Managed Care Final Rule Specialist I (Hybrid)
Department of Health Care Services
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 Enterprise Data and Information Management (EDIM), Program Data Reporting Division (PDRD) at the California DHCS is seeking a highly motivated and experienced individual to join our team as a Research Data Specialist I (RDS I) within the Managed Care Plan Data Support Branch (MCPDSB).
Under general direction of the Research Data Supervisor I, the RDS I will independently design, organize, and conduct complicated focused studies of encounter and other available data. The RDS I will prepare reports to effectively convey study results. The RDS I will assist with Managed Care Projects including but not limited to the Managed Care Final Rule in the Managed Care Health Data Reporting Unit within the Managed Care Health Plan Reporting Section, MCPDSB in PDRD. The RDS I will collaborate with the Medi-Cal managed care plans as required, and stewarding internal department and evaluation partners. The incumbent will be responsible for setting projected outcomes for each study, establishing clear benchmarks and targets that guide program evaluation and improvement.
Training and Development (T&D) assignm ents may be considered for this position for current California civil service employees. T&D assignments cannot exceed 24 months. However, successful T&D candidates may transition to a permanent appointment, if eligible at the end of the T&D assignment.
This position has been advertised as limited term and is expected to last 24 months; it may become permanent or be extended.Have questions and/or need assistance? Contact View email address on us.fitly.work we are here to help walk you through the state hiring process!
This position is not eligible for a visa sponsorship. Applicants must be authorized to work in the US without the need for a visa sponsorship by the start date of employment.
You will find additional information about the job in the .
Working Conditions
Please see the Telework and Salary Information section below for telework, reporting location, and temporary statewide salary reduction details.
Special Requirements
Simple Application Steps
If you are interested in this position, complete the following these simple steps:
- Review the education and experience minimum qualifications Research Data Specialist I . See the Minimum Requirements section above.
- Complete the state application by clicking “Apply Now” above. See below for detailed application instructions.
- Submit your application package with all required documents - see the "Required Application Package Documents" section below.
- Once you have applied, take the Research Data Specialist I Exam.
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.
Supplemental Application In order to be considered for this position, you must complete and submit the following Supplemental Application (SA). The SA must be no more than two pages in length, double-spaced and using 12-point Arial font. You must indicate your Full Name and Job Control Number at the top right corner.
Candidates who fail to provide a SA with their application or do not follow SA instructions may be disqualified. Resumes do not take the place of the SA.
1. Describe a project that you have led or worked on that is related to Health Care data including your position, goal, roles and responsibilities, actions taken, and the outcome.
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:
- Experience with programs and services related to Health Care, Managed Care, and Fee for Service.
- Expertise using statistical and/or data querying software such as SAS, SPSS, or SQL.
- Expertise communicating data in written and verbal formats, including developing and presenting data visualizations, data reports, and other tools for presenting and interpreting data.
- Experience working with complex data management information systems such as MIS/DSS.
- Expertise in methodologies for collecting, analyzing, and interpreting complex quantitative and qualitative data.
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)
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
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.
Additional Information
Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.
Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed. Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, T&D, or Surplus/SROA), and the Job Control (JC) number and/or position number in the “Examination(s) or Job Title(s), For Which You Are Applying” section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application. Please remove any confidential information (i.e., social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission.
All information on the Employment Application (STD 678) must be completed. Applicants should include all employment history on the Employment Application (STD 678), including detailed job descriptions, hours worked per week, and start/end dates (MM/DD/YYYY). Resumes or other documents may not be substituted for the Employment Application (STD 678).
If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Recruitment Section at View email address on us.fitly.work For all other questions regarding your CalCareer account, please contact CalHR’s CalCareers Unit at View phone number on us.fitly.work or View email address on us.fitly.work.
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 required and must be included.
- Supplemental Application -
In order to be considered for this position, you must complete and submit a Supplemental Application (SA). Directions for completing the SA are in the Special Requirements section above.
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