Job Listings

Provider Networks Specialist II

State of California

Under the general direction of the Staff Services Manager II (SSM II) in the OPM, Division of Provider Networks (DPN) the incumbent performs high profile, sensitive and complex specialized assignments involving broad policy issues, which have significant statewide impact on the Department's program activities pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Act), the California Code of Regulations, Title 28 (Regulations), and program policies and procedures. The Health Program Specialist II serves as a project manager for program related activities associated with the planning, implementation and monitoring of the requirements of Senate Bill 221 into the Division's program and amendments to Rule 1300.67.2.2. The incumbent is responsible for monitoring project timelines, performing research, facilitating meetings, conducting high-level analyses, compiling data independently, and drafting written material involving complex policy matters related to Senate Bill 221 and provider network adequacy. The incumbent advises program staff and Deputy Director on complex policy issues, provides recommendations, subject matter expertise, and technical assistance.

This position is eligible for a hybrid telework schedule under Government Code 14200. Under the Department of Managed Health Care's (DMHC) current hybrid telework policy, employees may be required to report in-person to the office two times per week and will be required to utilize a shared or "hotel" workspace. Employees may also be required to report in person more frequently as determined by management, which may include working at a DMHC designated headquarters and/or offsite events or locations. Employees must work from a location within California while employed at the DMHC.

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You will find additional information about the job in the Duty Statement .

Working Conditions

The DMHC utilizes a hybrid telework model to provide all employees with an avenue to telework while ensuring business and operational needs are met.

Remote-Centered employees are expected to maintain a safe and distraction free work environment at the approved alternate work location. Remote-Centered employees agree to adhere to the state telework policy, the DMHC's telework policy, and conditions cited in the Telework Agreement (STD 200).

Office-Centered employees are expected to maintain a dedicated workstation at a DMHC official worksite. Office-Centered employees are expected to work in a climate-controlled office or cubicle under artificial lighting.

Minimum Requirements You will find the Minimum Requirements in the Class Specification.
• HEALTH PROGRAM SPECIALIST II
Additional Documents
• Job Application Package Checklist
• Duty Statement

Position Details Job Code #:
JC-453177

Position #(s):

Working Title:
Provider Networks Specialist II

Classification:
HEALTH PROGRAM SPECIALIST II $7,064.00 - $8,842.00

# of Positions:
1

Work Location:
Sacramento County

Telework:
Hybrid

Job Type:
Permanent, Full Time

Department Information
The mission of the California Department of Managed Health Care (DMHC) is to protect consumers' health care rights and ensure a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for consumers. The Department protects the health care rights of more than 29.8 million Californians by regulating health care service plans, assisting consumers through a consumer Help Center, educating consumers 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. 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

Location: Sacramento, CA

Posted: Oct. 15, 2024, 7:27 a.m.

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