Research Data Specialist III

California Department of Health Care Services; Sacramento (CA); Hybrid; USD 94.000 - 121.000; Vollzeit

Benefits dieser Stelle

Medical Insurance

Paid Holidays

Retirement Program

Employee Assistance Program (EAP)

Zusammenfassung

California Department of Health Care Services (DHCS) seeks a Research Data Specialist III to lead complex analytics, research, and coordination across fraud-detection initiatives within the DACD. The role involves designing studies, defining data requirements, and developing metrics and reporting for Medi-Cal program integrity.

Responsibilities include conducting econometric analyses, identifying emerging fraud schemes, and communicating findings.

Qualifikationen

• Advanced data analysis methods and econometric techniques used on large healthcare datasets.
• Leadership techniques and project management principles for complex research projects.
• Experience coordinating cross‑functional teams in an audit or analytics setting.

Aufgaben

• Design and conduct large-scale fraud, waste and abuse studies in Medi-Cal.
• Develop data specifications, case creation, and reporting workflows for DACD.
• Lead development of indicators, models, and reporting approaches for program insights.
• Conduct statistical analyses using specialized healthcare payment data sources.

Jobbeschreibung

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!

Job Description And Duties

Under the general direction of the Manager II, the Research Data Specialist III (RDS III) will support the Data Analytics & Case Development Branch (DACD) within Audits & Investigations (A&I), providing specialized analytics, research, and coordination across multiple fraud-detection and program-integrity initiatives. As lead data scientist for DACD, the incumbent will design, develop, and complete complex, large-scale research projects to identify and study issues of potential fraud, waste and abuse in the Medi-Cal program.

The incumbent independently determines the scope, objectives, research criteria, analytical parameters, data requirements, and methodologies for the Department's most complex fraud, waste, and abuse studies affecting Medi-Cal programs and operations.

The RDS III provides quality research, data analysis, and evaluation; develops specifications and other documentation related to data analysis, case creation, and reporting; conducts statistical and econometric analyses using various specialized healthcare payment data sources; and leads the development of metrics, specifications, and data files that may include confidential patient data.

The RDS III researches, develops, validates, and implements innovative or previously undefined analytical methodologies, indicators, models, and reporting approaches to identify emerging fraud schemes, assess program vulnerabilities, and forecast future programmatic and fiscal impacts.

Have questions and/or need assistance? Contact: [e-mail], we are here to help walk you through the state hiring process!

This position is subject to the Department's Conflict of Interest Code and filing a Statement of Economic Interests (Form 700) when assuming office, annually while in office, and upon leaving office.

Electronic applications are highly encouraged.

Per CCR 249.3, this job control may be used to fill subsequent vacancies.

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 DATA SPECIALIST III

Additional Documents

• Job Application Package Checklist
• Duty Statement

Position Details

Job Code #: JC-536996

Position #: 806-410-5770-XXX

Working Title: Research Data Specialist III

Classification: RESEARCH DATA SPECIALIST III

$8,392.00 - $10,820.00

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

# of Positions: Multiple

Work Location: Sacramento County

Telework: Hybrid

Job Type: Permanent, 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.

Individuals who claim list eligibility must have reachable placement on the appropriate certification list for a classification they apply to.

Statement Of Qualifications Requirement Section

Applicants must include a Statement of Qualifications (SOQ) for this recruitment. The SOQ is a narrative discussion, not a cover letter, prepared by the applicant describing how their skills, knowledge, abilities, education, training, and experience, qualify them for the position. The SOQ serves as documentation of the applicant’s ability to present information clearly and provide DHCS additional information about their experience and qualifications concisely in writing.

The SOQ must be no more than two pages in length, double-spaced and using 12-point font. You must indicate your Full Name and Job Control Number at the top right corner.

Candidates who fail to provide an SOQ with their application or do not follow SOQ instructions may be disqualified. Resumes do not take the place of the SOQ.

Please describe your experience and education as it relates to job duties.

Education: If you are meeting minimum qualifications with education, you must include a copy of your diploma/degree and/or unofficial/informal transcripts for verification. Official transcripts may be required upon appointment.

• The position requires a Live Scan prior to being hired***

Successful candidates are required to submit to a background investigation process, including mandatory electronic fingerprinting via the California Department of Justice (DOJ) Live Scan system.

Desirable Qualifications

In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:

Knowledge of: Data analysis methods and techniques including gathering and collection of structured and unstructured data, as well as general principles, concepts and terminology used in research; planning studies and investigations; trend analysis procedures; time management techniques to provide for efficient prioritization and completion of projects and assignments; software to prepare spreadsheet summaries, reports, charts, and tables; basic arithmetic and statistical techniques to analyze numerical data; and departmental policies and procedures. Advanced automated processes for capturing data and applying quality control procedures to design and implement complex research projects; current leadership techniques and their application to ensure effective oversight of project team members; project management principles to monitor project progress, and conduct final project evaluation; and function as lead for complex large scale research projects.

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
• Full benefits information can be found on CalHR's?California State Civil Service Employee Benefits Summary

Contact Information

Hiring Unit Contact: Sajid Hussain

[phone]

[e-mail]

Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.

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 Section

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.

Business travel may be required, and reimbursement considers an employee’s designated office and residence subject to regulations and bargaining unit contract provisions. All commute expenses to the reporting location will be the responsibility of the selected candidate.

Salary: 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 position’s 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.