Senior Value-Based Payment Specialist

Job Description and Duties

Under the direction of the Assistant Chief Counsel in the OHCA Health System Compliance Branch (OHCA Compliance), the Health Care Compliance Analyst provides general administrative support for the legal and financial staff of OHCA Compliance. The incumbent will handle intake, organization, and status tracking of the material change notices that entities must submit to OHCA for health care mergers and acquisitions and any associated cost and market impact reviews (CMIR); draft communications to entities, assist with vendor contract procurement and invoicing for OHCA’s economic expert consultants, provide general support for rulemaking packages submitted to the Office of Administrative Law; support OHCA Compliance with website postings for stakeholders and the general public; support the OHCA Legal Staff in administrative enforcement proceedings for compliance with data collection and the OHCA spending target; and assist in OHCA’s coordination with the HCAI Legal Office, the Office of the Attorney General, and other state health care regulators.

Effective July 1, 2025, specific Bargaining Units and associated Excluded State employees are subject to a salary reduction between 2% - 4.62% in exchange for Personal Leave Program 2025 (PLP 2025) hours each month. For more details about PLP 2025 , visit the California Department of Human Resources (CalHR) website.

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Working Conditions

HCAI is committed to fostering a flexible, inclusive, and high-performing work environment that supports both operational excellence and employee well-being.

HCAI is housed in a state-of-the-art building outside of downtown off Interstate-5. Enjoy a great work environment with many amenities, including FREE PARKING and fully equipped pay-per-charge electric vehicle charging stations. HCAI is close to many dining and shopping choices.

HCAI supports a hybrid telework schedule for many positions, consistent with operational requirements. Telework schedules are only available for CA residents. The telework policy is subject to change, and additional in-office days may be required and/or minimal notification may be given to report to the worksite if an urgent need arises.

Visa Sponsorship: HCAI is not an E-Verify employer and does not provide visa sponsorship. Applicants must be legally authorized to work in the United States at the time of appointment.

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:

A Statement of Qualifications (SOQ) must be submitted to apply for this position. The SOQ is a separate document with the applicant's Name and Job Control number noted on the top. Responses must be typed and limited to two pages, in Arial font not smaller than size 11. Please address the following and include the questions in the SOQ:

1. Describe how your knowledge, skills, education, and work experience qualify you for this position. Include specific examples related to health program administration, policy development, or health system performance, particularly in the area of value-based or alternative payment models.
2. Provide examples of your experience in conducting data analysis or research related to health care delivery, administration, or policy. Highlight how you have utilized data to inform decision-making, develop reports or memos, and contribute to public-facing dashboards or visualizations.
3. Describe your experience communicating and collaborating with external stakeholders. Include any examples of how you have engaged with health care providers, health plans, insurers, or state agencies, and explain the role you played in supporting project goals or policy implementation.

To support fair hiring, applicants should prepare their application materials using their own knowledge, experience, and skills. Your responses should show your own qualifications and work history. Artificial Intelligence (AI) tools should only be used responsibly.

Desirable Qualifications:
Health Program Specialist II

• At least 4 years of experience in health care delivery, health administration, or health policy.
• Experience engaging with both internal and external stakeholders.
• Experience conducting data analysis and research.
• Experience developing, implementing, or evaluating health-related policies or programs.
• Experience in preparing clear and concise reports, memos, and presentations based on data analysis and policy.
• Experience with data visualization and/or creating public-facing dashboards.
• Knowledge of value-based payment models, health care delivery system, and state or federal health policy.

Health Program Specialist I

• At least 2 years of experience in health care delivery, health administration, or health policy.
• Experience engaging with both internal and external stakeholders.
• Experience conducting data analysis and research.
• Experience developing, implementing, or evaluating health-related policies or programs.
• Experience in preparing clear and concise reports, memos, and presentations based on data analysis and policy
• Experience with data visualization and/or creating public-facing dashboards.
• Knowledge of value-based payment models, health care delivery system, and state or federal health policy.

Benefits

In addition to competitive public employee wages and a comprehensive benefits package, our employees enjoy meaningful and interesting work that supports access to healthcare.

To learn more about benefits for State employees, visit the Salary and Benefits page on the CalHR Benefits Website .

University of California (UC) and California State University (CSU) employees may qualify to transfer their current and previous employment credit to State of California employment through CalPERS. Human Resources can help with this process upon employment or you can reach out to CalPERS for inquiries at Show phone number.

Additional Application Requirements

To be considered for this vacancy, please complete all applicable fields on the application form, including a list or description of previous/current work experience in the duties performed section. The application should also clearly demonstrate the candidate’s ability to meet the Minimum Qualifications listed on the Classification Specification.

Any documents you submit for a job vacancy such as your state application, resume, cover letter, educational transcripts, etc. SHOULD NOT include ANY confidential information e.g. Social Security Number (SSN).

Possession of Minimum Qualifications will be verified prior to interview and/or appointment. If you are using education to meet the minimum qualifications for this position, you must submit a copy of your high school or college/university transcript(s). Unofficial transcripts may be accepted during the application process; however, submission of official transcripts may be required prior to appointment.

Foreign Degrees or Transcripts – Applicants with foreign degrees or transcripts who wish to apply that coursework toward meeting the minimum qualifications of the classification must provide a transcript evaluation that indicates the number of units to which his/her foreign coursework is equivalent. HCAI accepts foreign transcript evaluations completed by agencies approved by the California Commission on Teacher Credentialing or by current members of the National Association of Credential Evaluation Services (NACES).

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 - A Statement of Qualifications (SOQ) is  required .  Please see the Desirables Qualifications section for SOQ instructions.