Initial Review Manager

Job Description The Department of Managed Health Care (DMHC) Help Center educates members about their health‑care rights and resolves complaints against health plans to ensure a stable, accessible health‑care delivery system. This position supports the Initial Review Section (IRS) by developing, supervising, and evaluating program activities related to the Initial Review Unit (IRU) under the Knox‑Keene Health Care Service Plan Act of 1975 and related regulations. Responsibilities Under the general direction of the IRS Supervisor II, the Supervisor I is responsible for: Developing, supervising, and evaluating program activities related to the IRU. Guiding and implementing policies and procedures, reviewing program reports, and maintaining program documents. Handling highly sensitive issues related to new complaints and providing direct oversight of daily IRU staff and activities. Ensuring compliance with the KKA and other applicable regulations. Working Conditions Locations: Sacramento County (Downtown Sacramento and Rancho Cordova). The incumbent works in a climate‑controlled cubicle and/or office environment with artificial lighting. The position may be eligible for hybrid telework in accordance with State and DMHC telework policies, requiring California residency. Minimum Requirements Classification: Supervisor I Salary range: $7,172.00 – $8,910.00 Job Code: JC-524193 Position #: 409-301-4800-036 Work Location: Sacramento County Job Type: Permanent, Full Time Special Requirements The position requires a background investigation to be cleared prior to hiring. Desirable Qualifications Familiarity with DMHC mission, goals, organizational structure, and major work programs. Demonstrated positive attitude and commitment to conducting business professionally with the public and internal/external customers. Knowledge of health plans, medical terminology, administrative functions, policy analysis, formulation, and training principles. Ability to evaluate situations accurately, communicate effectively, solve personnel issues, conduct management analysis, program evaluation and planning, research, and apply applicable laws, regulations, and office policies. Benefits Benefit information can be found on the CalHR website and the CalPERS website. Contact Information Human Resources Contact: DMHC Recruitment, View phone number on click.appcast.io, View email address on click.appcast.io Hiring Unit Contact: Weda Thao, View phone number on click.appcast.io, View email address on click.appcast.io EEO Contact: EEO Office, View phone number on click.appcast.io, View email address on click.appcast.io Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability, gender, genetic information, marital status, medical condition, military or veteran status, national origin, race, religion, sex (including pregnancy and related medical conditions), and sexual orientation. The State strives for a drug‑free workplace and expects all employees to behave in accordance with this objective. #J-18808-Ljbffr California Department of Managed Health Care