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Location

Sacramento County, CA | United States

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Job description

Job Description and Duties

We are considering a Training and Development (T&D) assignment for the HPS II.

The purpose of DHCS is to provide equitable access to quality health care leading to a

healthy California for all. The Medi-Cal program provides comprehensive health coverage to low and moderate-income Californians and is part of the federal Medicaid program.

As the Health Care Financing Specialist II (Health Program Specialist II), you will directly support the Fee-For-Service Rates Development Division (FFSRDD) Chief as a highly skilled, technical program consultant in:

• Developing financing methodologies to advance health care access, quality, and equity for all Californians through high-quality data-driven research and analysis.
• Administering ratesetting methodologies to finance billions of dollars in health care spending and provide accurate, efficient, and economical reimbursements to providers. 
• Engaging Medi-Cal providers and other stakeholders to inform the policy making process, clearly communicate policies and programs to the public, and provide excellent customer service.
• Maintaining a collaborative relationship with the Centers for Medicare & Medicaid Services (CMS) to secure federal funding participation for Medi-Cal.

You will evaluate and research the most complex and sensitive health care financing policy matters and develop timely recommendations for DHCS executive decision makers. You will provide project management leadership to coordinate the implementation of processes, policies, and projects across various teams. You will provide technical quality review of policy work products developed by staff including new reimbursement policies, State Plan Amendments, Medi-Cal Estimate Policy Changes, regulatory and bill analyses, and responses to inquiries from stakeholders, CMS, control agencies, and the Legislature. You will develop standard procedures and guidelines for policy work products developed by staff and will train and mentor health policy staff.

You will bring the following qualifications and expertise to FFSRDD:

• Passion for advancing health care access, quality, and equity for all Californians.
• Knowledge of or ability to quickly learn complex health financing policy issues related to Medicaid/Medi-Cal.
• Excellent analytical, writing, and problem solving skills.
• Understanding of basic statistical concepts, good working math skills, and good Excel skills.
• Experience with quantitative analysis of ratesetting, financial, accounting, audit, statistical, actuarial, budget, economic, or other similar data.
• Experience researching health or other similar public policy issues and developing policy recommendations.
• Experience planning and leading staff work for annual operational processes and ad hoc projects.
• Ability to gain and maintain cooperative working relationships with internal and external stakeholders.
• Experience engaging external stakeholders to inform policy development and communicating program information to the public.
• Ability to easily adapt to change and to act effectively under pressure.
• Good judgment, patience, poise, flexibility, tact, reliability, and dependability.

This advertisement is posted as until filled. Applications will be reviewed on the 1st and 15th of each month, and selections can be made.

You will find additional information about the job in the .

Working Conditions

Telework is based on operational needs for employees who can perform their essential functions remotely and/or whose duties are conducive to teleworking per DHCS’ Telework Policy and in accordance with Government Code Sections 14200 – 14203 for employees residing in California.

Should the incumbent need to report to an office, they will need to report to DHCS office location: 1501 Capitol Avenue, Sacramento, CA 95814.

Benefits

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

Additional Information

Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.

Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed.

A completed state application (STD. 678) and any documents list under “Required Application Documents” must be submitted with your application package. Applicants who are relying on additional documentation (e.g., transcripts, copy of degrees, certifications, licenses, etc.) in order to prove that they meet the minimum qualifications listed in the Classification Specification (located on the right under “Additional Documentation) must submit those documents with their application package. Failure to submit these documents may result in your application being disqualified. Applications must include a description of the duties performed for each position held; reference to a resume in place of a description of the duties performed will not be accepted.

Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, T&D, or Surplus/SROA), and the Job Control (JC) number and/or position number in the “Examination(s) or Job Title(s), For Which You Are Applying” section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application . Please remove any confidential information (i.e. social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission.

If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Recruitment Section at [email protected]

For all other questions regarding your CalCareer account, please contact CalHR’s CalCareers Unit at (866) 844-8671 or [email protected] .

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is required and must be included.

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Job tags

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Salary