Medi-Cal Policy & Compliance Analyst II

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

Benefits offered by this job

Hybrid telework

Job summary

The California Department of Health Care Services (DHCS) seeks an Analyst II to oversee managed care plan (MCP) compliance with CMS rules, amend the contract to reflect federal regulations, and support enforcement of noncompliance. The role involves developing a liquidated damages process and supporting policy development for Medi-Cal managed care.

This 12-month limited-term, full-time position is in Sacramento with telework options.

Qualifications

• Oversee MCP compliance with CMS Advancing Interoperability Final Rule and amend contracts as needed.
• Support policy development, implementation, and evaluation for the Medi-Cal managed care delivery system.

Responsibilities

• Oversee MCP compliance with state and federal regulations.
• Develop and enforce a cyclical liquidated damages process for noncompliance.
• Support policy implementation and evaluation related to Medi-Cal managed care.

Skills

Analyst II

Job description

The California Department of Health Care Services (DHCS) seeks an Analyst II to oversee managed care plan (MCP) compliance with CMS rules, amend the contract to reflect federal regulations, and support enforcement of noncompliance. The role involves developing a liquidated damages process and supporting policy development for Medi-Cal managed care.

This 12-month limited-term, full-time position is in Sacramento with telework options.