. Applicants must write in their own words and avoid plagiarism. Failure to comply may be cause for disqualification.

Describe your experience leading or coordinating group projects, assignments, or initiatives. What types of teams were involved, what was your role, and how did you supervise and manage staff during these projects? Describe a time when you took primary responsibility for the quality assessment of a system to ensure it met established standards. How did you manage the assessment process, identify any defects or gaps, and propose solutions? Please provide specific examples and share the outcome of your involvement.

For assistance in completing the SOQ, you may want to consider watching the following video from CalHR's Training Catalog: Basics of Writing a Strong Statement of Qualifications.

Application Instructions Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application. Final Filing Date: 8/24/2025 Who May Apply Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

How To Apply Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:

Address for Mailing Application Packages

You may submit your application and any applicable or required documents to:

Covered California Employment & Classification Services Attn: HRB-ECSU-AP 1601 Exposition Blvd

Sacramento , CA 95815

Address for Drop-Off Application Packages

You may drop off your application and any applicable or required documents at:

Covered California Employment & Classification Services HRB-ECSU-AP 1601 Exposition Blvd

Sacramento , CA 95815

08:00 AM - 05:00 PM

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position. Resume is required and must be included. Statement of Qualifications - Statement of Qualifications (SOQ) - Please attach your SOQ to your application. Applications received without an SOQ will not be considered. Resumes and cover letters will not be accepted in place of an SOQ. Please see the above "Special Requirements" section for SOQ instructions.

Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

Proven ability to build collaborative relationships with internal and external partners. Strong analytical and problem-solving skills with ability to review and analyze complex data, identify problems, and recommend solutions. Proven ability to lead and develop a team, including hiring, training, mentoring, and managing team performance. Strong communication skills and ability to present complex technical materials to management in a clear and concise manner both verbally and in writing. Experience performing quality assessments of systems to ensure products or services conform to established standards and identifying process defects, gaps, or potential issues and proposing solutions.

Benefits The State of California offers a comprehensive benefits package that includes Health, Vision, Dental, Retirement, and an array of other options. For more information on the benefits offered by the State of California, please click below:

CalHR Benefits Summary

CalHR Salary and Benefits Information

CalPERS Retirement Information

CalPERS Employer Contributions

Contact Information The Human Resources Contact is available to answer questions regarding the position or application process. Department Website: Employment & Classification Services Human Resources Contact: Ashley Poritz (916) 228-8927 Careers@covered.ca.gov

Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office. EEO Contact: EEO Office (916) 999-8733 EEO@covered.ca.gov California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

Pre-Employment Requirements

Background Check: All applicants shall be subject to a pre-employment background investigation. The investigation will consist of completion of a pre-employment questionnaire, fingerprinting, and an inquiry to the Department of Justice and Federal Bureau of Investigation to disclose criminal records.

Per GC 100500 (f)(1)'...staff of the Exchange shall not be employed by, a consultant to, a member of the board of directors of, affiliated with, or otherwise a representative of, a carrier or other insurer, and agent or broker, a health care provider, or a health care facility or health clinic while serving on the board or on the staff of the Covered California. A member of the board or of the staff of the Exchange shall not be a member, a board member, or an employee of a trade association of carriers, health facilities, health clinics, or health care providers while serving on the board or on the staff of the Exchange.' Applicants who may fall under Government Code 100500(f)(1) will be considered ineligible for appointment with the Covered California.

Additional Application Instructions

Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.

All information regarding your employment history must be included on the State Employment Application STD. 678. Applications that are submitted blank or with "see resume" in place of duties performed or applications received without the following information for each job entry may be considered incomplete and may not be accepted:

"To" and "from" dates (month/day/year) Hours worked per week Private sector job titles Supervisor name and phone number Job duties performed State employees must list the specific departments for which they worked and indicate the specific civil service classification titles held (not working titles).

Transcripts:

If you are meeting minimum qualifications with education, you must include your unofficial transcript for verification. If selected, you will be required to provide official transcripts at the time of hire. Foreign transcripts must include official verification of U.S equivalency prior to appointment by an organization found here.

Personally Identifiable Information:

Please do not include your Social Security Number, date of birth, veteran status, personal photos, LEAP information, or any other personally identifying information on any documents in your application package.

If you have additional questions regarding this advertisement or are having issues applying through CalCareers, please contact the Employment & Classification Services Unit at 916-228-8386 or careers@covered.ca.gov .

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.