Associate Health Program Adviser

California Department of Health Care Access and Information; Sacramento (CA); Hybrid; USD 67,000 - 84,000; Full time

Job summary

The California Department of Health Care Access and Information in Sacramento is seeking an Associate Health Program Adviser (AHPA) to support the Hospital Fair Billing Program and AB 1312 compliance. This permanent, full-time role offers hybrid telework and involves analysing billing data, assisting with eligibility and penalties, and helping develop relevant regulations.

Under supervision, you will balance collaborative and independent work on special projects while contributing to equitable

Responsibilities

• Plan, implement, monitor, and evaluate hospital compliance with AB 1312.
• Perform financial analysis of patient billing complaints and assist with eligibility determinations and penalties.
• Contribute to regulations development and enforcement actions as needed.
• Work on special projects with professional discretion.

Job description

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.

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.

Position Details

• Job Code #: JC-527841
• Position #(s): 441-511-8337-XXX
• Working Title: Associate Health Program Adviser
• Classification: ASSOCIATE HEALTH PROGRAM ADVISER
• $6,031.00 - $7,547.00
• # of Positions: 1
• Work Location: Sacramento County
• Telework: Hybrid
• Job Type: Permanent, Full Time

Department Information

California’s Department of Health Care Access and Information works to ensure that healthcare is available where Californians need it most. With offices in Sacramento and Los Angeles, we strengthen the state’s healthcare system through facility construction, expanding the health workforce, and providing vital health information. Our diverse team upholds the values of professionalism, innovation, equity, and service. We provide tools and support to help you start, build, or transition your career while making a meaningful impact for all Californians.

At HCAI’s Office of Health Information, we shape conversations and generate impactful insights about California’s healthcare landscape from data submitted to us by hospitals, health plans, prescription drug manufacturers, and California’s health workforce. These conversations and insights inform policymakers, researchers, community leaders, and the broader healthcare industry regarding topics such as health care cost transparency, the total cost of care, and health outcomes. Our mission is to expand equitable access to quality, affordable health care for all Californians and we want you to join us in our cause!

HCAI is committed to building an inclusive work environment that promotes diversity, where employees are appreciated and feel comfortable being their authentic selves. We value our employees’ skills, experience, and unique perspectives because they enrich our workforce and make us stronger. We embrace and support a culture of equitable opportunity, empowering our employees to advance health care access and information for the diverse populations we serve across California.

Department Website: http://HCAI.ca.gov/

Job Description And Duties

Under the direction of the Health Program Manager I (HPM I) of the Hospital Fair Billing Program (Program), and guidance from Health Program Specialist I (HPS I) staff, the Associate Health Program Adviser (AHPA) performs the more difficult and complex duties involved in the planning, implementation, monitoring, and evaluation of hospital compliance with Assembly Bill (AB) 1312. The AHPA performs financial analysis of patient billing complaints and assists with eligibility determination, penalty determination, appeals, and regulations development pertaining to hospital compliance with the laws regarding health care debt and fair billing. The AHPA will perform other special projects as required and must utilize professional discretion while working both collaboratively and independently. The Program is responsible for ensuring that hospitals comply with the laws regarding health care debt and fair billing, as set forth at Article 1, Chapter 2.5, Part 2, Division 107 of the Health and Safety Code (Section 127400 et seq.), including requirements for hospital discount payment, charity care, and debt collection policies. In addition to reviewing these policies, the Program receives consumer complaints, conducts investigations and assesses penalties when warranted, pursues enforcement actions as necessary through the administrative hearing process, and administers an appeal process from administrative penalties.

Effective July 1, 2025, specific Bargaining Units and associated Excluded State employees are subject to a salary reduction between 2% - 4.62% in exchange for Personal Leave Program 2025 (PLP 2025) hours each month. For more details about PLP 2025, visit the California Department of Human Resources (CalHR) website.

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).

Required Application Package Documents

• 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 - A Statement of Qualifications (SOQ) must be submitted to apply for this position. Please address the Statement of Qualifications (SOQ) below. The SOQ must be no more than two pages in length using 12 pt. Arial font single spaced. Applications received without a SOQ will not be considered.
• Please explain why you want to join the HCAI Hospital Fair Billing Program, and how your background and experience will be an asset to the program. Please include a description of any experience in the health care industry.

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