Network Review Analyst

Sacramento, California


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

Under the direction of the Staff Services Manager I (SSM I) in the Office of Plan Monitoring, Division of Provider Networks, the incumbent is assigned program-related responsibilities that ensure effective interpretation and implementation of 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 incumbent is responsible for performing duties involved in planning, implementing, monitoring and evaluating health program activities within the OPM. The incumbent provides analytical support for the review and evaluation of health care service plan licensing filings and data from various network review projects. The incumbent will use computer software (e.g., Excel, Access, Word and geographic access software) to analyze and display data, develop reports and present information at meetings.

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.

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.
  • ASSOCIATE GOVERNMENTAL PROGRAM ANALYST
  • STAFF SERVICES ANALYST
Additional Documents
  • Job Application Package Checklist
  • Duty Statement

Position Details Job Code #:
JC-438434

Position #(s):
409-572-5393-028

Working Title:
Network Review Analyst

Classification:
ASSOCIATE GOVERNMENTAL PROGRAM ANALYST $5,684.00 - $7,329.00

Shall Consider:
STAFF SERVICES ANALYST
$3,640.00 - $6,093.00

# 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 29.7 million Californians by regulating health care service plans, assisting consumers through a consumer Help Center, educating consumers ontheir 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.

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 high school transcripts or college/university transcript(s). 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: 7/6/2024
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: Dept. of Managed Health Care - HR
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
Dept. of Managed Health Care - HR
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 optional. It may be included, but is not required.
  • Statement of Qualifications - Please see Statement of Qualifications (SOQ) requirements below.
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:
• Work proficiently on spreadsheets and database files using Microsoft Excel, Access and Word applications
• Experience gathering, analyzing and organizing data to make recommendations on program issues
• Experience in managed health care
• Ability to work in fast-paced environment and adjust to shifting priorities
• Ability to organize and establish simultaneous workload priorities and work under pressure
• Ability to work independently and in a team environment
• Exercise a high degree of initiative and confidentiality
• Ability to professionally communicate both orally and in writing
• Ability to reason well and use good judgment
• Dependable, punctual and excellent attendance

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:
Lynn Castro
(916) 445-8004
lynn.castro@dmhc.ca.gov
Hiring Unit Contact:
Ivanna Willis
(916) 330-5244
ivanna.willis@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.

Do NOT include your social security number on any submitted documents. If submitting your application via postal mail or in person, please notate RPA: 23-335 and Job Control: JC-438434 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 the classification 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 5:00 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.

For the Staff Services Analyst Recuitment:

Eligibility for this classification requires the "equivalent to completion of the 12th grade", candidates must submit high school transcripts or college/university transcript(s) to demonstrate the "equivalent to completion of the 12th grade" with their application package. Transcripts must include the date the diploma, certificate, or degree was awarded.

Statement of Qualifications (SOQ) Instructions
A Statement of Qualifications (SOQ) serves as documentation of each candidate's ability to present information clearly and concisely in writing. An SOQ is REQUIRED with your application and must adhere to the following guidelines:

- The SOQ should be one (1) page or less using 12-point Arial font in a narrative format.
- Resumes and cover letters do not take the place of the SOQ.
- Applications submitted without the SOQ will not be considered.
- If the SOQ does not clearly and directly address the question, the application will not be considered.

Please respond to the following question:

Describe your experience working on a project or task in which you had to compile, clean and analyze data and how you ensured the project was completed accurately and in a timely manner.

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: 2024-06-28
Reference: JC-438434
Country: United States
State: California
City: Sacramento
ZIP: 95820


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