Under the general direction of the Medical Review Branch (MRB) Chief, the Health Program Audit Manager III or Staff Services Manager III, will serve as the Assistant Branch Chief, for MRB Field Operations and is responsible for the planning, organizing, directing, coordinating and evaluating the day-to-day operations of MRB field offices throughout California. The field offices are supervised by a Health Program Audit Manager II and perform duties related to the control of Medi-Cal provider fraud and abuse. As directed by the MRB Branch Chief, will represent MRB in meetings with other state and local agencies, provider associations and federal agencies.
Please see attached Duty Statement.
You will find additional information about the job in the Duty Statement .
Minimum RequirementsYou will find the Minimum Requirements in the Class Specification.
Position DetailsJob Code #: JC-200074 Position #(s): 806-100-4802-XXX Working Title: Assistant Branch Chief Classification: STAFF SERVICES MANAGER III $8,173.00 - $9,280.00 Will Consider: HEALTH PROGRAM AUDIT MANAGER III DEPARTMENT OF HEALTH SERVICES $8,225.00 - $9,811.00 # of Positions: 1 Work Location: Sacramento County Job Type: Permanent, Full Time
The California Department of Health Care Services (DHCS) is the backbone of California’s health care safety net, helping millions of low-income and disabled Californians each and every day. The mission of DHCS is to provide Californians with access to affordable, integrated, high-quality health care, including medical, dental, mental health, substance use treatment services and long-term care. Our vision is to preserve and improve the overall health and well-being of all Californians.
The mission of Audits and Investigations (A&I) is to ensure the fiscal integrity of the health programs administered by the Department of Health Care Services (DHCS) and ensure quality of care provided to the beneficiaries of these programs. The overall goal of A&I is to improve the efficiency, economy, and the effectiveness of DHCS and the programs it administers.
The Medical Review Branch (MRB) focuses on maintaining program integrity within the Medi-Cal program through reviews, audits, inspections and surveys of non-institutional providers. Non-institutional providers include physicians, physician groups, laboratories, pharmacies, durable medical equipment providers and other allied health entities. Branch activities are designed to assure that state and federal dollars spent for services and goods in the Medi-Cal program are used for essential healthcare benefits in compliance with program rules, regulations and law.
The Department of Health Care Services (DHCS) is seeking one candidate to join the Audits and Investigations (A&I), Medical Review Branch (MRB) to fill one Health Program Audit Manager III (HPAM III) or Staff Services Manager III (SSM III) position. Please direct all questions to the hiring unit contact listed in this job posting.
Supplemental Application Questions :
Please identify a single program integrity issue within the Medi-Cal or general health care system and address the following:
What is the root cause of the problem?
What actions would you recommend to address the issue? Describe how those actions would address the root cause of the problem.
2. Describe your management style. What do you think are the most important characteristics of an effective manager? Include examples of how you displayed these characteristics as a manager.
Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.Final Filing Date: Until Filled
Who May ApplyIndividuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.
How To ApplyComplete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:
Address for Mailing Application Packages
You may submit your application and any applicable or required documents to:Department of Health Care Services Attn: Certification Technician M.S. 1300 P.O. Box 997411 Sacramento, CA 95899-7411
Address for Drop-Off Application Packages
You may drop off your application and any applicable or required documents at:1501 Capitol Avenue, Suite 71.1501 Sacramento, CA 95814 08:00 AM - 05:00 PM
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:
State of California employment offers you many benefits, please review link below for details:
The Hiring Unit Contact is available to answer questions regarding the position or application process.Hiring Unit Contact:
Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.EEO Contact:
Equal Opportunity Employer
The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.
It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
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