Care Management Specialist

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 Clinical Population Health Care Management Branch at the Department of Health Care Services (DHCS) is seeking a dynamic Health Program Specialist II who is passionate about implementing new policy and driving meaningful change in a start up–like environment. This position plays a key role in monitoring and driving improvement in care management services for Medi-Cal members served in the Fee for Service (FFS) delivery system. Ideal candidates will possess excellent analytical skills, thrive in a fast paced setting, and be eager to help DHCS strengthen and enhance the quality of its care management and population health programs. This Specialist will lead efforts to understand how FFS members receive care management services, identify opportunities to improve access and quality, lead design of monitoring measures and a monitoring approach in this area.

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.

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.

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

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

1. Review the education and experience minimum qualifications (MQs) of the . See the Minimum Requirements section above.

2. Complete the statement of qualifications and the state application by clicking “Apply Now” above. See below for detailed application instructions.

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.

Statement of Qualifications Requirement Section

Applicants must include a Statement of Qualifications (SOQ) for this recruitment addressing the four (4) questions stated below. The SOQ is a narrative discussion, not a cover letter, prepared by the applicant describing how their skills, knowledge, abilities, education, training, and experience qualify them for the position. The SOQ serves as documentation of the applicant’s ability to present information clearly and provide DHCS with additional information about their experience and qualifications concisely in writing.

The SOQ must be no more than two pages in length, single-spaced and using 12-point font. You must indicate your Full Name and Job Control Number at the top right corner.

Candidates who fail to provide an SOQ with their application or do not follow SOQ instructions may be disqualified. Resumes do not take the place of the SOQ.

1. Describe an experience where you analyzed data, identified meaningful insights, and turned them into actionable recommendations. Include how the insights contributed to making a strategic decision.
2. Describe your experience monitoring or evaluating the implementation of services or benefits, including how you used data to define and measure success.
3. Describe your experience building measures, reports, and dashboards that highlight key trends, including effective use of tables and charts. Include a purposeful choice you made to make the data more interpretable or clear.
4. Describe your experience implementing population health management programs at scale, especially in care or case management.

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:

• Analytical and critical thinking facilities: Experience with and ability to analyze data, reports, and dashboards into meaningful insights and recommendations.
• Measurement and evaluation experience: Is able to design and implement measures to evaluate actual vs. expected utilization of services, especially publicly funded services and benefits.
• Dashboard development experience: Experience building measures, reports, and dashboards that surface key trends, including purposeful use of tables and charts.
• Population health implementation experience: Experience with implementation of population health management approaches at-scale, especially in care management.
• Communication and stakeholder engagement facilities: Ability to communicates clearly across audiences, drafting materials and representing the Division at stakeholder meetings.

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 .

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

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: 1501 Capital Ave, Sacramento, CA 95814.

Personal 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. 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 required and must be included.
• Statement of Qualifications - Refer to the Statement of Qualifications Requirement section for instructions.
• Other - Cover Letter addressed to the Clinical Population Health Care Management Branch Chief, addressing what qualities you possess that help qualify you for this role; reasons for interest in State Service, and any specific interests in working with the Medicaid program and in Care Management. Address any specific interests in working on Medi-Cal Connect, DHCS's new Population Health Management service, which aims to empower the Department and stakeholders to create data-based improvements in population health.