Surveys Senior Counsel

The authority to establish this position and make appointment is contingent upon Legislative and Governor's approval and enactment of the 2026-27 Budget Act. The Office of Plan Monitoring (OPM) is responsible for evaluating and ensuring health care service plan regulatory compliance, quality improvement, and network adequacy as related to provision of managed health care services. The OPM’s public health and legal professionals plan and conduct routine and non-routine evaluations of licensed health plans and review service delivery filings for legal adequacy in order to ensure enrollees receive appropriate, sufficient, and timely care. Under the general direction of the Assistant Chief Counsel, Division of Plan Surveys (DPS) within the OPM, the Attorney III performs complex and sensitive legal work for the Department of Managed Health Care (DMHC) related to regulation and enforcement pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (“Knox-Keene Act,” Health and Safety Code Section 1340, et seq.). In particular, the Attorney III will work on medical surveys of the DMHC's licensed full-service and specialty health plans to assess for compliance with state and federal laws. Duties performed by the Attorney III will include, but not be limited to, participating in survey planning and coordination activities, reviewing health plan documents, reviewing surveyors' work product and performing complex legal analysis of the survey findings. The Attorney III position will also provide legal advice and counsel to both DPS and DMHC management concerning the terms and implementation of corrective action plans and review and provide recommendations with respect to referrals prepared by DPS attorneys to the DMHC’s Office of Enforcement. The Attorney III will periodically travel to and work on‑site at health plan facilities. Leave Program (PLP) 2025 agreement: 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. This recruitment has been posted for more vacancies than currently exist as it may be used to fill additional identical vacancies which may occur within 180 days of the closing date of this bulletin. You will find additional information about the job in the Duty Statement. Benefit information can be found on the CalHR website and the CalPERS website. Minimum Requirements You will find the Minimum Requirements in the Class Specification.

ATTORNEY III

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: Background and interest in health care law, health care industry trends and legislative/regulatory processes Experience in consumer advocacy, health care, government public service, data/policy analysis Experience analyzing, interpreting, and implementing newly enacted legislation Ability to serve as a lead attorney, providing guidance to other attorneys, non-legal staff, and consultants on complex, difficult, or sensitive legal issues Ability to work cooperatively and effectively with others, including non-legal staff. Ability to prioritize workload and manage multiple projects simultaneously Ability to communicate professionally and effectively, both orally and in writing Proficient use of the following software programs: Microsoft Teams, SharePoint, PowerPoint, Word, and Excel #J-18808-Ljbffr State of California