Address
Form of workThis position is eligible for full-time telework under Government Code 14200 for eligible applicants residing in California. Remote-centered teleworker employees may be required to report in person to headquarters and/or offsite events or locations, as determined by management , and will be required to utilize a shared workspace or "hotel" when working in the office.
Under the direction of the Staff Services Manager II (SSM II) in the OPM, Division of Provider Networks (DPN), the Health Program Specialist I performs high profile, sensitive and complex specialized assignments involving broad policy issues, which have significant statewide impact on the Department's licensing program pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Act), the California Code of Regulations, Title 28 (Regulations), and program policies and procedures. The incumbent monitors, oversees and ensures that full service and specialized health care service plans comply with the licensing requirements of the Act and Regulations.
The incumbent is responsible for performing the highly sensitive and complex duties involved in planning, implementing, monitoring and evaluating health program activities within the DPN. The incumbent serves in a lead capacity and as an expert on projects in the program area, performs a broad range of highly technical, consultative and programmatic areas within the OPM. The incumbent performs research, analyzes and compiles data independently, and drafts written material involving highly complex policy matters. Additionally, the incumbent may formulate recommendations to Department counsel, including Office of Legal Services (OLS), on the drafting of new regulations.
The incumbent leads highly complex project management matters that may require inter-divisional workgroups, meetings with outside stakeholders, development of goals with timeframes and production of progress reports to monitor the projects to ensure completion.
You will find additional information about the job in the Duty Statement .
Working Conditions
The DMHC utilizes a hybrid telework model to provide all employees with an avenue to telework while ensuring business and operational needs are met.
Remote-Centered employees are expected to maintain a safe and distraction free work environment at the approved alternate work location. Remote-Centered employees agree to adhere to the state telework policy, the DMHC's telework policy, and conditions cited in the Telework Agreement (STD 200).
Office-Centered employees are expected to maintain a dedicated workstation at a DMHC official worksite. Office-Centered employees are expected to work in a climate-controlled office or cubicle under artificial lighting.
Minimum Requirements You will find the Minimum Requirements in the Class Specification.
- HEALTH PROGRAM SPECIALIST I
- Job Application Package Checklist
- Duty Statement
Position Details Job Code #:
JC-410589
Position #(s):
409-572-8338-014
Working Title:
Provider Networks Specialist (Telework)
Classification:
HEALTH PROGRAM SPECIALIST I $6,243.00 - $7,815.00
# of Positions:
1
Work Location:
Sacramento County
Telework:
Telework
Job Type:
Permanent, Full Time
Department Information
The mission of the California Department of Managed Health Care (DMHC) is to protect consumers' health care rights and ensure a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for consumers. The Department protects the health care rights of more than 29.7 million Californians by regulating health care service plans, assisting consumers through a consumer Help Center, educating consumers on their rights and responsibilities and preserving the financial stability of the managed health care system.
DMHC values diversity at all levels of the organization and is committed to fostering an environment in which employees from a variety of backgrounds, cultures, and personal experiences are welcomed and can thrive. DMHC believes the diversity of our employees and their unique ideas inspire innovative solutions to further our mission. Join DMHC and help us improve the lives of all Californians.
If you are interested in learning about the Department of Managed Health Care (DMHC) culture from the perspective of someone like yourself, contact our Someone Like Me program. Within five business days of your request to participate in the Someone Like Me program, you will be matched with a DMHC employee with a similar background to discuss the DMHC's culture. This program is not part of, or in any way affiliated with the application or hiring process. Prospective employees must complete the application process on Cal Careers (e.g., submit your application within the specified timeframes on the job posting) to be considered for hire at the DMHC. None of the information you provide through the Someone Like Me program will be relayed to the Hiring Unit.
Department Website: http://www.dmhc.ca.gov
Special Requirements
- The position(s) require(s) a Background Investigation be cleared prior to being hired.
All applicants not currently employed by the DMHC will be subject to a pre-employment background investigation. The investigation will consist of fingerprinting and an inquiry to the California Department of Justice to disclose criminal records.
