Medi-Cal Claims & Compliance Specialist

California Department of Health Care Services; Sacramento (CA); Hybrid; USD 74,000 - 93,000; Full time

Benefits offered by this job

Continuous training

DEI program activities

Employee Assistance Program (EAP)

Medical, dental, and vision insurance

Paid holidays and vacation/leave

Defined retirement program

Savings Plus Program (401k, 457)

Reimbursement accounts

Job summary

California Department of Health Care Services is seeking a Health Program Specialist I in Sacramento County to serve as a technical program consultant and expert advisor for Medi-Cal behavioral health fiscal policies and claiming systems.

The role requires independent initiative, strong analytical abilities, and the ability to handle confidential information while advising on complex policy matters and ensuring compliance with regulations.

Qualifications

• Strong analytical skills with the ability to problem-solve and use critical and creative thinking.
• Ability to communicate effectively orally and in writing with internal and external stakeholders.
• Knowledge of research, survey, and analytical methods and techniques.
• Ability to prepare and present technical reports and make recommendations.
• Ability to manage and prioritize multiple projects.
• Ability to work independently and in a team environment.
• Experience using Microsoft Excel or similar data management software.
• Experience analyzing data and making recommendations for process improvements to a system or project.

Responsibilities

• Provide policy and consultative advice on complex and sensitive policy matters within the Branch.
• Function as a Branch expert advisor and specialist for Medi-Cal behavioral health fiscal policies and claiming implementations.
• Perform complex analytical and research activities related to behavioral health care services for Medi-Cal beneficiaries.

Skills

Analytical skills

Communication

Research methods

Technical reporting

Project management

Independent work

Excel experience

Data-driven improvements

Job description

California Department of Health Care Services is seeking a Health Program Specialist I in Sacramento County to serve as a technical program consultant and expert advisor for Medi-Cal behavioral health fiscal policies and claiming systems.

The role requires independent initiative, strong analytical abilities, and the ability to handle confidential information while advising on complex policy matters and ensuring compliance with regulations.