Duals Managed Care Researcher (Hybrid)

California Department of Health Care Services; Sacramento (CA); Hybrid; USD 85,000 - 109,000; Full time

Benefits offered by this job

Continuous training

Diversity & Inclusion programs

Employee Assistance Program (EAP)

Medical, dental, and vision insurance

Paid holidays and vacation

Defined retirement program

Savings Plus Program (401(k), 457)

Medical/Dependent Care Reimbursement

Job summary

California Department of Health Care Services is seeking a Research Scientist in the Benefits and Eligibility Data Support Branch (BEDSB) to support the Managed Care Final Rule. The role performs data validation, develops measures, and contributes to data preparation and analyses under supervision.

The position offers 12-month limited term employment with hybrid telework and is based in Sacramento. Prior experience with Medi-Cal/Medicare data and SAS/SQL is desirable.

Qualifications

• Strong quantitative and qualitative analytic skills.
• Practical knowledge and experience with SAS, SQL, BI, Business Objects, R, and Python.
• Experience with Medi-Cal and Medicare data including eligibility, enrollment, claims, and encounters.
• Ability to manage multiple projects, meet deadlines, and communicate findings clearly.

Responsibilities

• Perform routine data validation and data quality checks.
• Support development of measures and metrics to monitor wait times and network adequacy.
• Contribute to data preparation, documentation and preliminary analyses.
• Assist with components of larger studies and learn advanced methods from senior staff.

Skills

Quantitative analysis

Qualitative analysis

Communication skills

Independent work

Tools

SAS

SQL

R

Python

Business Intelligence

Business Objects

Job description

Work Location

Sacramento County

Job Description And Duties

Why Join DHCS?

The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies, counties, and partners for the care of low-income families, children, pregnant women, older adults, and persons with disabilities.

About this Role

The Enterprise Data and Information Management (EDIM), Program Data Reporting Division (PDRD) at the California DHCS is seeking a highly motivated and experienced individual to join our team as a Research Scientist (RS) within the Benefits and Eligibility Data Support Branch (BEDSB).

Under the general direction of the Research Scientist Supervisor I, the RS assists with analytical activities supporting the implementation of the Managed Care Final Rule. The RS performs routine data validation, supports the development of measures and metrics to monitor appointment wait time standards and managed care network adequacy, and contributes to data preparation, documentation, and preliminary analyses. The incumbent applies established statistical and research methods under supervision, assists higher-level scientists with components of Managed Long-Term Services and Supports and Dual Eligible Special Needs Plan studies, and contributes to data linkage and reporting tasks using established departmental procedures. The RS participates as a team member in carrying out analytical tasks, learning advanced methods from senior research staff, and supporting larger scientific studies without independently directing complex research.

Training and Development (T&D) assignments may be considered for this position for current California civil service employees. T&D assignments cannot exceed 24 months. However, successful T&D candidates may transition to a permanent appointment, if eligible at the end of the T&D assignment.

This position has been advertised as limited term and is expected to last 24 months; it may become permanent or be extended.

This position is not eligible for a visa sponsorship. Applicants must be authorized to work in the US without the need for a visa sponsorship by the start date of employment.

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

Working Conditions

Please see the Telework and Salary Information section below for telework, reporting location, and temporary statewide salary reduction details.

Minimum Requirements

• RESEARCH SCIENTIST

Additional Documents

• Job Application Package Checklist
• Duty Statement

Position Details

Job Code #

JC-533008

Position #(s)

803-397-5582-920

Working Title

Duals Managed Care Researcher (Hybrid)

Classification

RESEARCH SCIENTIST

Salary

$7,625.00 - $9,799.00

New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

# of Positions

Multiple

Work Location

Sacramento County

Telework

Hybrid

Job Type

12 Month Limited Term - Full Time

Department Information

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 the DHCS' recent projects and happenings that our Department has accomplished in the DHCS Newsroom.

The PDRD's mission is to work with state, local, and community programs and business partners to support federal and state data reporting and data analytic requirements, along with providing data and research consultation and data expertise to programs and partners in these areas. The PDRD is part of the EDIM, which provides department-wide leadership and support of the collection, analysis, management, and dissemination of quality data and data products in order for programs to make sound, data-driven decisions to better serve members, improve outcomes, and support programmatic needs and requirements.

All hires pending HR approval.

Desirable Qualifications

• Strong quantitative and qualitative analytic skills sufficient to perform the duties described in the duty statement.
• Practical knowledge, training, and experience with software such as SAS, Structured Query Language (SQL), Business Intelligence, Business Objects, R, and Python, etc.
• Experience working with Medi-Cal and Medicare eligibility, enrollment, claims, encounter, and provider data.
• Ability to effectively manage multiple projects and priorities; strong written and verbal communication skills, ability to communicate and present findings clearly and efficiently; detail-oriented and meets deadlines.
• Ability to work independently or in a team setting, take initiative, assume a high level of responsibility, and exercise good judgment, and excellent interpersonal and decision-making skills.

Benefits

• Continuous and ongoing training
• Diversity, Equity, and Inclusion program activities
• Employee Assistance Program (EAP)
• Medical, including health, dental, and vision insurance.
• Paid Holidays and vacation/leave
• Defined retirement program
• Savings Plus Program (401(k), 457)
• Medical/Dependent Care Reimbursement Accounts

Contact Information

The Hiring Unit Contact is available to answer questions regarding the position or application process.

Hiring Unit Contact:

Soua Vang

[phone]

[e-mail]

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

[phone]

[e-mail]

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.

Telework and Salary Information

This position is currently eligible for telework. The amount of telework is at the discretion of the Department and is subject to change consistent with DHCS’ Telework Program and Government Code sections 14200 – 14203. Telework is available to California residents, and proof of residency may be required.

The DHCS office location for this position is at 1700 K Street, Sacramento, CA 95811.

Personal Leave Program (PLP) 2025 agreement

Effective July 1, 2025, the California Department of Human Resources (CalHR) implemented the temporary Personal Leave Program 2025 (PLP 2025). PLP 2025 directs that each employee receive a temporary reduction in pay in exchange for PLP 2025 leave credits. The temporary salary reduction percentage and the number of PLP 2025 leave credits are based on the positions associated bargaining unit. The salary range(s) included in this job advertisement do not include the temporary salary reduction. Please reach out to the hiring unit contact listed on this job advertisement for details.

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 workplace. 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.