Senior Networks Attorney

This is a re-advertisement. If you have already applied, please do not re-apply, your application may still be considered. This is a new position established pursuant to AB 904 and serves as a Senior Network Attorney within the DMHC's Division of Provider Networks within the Office of Plan Monitoring (OPM), performing complex legal work related to ensuring that licensed health care service plans maintain adequate provider networks and deliver timely access to services as required under applicable provisions of the Knox-Keene Act. This position primarily serves as a lead attorney for development of regulations related to network adequacy and measurement methodologies, including standards related to maternity care and access to non-physician medical providers. Work performed in the position also includes reviewing health plan networks for compliance with network adequacy and timely access requirements, which may include review of annual submissions, health plan license applications, notices of material modifications to existing health plan licenses, amendments to existing health plan licenses, revisions to access-related policies and procedures, and block transfer notifications for compliance with network adequacy requirements. The position provides counsel and advice to personnel within the OPM, interacts with individuals throughout the DMHC and within external organizations, and reports directly to the Assistant Chief Counsel for the Division of Provider Networks. 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. Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. 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

ATTORNEY

Desirable Qualifications Knowledge of health care service plan programs and trends pertaining to Provider Networks. Familiarity with health care delivery models and issues related to the provision of health care services. Clear and concise writing skills with an ability to think critically about the way all written materials will be interpreted and applied in conjunction with existing law. Comfort with interpreting data and understanding statistical analyses for the purpose of determining legal compliance. Commitment to public interest or public sector work. Ability to organize and establish simultaneous workload priorities and work under pressure. Exercise a high degree of initiative, flexibility, and confidentiality. Ability to work independently, as well as cooperatively and effectively with others. Ability to professionally communicate both orally and in writing. Ability to reason well and use good judgment. Dependable, punctual, and excellent attendance. Proficient use of the following Microsoft software programs: Access, PowerPoint, Word, and Excel. Familiarity or comfort with learning geographic mapping software such as Quest Analytics or ArcGIS. #J-18808-Ljbffr State of California