Job Description

Job Description and Duties

Under the general direction of the Staff Services Manager III (SSM III) in the OPM, Division of Provider Networks (DPN), the Health Program Specialist II (HPS II) performs high profile, sensitive and complex specialized assignments involving broad policy issues pertaining to network adequacy and accessibility resulting in a statewide impact to health plans, providers and consumers in support of efficient and effective regulatory interaction between the DMHC, providers, and health plans pertaining to network adequacy and accessibility. The HPS II is assigned the more varied and complex provider network filings, technical data analysis and research-related assignments that support the Division’s program operations to ensure effective interpretation and implementation of the Knox-Keene Health Care Service Plan Act of 1975 (Act), the California Code of Regulations, Title 28 (Regulations), and programs policies and procedures. The HPS II serves in a lead capacity and as a subject matter expert on projects in the DPN program, performs a broad range of highly technical, consultative and programmatic areas within the OPM. The HPS II performs research, analyzes, and compiles data independently, and drafts written material involving highly complex policy matters. The HPS II reviews, validates, interprets, and makes recommendations with respect to spreadsheet data containing provider network and timely access information, mathematical calculations, including data verifications and tabulations, manipulation of data, and preparation of supporting data tables .

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You will find additional information about the job in the .

Working Conditions

The DMHC has locations in Downtown Sacramento and Rancho Cordova. Both locations are located close to light-rail with various amenities. The incumbent will work in a climate-controlled cubicle and/or office environment with artificial lighting.

This position may be eligible for hybrid telework. The telework schedule is permitted at the operational needs of the Department and is subject to change, consistent with the State Telework Policy and the DMHC’s Telework Policy. All employees who telework are required to be California residents and maintain California residency in accordance with Government Code 14200.

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 high school transcripts or college/university transcript(s).

Unofficial transcripts may be accepted during the application process; however, submission of official transcripts may be required prior to appointment.

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:

• Experience managing projects and leading teams
• Knowledge of health plan provider networks
• Ability to work on confidential and sensitive assignments, and consistently exercise a high degree of initiative, independence, sound judgment in performing assigned tasks
• Ability to research and analyze complex issues
• Ability to establish and maintain collaborative, productive, and professional working relationships with departmental leadership and stakeholders
• Experience using GIS software such as ArcGIS and Tableau
• Experience generating dashboards and maps to visualize data
• Work proficiently with spreadsheets and database files using Microsoft Excel, Access, and PowerBI applications, including experience with creating tables, graphs, and querying large data sets
• Ability to adjust to shifting priorities, meet deadlines, and work under pressure
• Ability to work well independently and in a team while working remotely or in an office environment
• Strong written and oral communication skills

Benefits

Benefit information can be found on the CalHR website and the CalPERS website.

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.

Do NOT include your social security number on any submitted documents. If submitting your application via postal mail or in person, please notate RPA: 25-006 and Job Control: JC 485938 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 the Health Program Specialist II 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 5:00 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.

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 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 -

  The Statement of Qualifications (SOQ) is a MANDATORY requirement to apply for this position. The SOQ will answer specific questions and provide insight to the hiring manager regarding the candidate’s education, training, experience, and skills to meet the minimum and desirable qualifications for the position.

  Please see section labeled Statement of Qualifications Instructions for further direction .

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