Eligibility and Benefits Analytic Research Scientist (Hybrid)

California Department of Health Care Services; Sacramento (CA); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Continuous training

Diversity, Equity, and Inclusion

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 seeks a Research Scientist (Hybrid) in the BEDSB to support methodology development for the Managed Care Final Rule and data validation across plans and regions.

The role focuses on measuring network adequacy, data quality, and implementing CMS-aligned analytics with robust documentation and testing processes. Telework is available with a Sacramento office base.

Qualifications

• 2 years of experience using SAS program.

Responsibilities

• Support, plan and validate methodologies for compliance with criteria.
• Develop measures and metrics to monitor data files for quality and completeness.
• Establish evidence-based analytical approaches to verify network adequacy.

Skills

SAS

Tableau

SQL

MIS/DSS

Health data

Tools

SAS

Tableau

SQL

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. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today!

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).

The RS will support, plan, organize, develop and validate methodologies designed to ensure compliance with all required criteria necessary for the implementation of the Managed Care Final Rule. The RS will support the creation and refinement of the measures and metrics required to monitor managed care network data files for both quality and completeness. The RS will also focus on establishing robust, evidence-based analytical approaches that verify network adequacy standards that are not only met, but also measurable and actionable across all plans, populations, and regions. This process will include detailed statistical validation, documentation of assumptions, and testing for consistency with the Centers for Medicare & Medicaid Services (CMS) regulatory framework.

Training and Development (T&D) assignm ents 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

You will find the Minimum Requirements in the Class Specification.

• RESEARCH SCIENTIST

Job Code #:

JC-534425

Position #(s):

803-397-5582-921

Working Title:

Eligibility And Benefits Analytic Research Scientist (Hybrid)

Classification:

RESEARCH SCIENTIST

# 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

• 2 years of experience of using SAS program.
• Experience with Business Object, Tableau, and SQL statistical software. MIS/DSS experience.
• Experience working with health care data/health services administrative data. Presenting, teaching, and project management experience.

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

Hiring Unit Contact

Soua Vang

[phone]

[e-mail]

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 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.