Division of Provider Networks Attorney

Sacramento, California


Employer: State Of California
Industry: 
Salary: Competitive
Job type: Full-Time

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.

This position serves as a Provider Networks Attorney within the DMHC's Division of Provider Networks within the Office of Plan Monitoring (OPM), performing legal work related to ensuring that licensed health care service plans maintain adequate provider networks and deliver timely access to services as required under applicable provisions of the Knox-Keene Act. This position primarily serves as an attorney for legal review of health plan license applications, notices of material modifications to existing health plan licenses, amendments to existing health plan licenses, revisions to access-related policies and procedures, and block transfer notifications for compliance with network adequacy requirements. Work performed in the position also includes provider network compliance projects related to the use of telehealth in network adequacy analysis and the DMHC's annual network review.

The position provides counsel and advice to personnel within the OPM, interacts with individuals throughout the DMHC and within external organizations, and reports directly to the Assistant Chief Counsel for the Division of Provider Networks.

Please let us know how you heard about this position by taking a brief survey: DMHC Recruitment Survey

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.
  • ATTORNEY
Additional Documents
  • Job Application Package Checklist
  • Duty Statement

Position Details Job Code #:
JC-431461

Position #(s):
409-571-5778-003

Working Title:
Division of Provider Networks Attorney

Classification:
ATTORNEY $7,737.00 - $9,730.00 A
$8,708.00 - $11,173.00 B
$7,506.00 - $9,439.00 C
$8,448.00 - $10,836.00 D

# 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 29.7 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 being hired.

All applicants not currently employed by the DMHC will be subject to a pre-employment background investigation. The investigation will consist of fingerprinting and an inquiry to the California Department of Justice to disclose criminal records.

Any documents you submit for a job vacancy such as your State application, resume, cover letter, educational transcripts, etc. SHOULD NOT include ANY confidential information. Confidential information that should be excluded or removed from these documents include, but is not limited to, your Social Security Number (SSN), birthday, driver's license number (unless required), basis of eligibility, examination results, LEAP status, marital status, and age. Confidential information on the first page of applications submitted electronically online, such as Easy ID number, SSN, examination related information, and driver's license number will automatically be redacted upon submission. Possession of Minimum Qualifications will be verified prior to interview and/or appointment .

If you are using education to meet the minimum qualifications for this position, you MUST submit a copy of your college transcripts .

Unofficial transcripts may be accepted during the application process; however, submission of official transcripts may be required prior to appointment.

Application Instructions
Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
Final Filing Date: 5/20/2024
Who May Apply
Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

How To Apply
Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:

Address for Mailing Application Packages

You may submit your application and any applicable or required documents to:

Department of Managed Health Care
Attn: Chelsea Henricus
980 9th Street, Suite 500

Sacramento , CA 95814

Address for Drop-Off Application Packages

You may drop off your application and any applicable or required documents at:

Department of Managed Health Care
Chelsea Henricus
980 9th Street, Suite 500

Sacramento , CA 95814

08:00 AM - 05:00 PM

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 www.CalCareers.ca.gov. 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.
  • Statement of Qualifications -
    A Statement of Qualifications (SOQ) is a MANDATORY requirement in order to apply for this position. A SOQ is a narrative discussion describing how the candidate's education, training, experience and skills meet the minimum and desirable qualifications for the position.

    Please see section labeled "Statement of Qualifications" for further instructions.
Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

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 health care service plan programs and trends pertaining to Provider Networks
• Familiarity with health care delivery models and issues related to the provision of health care services
• Comfort with interpreting data and understanding statistical analyses for the purpose of determining legal compliance
• Ability to organize and establish simultaneous workload priorities and work under pressure
• Exercise a high degree of initiative, flexibility, and confidentiality
• Ability to work independently, as well as cooperatively and effectively with others
• Ability to professionally communicate both orally and in writing
• Ability to reason well and use good judgment
• Dependable, punctual, and excellent attendance
• Proficient use of the following Microsoft software programs: Access, PowerPoint, Word, and Excel
• Familiarity or comfort with learning geographic mapping software such as Quest Analytics or ArcGIS

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

Contact Information
The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position.
Department Website: http://www.dmhc.ca.gov
Human Resources Contact:
Chelsea Henricus
(916) 445-1786
Chelsea.Henricus@dmhc.ca.gov
Hiring Unit Contact:
Kacey Kamrin
(916) 324-9028
Kacey.Kamrin@dmhc.ca.gov

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 Office
(916) 738-3394
EEO@dmhc.ca.gov
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.

Additional Application Instructions

To be considered for this vacancy, please complete all applicable fields on the application form, including a list or description of previous/current occupational experience in the duties performed section.

Electronic applications through your CalCareer account are highly recommended.

If you are unable to apply electronically through your CalCareer account, please mail or drop off a hard copy of your application packet. Please notate RPA: 23-205 and Job Control: JC-431461 on your application.

All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to clearly demonstrate how you meet the Minimum Qualifications for the position on your State Application (STD Form 678). The application should also clearly demonstrate the candidate's ability to meet the Desirable Qualifications identified in this job advertisement. The Classification Specification for Attorney is located at the top of this Job Announcement Posting under Minimum Requirements.

Foreign Degrees or Transcripts - Applicants with foreign degrees or transcripts who wish to apply that coursework toward meeting the minimum qualifications of the classification must provide a transcript evaluation that indicates the number of units to which his/her foreign coursework is equivalent. DMHC accepts foreign transcript evaluations that are completed by one of the agencies approved by the California Commission on Teacher Credentialing .

PLEASE NOTE: If you are mailing your application, it must be postmarked by the final filing date. Hand delivered applications must be submitted no later than 4:30 p.m. on the final filing date. Applications slipped under the door at the Human Resources Office will be time stamped the following business day.

Statement of Qualifications
A Statement of Qualifications (SOQ) is a mandatory requirement for this job. An SOQ is a narrative discussion describing how the candidate's education, training, experience and skills meet the minimum and desirable qualifications for the position. The SOQ should address the following item:

• Describe the candidate's interest in health care law and commitment to the mission of the DMHC

The SOQ should also document each candidate's ability to present information clearly and concisely in writing. The SOQ must be typed, Arial 12 point font, single-spaced, and be no more than one page in length.

Applicants that do not submit a SOQ with their application packet will automatically be disqualified from consideration for this position. Cover letters, resumes and applications will not take the place of this document.

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.

Created: 2024-05-11
Reference: JC-431461
Country: United States
State: California
City: Sacramento
ZIP: 95820