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ANALYST II

$6,031 - $7,547 per month

California State Jobs

Analyst II (JC-536024)

Department of Health Care Services

$6,031.00 - $7,547.00 per Month New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

Final Filing Date: 10/30/2026

Under the direction of the TAR-Free Oversight Unit (TFOU) Chief, the Analyst II works independently and as part of a team to perform a wide range of advanced administrative and analytical functions to support the TAR-Free Process for all Designated Public Hospitals (DPH) and over 100 Non-Designated Public Hospitals and Private Hospitals (NDPH). Responsibilities include reviewing post-claim cases conducted by clinical staff, validating identified variances, conducting quality assurance reviews of Statement of Findings reports, monitoring hospital compliance as it relates to Medi-Cal policy and TAR-Free process requirements, preparing reports, creating process and procedure documents, and performing other administrative and analytical tasks.

The Clinical Assurance Division (CAD) reviews fee-for-service inpatient claims data and conducts regularly scheduled hospital compliance reviews. The TFOU oversees and evaluates hospitals' utilization management processes, provides outreach efforts and support to NDPH and Private Hospitals transitioning to the TAR-Free process. These hospitals use nationally recognized, standardized medical review criteria software such as InterQual and Milliman Care Guidelines (MCG) to determine medical necessity and acuity and then, as appropriate, submit claims to the Department of Health Care Services (DHCS) for payment. The incumbent must possess proficiency in Microsoft Word, Excel, and SharePoint.

You will find additional information about the job in the Duty Statement.

DHCS' purpose is to provide equitable access to quality health care leading to a healthy California for all.

DHCS is a dynamic organization with ambitious goals and talented, committed employees. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians. DHCS is committed to addressing disparities within our organization and in our communities through efforts toward greater diversity, equity, and inclusion. This is accomplished, in part, by a commitment toward employing a diverse workforce that reflects the many communities we serve, and by promoting and enforcing equal employment opportunity.

Take a look at some of DHCS' recent projects and happenings that our Department has accomplished in the DHCS Newsroom.

The Hiring Unit Contact is available to answer questions regarding the position or application process.

Hiring Unit Contact: Lani Su View phone number on click.appcast.io View email address on click.appcast.io

EEO Contact: EEO Officer View phone number on click.appcast.io View email address on click.appcast.io California Relay Service: View phone number on click.appcast.io (TTY), View phone number on click.appcast.io (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

Vacancy posted 1 day ago
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