Any documents you submit for a job vacancy such as your State application, resume, cover letter, educational transcripts, etc. SHOULD NOT include ANY confidential information. Confidential information that should be excluded or removed from these documents include, but is not limited to, your Social Security Number (SSN), birthday, driver's license number (unless required), basis of eligibility, examination results, LEAP status, marital status, and age. Confidential information on the first page of applications submitted electronically online, such as Easy ID number, SSN, examination related information, and driver's license number will automatically be redacted upon submission. Possession of Minimum Qualifications will be verified prior to interview and/or appointment .
If you are using education to meet the minimum qualifications for this position, you MUST submit a copy of your college transcripts .
Unofficial transcripts may be accepted during the application process; however, submission of official transcripts may be required prior to appointment.
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: 1/16/2024
Who May Apply
Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list 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:
Department of Managed Health Care
Attn: Chelsea Henricus
980 9th Street, Suite 500
Sacramento , CA 95814
Address for Drop-Off Application Packages
You may drop off your application and any applicable or required documents at:
Department of Managed Health Care
Chelsea Henricus
980 9th Street, Suite 500
Sacramento , CA 95814
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 optional. It may be included, but is not required.
- Statement of Qualifications -
A Statement of Qualifications (SOQ) is a MANDATORY requirement in order to apply for this position. A SOQ is a narrative discussion describing how the candidate's education, training, experience and skills meet the minimum and desirable qualifications for the position.
Please see section labeled "Statement of Qualifications" for further instructions.
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:
• Managed Healthcare experience
• Knowledge of health care service plan programs and trends
• Knowledge of Provider Networks
• Project management/lead experience
• Relevant data analysis & analytical experience
• Experience advanced formulas and tools in Microsoft Excel
• Experience with database structure, queries and data analytics software such as Access or SQL
• Exercise a high degree of initiative, flexibility, and confidentiality
• Ability to work independently, as well as cooperatively and effectively with others
• Ability to professionally communicate, both orally and in writing
• Ability to reason well and use good judgment
• Ability to provide leadership and assistance in developing and implementing new policies an d procedures
• Ability to organize and establish simultaneous workload priorities and work under pressure
Benefits Benefit information can be found on the CalHR website and the CalPERS website.
Contact Information
The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position.
Department Website: http://www.dmhc.ca.gov
Human Resources Contact:
Chelsea Henricus
(916) 445-1786
Chelsea.Henricus@dmhc.ca.gov
Hiring Unit Contact:
Dustin Brogdon
(916) 738-3378
Dustin.Brogdon@dmhc.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) 738-3394
EEO@dmhc.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.
Additional Application Instructions
To be considered for this vacancy, please complete all applicable fields on the application form, including a list or description of previous/current occupational experience in the duties performed section.
Electronic applications through your CalCareer account are highly recommended.
If you are unable to apply electronically through your CalCareer account, please mail or drop off a hard copy of your application packet. Please notate RPA: 23-197 and Job Control: JC-410589 on your application.
All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to clearly demonstrate how you meet the Minimum Qualifications for the position on your State Application (STD Form 678). The application should also clearly demonstrate the candidate's ability to meet the Desirable Qualifications identified in this job advertisement. The Classification Specification for Health Program Specialist I is located at the top of this Job Announcement Posting under Minimum Requirements.
Foreign Degrees or Transcripts - Applicants with foreign degrees or transcripts who wish to apply that coursework toward meeting the minimum qualifications of the classification must provide a transcript evaluation that indicates the number of units to which his/her foreign coursework is equivalent. DMHC accepts foreign transcript evaluations that are completed by one of the agencies approved by the California Commission on Teacher Credentialing .
PLEASE NOTE: If you are mailing your application, it must be postmarked by the final filing date. Hand delivered applications must be submitted no later than 4:30 p.m. on the final filing date. Applications slipped under the door at the Human Resources Office will be time stamped the following business day.
Statement of Qualifications
A Statement of Qualifications (SOQ) serves as documentation of each candidate's ability to present information clearly and concisely in writing. An SOQ is REQUIRED with your application and must adhere to the following guidelines. ...
