Medical Survey Specialist

California Department of Managed Health Care; California; Hybrid; USD 74,000 - 93,000; Full time

Job summary

California Department of Managed Health Care in Sacramento is seeking a Health Program Specialist I to perform complex, specialized duties with statewide impact on health plan survey efforts. Responsibilities include project management, formulating recommendations, planning and conducting medical surveys of licensed health care service plans, and leading project teams to respond to regulatory changes.

The position offers hybrid work arrangements, with in-person duties as required, and residency

Job description

Job Description And Duties

Under the general supervision of the Supervisor II, the Health Program Specialist I (HPS I) functions as a highly skilled independent program consultant who performs the more complex, specialized duties which have significant statewide impact on the Department’s health plan survey efforts pursuant to the Knox-Keene Health Care Service Plan Act of 1975. Responsibilities include project management; formulating recommendations for implementing Department initiatives; planning, organizing, and conducting medical surveys of health care service plans; and organizing and leading project teams to respond to changes in regulations and Department directives as they impact the Division of Plan Surveys and other Offices. The incumbent conducts statutorily mandated surveys, as well as non-routine and investigative medical surveys, of licensed health care service plans.

Working Conditions

The DMHC has locations in Downtown Sacramento and Rancho Cordova. Both locations are located close to light-rail with various amenities. The incumbent will work in a climate-controlled cubicle and/or office environment with artificial lighting.

This position may be eligible for Hybrid work. In-person attendance is required based on the operational needs of the position and in accordance with Executive Order N-22-25 the Statewide Hybrid Telework Policy, Government Code section 14200, and any applicable department telework requirements. The successful candidate must reside in California at the time of appointment. Proof of California residency may be required.

Minimum Requirements

You will find the Minimum Requirements in the Class Specification.

• HEALTH PROGRAM SPECIALIST I

Additional Documents

• Job Application Package Checklist
• Duty Statement

Position Details

Job Code # JC-536498

Position #(s) 409-571-8338-013

Working Title Medical Survey Specialist

Classification HEALTH PROGRAM SPECIALIST I

Pay $6,623.00 - $8,290.00

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

# of Positions 1

Work Location Sacramento County

Telework Hybrid

Job Type Permanent, Full Time

Department Information

The mission of the Department of Managed Health Care (DMHC) is to ensure health plan members have access to equitable, high-quality, timely, and affordable health care within a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for members. The Department protects the health care rights of Californians by regulating health care service plans, assisting members through a member Help Center, educating members on their rights and responsibilities and preserving the financial stability of the managed health care system.

DMHC values diversity at all levels of the organization and is committed to fostering an environment in which employees from a variety of backgrounds, cultures, and personal experiences are welcomed and can thrive. DMHC believes the diversity of our employees and their unique ideas inspire innovative solutions to further our mission. Join DMHC and help us improve the lives of all Californians.

If you are interested in learning about the Department of Managed Health Care (DMHC) culture from the perspective of someone like yourself, contact our Someone Like Me program (please check your Spam or Junk folders for our email replies). Within five business days of your request to participate in the Someone Like Me program, you will be matched with a DMHC employee with a similar background to discuss the DMHC’s culture. This program is not part of, or in any way affiliated with the application or hiring process. Prospective employees must complete the application process on Cal Careers (e.g., submit your application within the specified timeframes on the job posting) to be considered for hire at the DMHC. None of the information you provide through the Someone Like Me program will be relayed to the Hiring Unit.

Department Website: http://www.dmhc.ca.gov

Special Requirements

• The position(s) require(s) a Background Investigation be cleared prior to being hired.

Benefits

Benefit information can be found on the CalHR website and the CalPERS website.

Contact Information

• Department Website: http://www.dmhc.ca.gov
• Human Resources Contact: DMHC Recruitment [phone] [e-mail]
• Hiring Unit Contact: Joseph Marino [phone] [e-mail]
• EEO Contact: EEO Office [phone] [e-mail]
• California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice)

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.