Auditor (Hybrid)

Job Description and Duties

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!

About this Role:

The Auditor I is the entry and initial working level of the Health Program Auditor series. Provider Investigations is a team of multidisciplinary staff (auditors, medical and Investigative staff established to investigate Medi-Cal fraud, and to develop the basis for the successful prosecution of said fraud, in 13 diverse Medi-Cal program areas including: Drug Medi-Cal, Skilled Nursing Homes, Narcotic Treatment Providers, Adult Day Health Care, Mental Health, Home Health, Hospice, HIV and Antipsychotic Drugs,Transportation Operators, Pharmacies and Residential Care Facilities. Up to 15% of overnight travel may be necessary to complete audits or attend meetings and other activities, as directed by management.

The role of the Auditor I in the Audits & Investigations (A&I),  Investigations Division (ID)conducts administrative and criminal investigations to address fraud, waste, and abuse in Medi-Cal and other DHCS programs. Specific activities include fraud data analytics, Medi-Cal fraud Hotline and complaint intake, investigative audits, provider fraud investigations, and beneficiary fraud investigations.

The Auditor I qualifies for a “Hire Above Minimum “(HAM) salary. The starting salary for the classification will be: $4,340

The Staff Services Management Auditor qualifies for a “Hire Above Minimum “(HAM) salary. The starting salary for the classification will be: $4,783

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.

This is a re-advertisement of JC-525748. If you previously applied under JC-525748, you would need to re-apply under this new Job Control, JC-531001 in order to be considered.

Have questions and/or need assistance? Contact  View email address on calcareers.ca.gov , we are here to help walk you through the state hiring process!

You will find additional information about the job in the .

Working Conditions

Below are the options DHCS - A&I offers:

• Flexible work schedules which include alternative work schedule options
• Training & Development opportunities
• Committed to supporting Diversity & Inclusion in the workplace
• Transit subsidy is available when applicable

Please see the Telework and Salary Information section below for telework, reporting location, and temporary statewide salary reduction details.

Special Requirements

If you are interested in this position, complete the following these simple steps:

1. Review the education and experience minimum qualifications (MQ’s) of the  Auditor I ,  Health Program Auditor II ,  Health Program Auditor III ,  Associate Management Auditor , and  Staff Services Management Auditor . See the Minimum Requirements section above.
2. Submit your application package with all required documents - see the "Required Application Package Documents" section below.
3. Once you have applied, take the appropriate exam:  Auditor I ,  Associate Management Auditor ,  Staff Services Management Auditor .

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

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.

• Travel required 15% of the time.
• 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:

This position requires the incumbent to have and maintain good rapport, consistent and regular attendance, communicate effectively both orally and in writing in dealing with the public and/or other employees. Please indicate your eligibility in the area of the application where you enter the position name and number for which you are applying.

Desirable skills include:

• Enthusiastic and self-motivated, good work ethic, and attention to detail
• Good communication skills (both written and verbal)
• Strong work ethic and ability to persevere
• Knowledge of Microsoft products such as Excel, Word, and Teams
• Analytical, independently makes decisions on supportable facts 
• Professional and organized
• Logical, integrity and good time-management

Benefits

DHCS is dedicated to creating an innovative workplace for its team members that is inclusive, diverse, and interactive! Here are a few of the ways we stay engaged with our team:

• Continuous and ongoing training
• Diversity, Equity, and Inclusion program activities
• Employee Assistance Program (EAP)

DHCS – A&I offers:

• Professional Competency Pay for Auditors who obtain CPA license or CIA certification
• Merit Based Promotional opportunities based on performance
• Training opportunities to support role
• Upward Mobility

Additionally, as a team member of the State of California, you may be eligible for many benefits, such as:

• 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

provides more information about our commitment to serving Californians and organizational excellence.

We need your help! Please let us know how you heard about our position by taking this brief optional survey:  .  This survey is not required to be considered for this position.

Telework and Salary Information

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.

The DHCS office location for this position is Sacramento.

Personal Leave Program (PLP) 2025 agreement

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

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 optional. It may be included, but is not required.
• Degree and/or School Transcripts