Auditor I - San Francisco County, CA, United States - Department of Health Care Services

Department of Health Care Services
Department of Health Care Services
Verified Company
San Francisco County, CA, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Why Join DHCS?

About this Role:

The role of the Auditor is to support the Contract and Enrollment Review Division for DHCS.

CERD conducts state mandated medical and compliance reviews and audits to verify compliance with contractual requirements. Provider types audited include medical, dental and behavioral health managed care plans; Drug Medi-Cal Organized Delivery Systems.

Other work performed include federally mandated post-service, post-payment behavioral health utilization reviews; provider enrollment onsite reviews of high and moderate risk prospective Medi-Cal providers; onsite reviews for site certification and recertification of county-owned or operated Specialty Mental Health providers; and other requested third-party contract compliance reviews.

Our focus is to improve the effectiveness and efficiency of DHCS and the programs it administers.


Under the general direction of the Contract and Enrollment Review Division (CERD), Health Program Audit Manager I, the Auditor I is the trainee and initial working level of the Health program Auditor (HPA) series.

The Auditor I assists in the medical and/or management field audits of Medi-Cal providers and Medi-Cal managed care contracted providers.

Travel of up to 20% is required. Overnight travel is routinely required and out of state travel including overnight and/or weekend stays may be required.

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

Working Conditions

  • Please see the Telework Information section below for telework details.
  • Minimum Requirements
You will find the Minimum Requirements in the Class Specification.

  • AUDITOR I

  • ASSOCIATE MANAGEMENT AUDITOR
  • HEALTH PROGRAM AUDITOR II, DEPARTMENT OF HEALTH SERVICES
  • HEALTH PROGRAM AUDITOR III, DEPARTMENT OF HEALTH SERVICES

  • STAFF SERVICES MANAGEMENT AUDITOR
Additional Documents

  • Job Application Package Checklist
  • Duty Statement
Position Details


Job Code #:


  • JC431569
-
Position #(s):


XXX
-
Working Title:


Auditor (Hybrid Option)

Classification:


  • AUDITOR I
$4, $5,279.00
Automatic Hiring Above Minimum for Auditor I is $4,214.

Shall Consider:

HEALTH PROGRAM AUDITOR II, DEPARTMENT OF HEALTH SERVICES
- $5, $6,851.00

HEALTH PROGRAM AUDITOR III, DEPARTMENT OF HEALTH SERVICES
- $6, $8,238.00


STAFF SERVICES MANAGEMENT AUDITOR
- $4, $6,851.00


ASSOCIATE MANAGEMENT AUDITOR
- $6, $8,238.00


# of Positions:


  • Multiple
-
Work Location:


  • San Francisco County
-
Telework:


  • Hybrid
-
Job Type:


  • Permanent, Full Time
  • Department Information
  • DHCS is California's health care safety net, helping millions of lowincome 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.
  • DHCS is a dynamic organization 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 within 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 that reflects the many communities we serve, and by promoting and enforcing equal employment opportunity.
  • Take a look at some of DHCS' recent projects and happenings that our department has accomplished in the DHCS Newsroom
Special Requirements


Simple Application Steps
If you are interested in this position, complete the following these simple steps:

Review the education and experience minimum qualifications (MQ's) of the Auditor I, Health Program Auditor II/III, Staff Services Management Auditor, and/or Associate Management Auditor classification.

See the Minimum Requirements section above.

  • Once you have applied, take the Auditor I Examination and/or Staff Services Management Auditor Examination.
  • Application Instructions
Final Filing Date: 6/3/2024

-
Who May 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
-
Address for Mailing Application Packages
Department of Health Care Services

  • Attn: Certification Technician
  • M.
S. 1300

  • P.
O. Box 997411

  • Sacramento, CA

Address for Drop-Off Application Packages
Department of Health Care Services
-1501 Capitol Avenue, Suite

  • Sacramento, CA
95814

-08:00 AM - 05:00 PM


Required Application Package Documents

  • Resume is optional. It may be included, but is not required.
  • Other
    Education: If you are meeting minimum qualifications with education, you must include a copy of your diploma/degree and/or unofficial/informal transcripts for verification. Official
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