Health Plan Program Specialist

CalPERS; Sacramento (CA); Hybrid; USD 81,000 - 102,000; Full time

Job summary

CalPERS seeks a Health Plan Program Specialist II in the Health Plan Research and Administration Division, located in Sacramento with hybrid telework. The role oversees contracts and compliance for health plans, ensuring operational adherence to contractual requirements and collaborating with internal teams.

The position is permanent, full-time, with competitive California benefits. In-person or hybrid interviews are anticipated as part of the selection process.

Qualifications

• Minimum qualifications must be demonstrated per the Classification Specification."
• If you have a degree from outside the United States, submit an evaluation to determine US equivalency.

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.

Position Details

Job Code #: JC-537452

Position #(s): 275-173-8336-002

Working Title: Health Plan Program Specialist

Classification: HEALTH PROGRAM SPECIALIST II

Salary Range: $7,276.00 - $9,107.00

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

# of Positions: 2

Work Location: Sacramento County

Telework: Hybrid

Job Type: Permanent, Full Time

Department Information

The California Public Employees’ Retirement System (CalPERS) is the nation’s largest public pension fund, providing retirement and health benefits to public employees, retirees, and their families. Headquartered in downtown Sacramento, we are a destination employer with an international reputation for leadership and innovation. At CalPERS, we’re committed to people – the people we serve, our team members, and the larger community around us. CalPERS is situated near the Napa Valley, San Francisco, Lake Tahoe, and other desirable destinations, and we offer competitive benefit packages, compensation, and opportunities for advancement.

If you are interested in becoming part of a diverse and inclusive workforce where talent, experience, and expertise are valued, CalPERS invites you to apply for this employment opportunity. To find out more about our Diversity, Equity, and Inclusion efforts, visit our website !

To take a look at CalPERS as a destination employer, view this YouTube video .

Job Description And Duties

Anticipated Interview Dates: We anticipate holding in-person interviews beginning the week of December 7, 2026. We look forward to meeting with you!

Are you looking for a position to use your organizational, communication, and project management skills? Are you interested in working with a great team, collaborating across division lines and with health plans across California? This opportunity is for someone who loves a challenge and thrives in a busy and positive atmosphere.

CalPERS seeks a Health Program Specialist II (HPS II) in the Health Plan Research and Administration Division (HPRA), Health Plan Contracts and Compliance (HPCC) section. The HPCC is responsible for overseeing the day-to-day operations to ensure contractual requirements are performed by our contracted HMO, PPO, PBM, PHM and Medicare medical plan administrators.

The HPS II collaborates with professional staff that oversee operations to ensure contractual requirements are performed by the contracted HMO, PPO, PBM, PHM and Medicare medical plan administrators.

Sponsorship

This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States without the need for visa sponsorship. CalPERS does not participate in E-Verify for employment authorization purposes.

Effective July 1, 2025, The California Department of Human Resources (CalHR) implemented the Personal Leave Program 2025 (PLP 2025). PLP 2025 directs that each employee shall receive a 3 percent reduction in pay in exchange for 5 hours PLP 2025 leave credits, monthly. The salary range(s) included in the job advertisement do not reflect the 3 percent reduction in pay.

Minimum Qualifications

All experience and education relating to the Minimum Qualifications (MQs) listed on the Classification Specification should be included in your application package to clearly demonstrate how you meet the MQs for this position. If you are using education to meet MQs, please include your transcripts with your application package. If you have a degree from outside of the United States, you must submit an evaluation of this degree to determine the US equivalency. If you need an evaluation, you can visit the National Association of Credential Evaluation Services (NACES) website to find organizations that provide these services. The Classification Specification is located on this Job Posting under "Minimum Requirements".

Please Note: You may need to pass an examination to establish list eligibility prior to a final offer of employment. To find and take an exam, visit CalHR’s CalCareers website.

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

Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.