- Developing financing methodologies to advance health care access, quality, and equity for all Californians through high-quality data-driven research and analysis.
- Administering ratesetting methodologies to finance billions of dollars in health care spending and provide accurate, efficient, and economical reimbursements to providers.
- Engaging Medi-Cal providers and other stakeholders to inform the policy making process, clearly communicate policies and programs to the public, and provide excellent customer service.
- Maintaining a collaborative relationship with the Centers for Medicare & Medicaid Services (CMS) to secure federal funding participation for Medi-Cal.
- Passion for advancing health care access, quality, and equity for all Californians.
- Knowledge of or ability to quickly learn complex health financing policy issues related to Medicaid/Medi-Cal.
- Excellent analytical, writing, and problem solving skills.
- Understanding of basic statistical concepts, good working math skills, and good Excel skills.
- Experience with quantitative analysis of ratesetting, financial, accounting, audit, statistical, actuarial, budget, economic, or other similar data.
- Experience researching health or other similar public policy issues and developing policy recommendations.
- Experience planning and leading staff work for annual operational processes and ad hoc projects.
- Ability to gain and maintain cooperative working relationships with internal and external stakeholders.
- Experience engaging external stakeholders to inform policy development and communicating program information to the public.
- Ability to easily adapt to change and to act effectively under pressure.
- Good judgment, patience, poise, flexibility, tact, reliability, and dependability.
-
HEALTH PROGRAM SPECIALIST II - Job Application Package Checklist
- Duty Statement
- 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 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.
health program specialist ii - Sacramento, CA, United States - State of California
Description
Job Description and DutiesWe are considering a Training and Development (T&D) assignment for the HPS II.
The purpose of DHCS is to provide equitable access to quality health care leading to a
healthy California for all.
The Medi-Cal program provides comprehensive health coverage to low and moderate-income Californians and is part of the federal Medicaid program.
As the Health Care Financing Specialist II (Health Program Specialist II), you will directly support the Fee-For-Service Rates Development Division (FFSRDD) Chief as a highly skilled, technical program consultant in:
You will evaluate and research the most complex and sensitive health care financing policy matters and develop timely recommendations for DHCS executive decision makers.
You will provide technical quality review of policy work products developed by staff including new reimbursement policies, State Plan Amendments, Medi-Cal Estimate Policy Changes, regulatory and bill analyses, and responses to inquiries from stakeholders, CMS, control agencies, and the Legislature.
You will develop standard procedures and guidelines for policy work products developed by staff and will train and mentor health policy staff.
You will bring the following qualifications and expertise to FFSRDD:You will find additional information about the job in the Duty Statement.
Working Conditions
Telework is based on operational needs for employees who can perform their essential functions remotely and/or whose duties are conducive to teleworking per DHCS' Telework Policy and in accordance with Government Code Sections for employees residing in California.
Should the incumbent need to report to an office, they will need to report to DHCS office location: 1501 Capitol Avenue, Sacramento, CA 95814.
You will find the Minimum Requirements in the Class Specification.
Job Code #:
JC-407576
Position #(s):
Working Title:
Health Care Financing Specialist II (Telework)
Classification:
HEALTH PROGRAM SPECIALIST II
$6, $8,334.00
# of Positions:
Multiple
Work Location:
Sacramento County
Telework:
Telework
Job Type:
Permanent, Full Time
Department Information
DHCS is California's health care safety net, helping millions of low-income and disabled Californians each and every day.
DHCS' purpose is to provide equitable access to quality health care leading to a healthy California for all.
To accomplish this, DHCS finances and administers state and federal health programs, including medical, dental, mental health, substance use treatment services, and long-term care.
We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians.
DHCS is a dynamic department with ambitious goals and talented, committed employees.We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians.
DHCS is committed to addressing disparities with our organization and in our communities through efforts toward greater diversity, equity, and inclusion.
This is accomplished, in part, by a commitment toward employing a diverse workforce which reflects the many communities we serve, and by promoting and enforcing equal employment opportunities.
Application Instructions
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:
Until Filled
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.
Individuals who are eligible for a Training and Development assignment may also be considered for this position(s).
Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process.
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 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 Health Care Services
Attn:
Certification Technician
M.S. 1300
P.O. Box 997411
Sacramento, CA
Address for Drop-Off Application Packages
You may drop off your application and any applicable or required documents at:
Department of Health Care Services
1501 Capitol Avenue, Suite
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:
Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview.
Benefits
Benefit information can be found on the CalHR website and the CalPERS website.
Contact Information
The Hiring Unit Contact is available to answer questions regarding the position or application process.
Hiring Unit Contact:
Megan Yim
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 Officer
California Relay Service:
TTY), Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.
Additional Information
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.
Paper applications must include a signature.
Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed.
A completed state application (STD. 678) and any documents list under Required Application Documents must be submitted with your application package.Applicants who are relying on additional documentation (e.g., transcripts, copy of degrees, certifications, licenses, etc.) in order to prove that they meet the minimum qualifications listed in the Classification Specification (located on the right under Additional Documentation) must submit those documents with their application package.
Failure to submit these documents may result in your application being disqualified.Applications must include a description of the duties performed for each position held; reference to a resume in place of a description of the duties performed will not be accepted.
Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, T&D, or Surplus/SROA), and the Job Control (JC) number and/or position number in the Examination(s) or Job Title(s), For Which You Are Applying section on the STD.
If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Recruitment Section at
For all other questions regarding your CalCareer account, please contact CalHR's CalCareers Unit at or
Additional Information
If you are interested in this position, it is critical to review the Classification Specifications to determine if you will meet the minimum qualifications (MQ's).
The Classification Specification and MQ's can be found here:
Health Program Adviser/Specialist/Manager Series - CalHR.
This recruitment has been posted for more vacancies than currently exist as it may be used to fill additional identical vacancies which occur within 180 days of the closing date of this bulletin.
Please refer to the duty statement attached above and the Working Conditions section on this Job Control for additional information.
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.
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.