Exam Bulletin - Health Program Auditor IV

Department of Health Care Services

Exam Code: EX-4217

Examination Plans Included:

  • HEALTH PROGRAM AUDITOR IV, DEPARTMENT OF HEALTH SERVICES - Open

Final Filing Date: 5/5/2025

Classification Details

HEALTH PROGRAM AUDITOR IV, DEPARTMENT OF HEALTH SERVICES: $6,752.00 - $8,876.00 per Month

View the HEALTH PROGRAM AUDITOR IV, DEPARTMENT OF HEALTH SERVICES classification specification.

Application Instructions

Please note that only online applications submitted through CalCareers will be accepted for this exam. This exam is accessible only online when applying for it electronically through CalCareers.

Final Filing Date: 5/5/2025.

Examination/Employment Application (STD 678) must be received by the filing date indicated above. Applications postmarked, personally delivered or received via interoffice mail after the filing date will not be accepted.

Who Should Apply:

The information below will help you determine which classification(s) is(are) appropriate for you. Applicants must meet the Minimum Qualifications as stated on this bulletin to compete in this examination.

Open and Open, Non-Promotional Examination(s):

  • HEALTH PROGRAM AUDITOR IV, DEPARTMENT OF HEALTH SERVICES - Open

How To Apply:

Submit an Examination/Employment Application (STD 678) to apply for this examination.

Electronic applications can be submitted through your account at www.CalCareers.ca.gov.

The following items must be submitted with your Examination/Employment Application form. Failure to submit these items may result in rejection of your application.

  • Transcript (Official or Unofficial)

Special Testing Arrangements:

If you require assistance or alternative testing arrangements due to a disability, indicate on your application that you need reasonable accommodation. You will be contacted by a representative of the testing department to make the necessary arrangements. If you have not been contacted by the time you receive notification of testing, please contact the testing department listed in the Contact section of this bulletin.

If you are unable to submit your application or complete the test due to a disability, please contact the testing department listed in the Contact section of this bulletin.

Minimum Qualifications

All applicants must meet the education and/or experience requirements as stated on this exam bulletin to be accepted to the examination.

Unless otherwise stated in the Minimum Qualifications, qualifying experience may be combined on a proportionate basis if the requirements stated below include more than one pattern and are distinguished as "Either" 1, "or" 2, "or" 3, etc. For example, applicants possessing qualifying experience amounting to 50% of the required time of Pattern 1 and additional experience amounting to 50% of the required time of Pattern 2 may be accepted to an examination as meeting 100% of the overall experience requirement.

00104249 - HEALTH PROGRAM AUDITOR IV, DEPARTMENT OF HEALTH SERVICES

It is your responsibility to make sure you meet the education and experience requirements stated on this bulletin by the final filing date. Your signature on your application indicates that you have readunderstood, and possess the basic qualifications required. Part-time or full-time jobs, regardless of whether paid or volunteer positions, and inside or outside California state service will count toward experience.

NOTE: Applications/resumes MUST include “to” and “from” dates (month/day/year), time base, civil service class title(s), and range (if applicable). Applications/resumes received without this information will be rejected.

 

 

Education:

  1. Equivalent to graduation from college with specialization in accounting; or
  2. Completion of either:

a. A prescribed professional accounting curriculum given by a residence or correspondence school of accountancy including courses in elementary and advanced accounting, auditing, cost accounting, and business law; or

b. The equivalent of 16 semester hours of professional accounting courses given by a collegiate grade residence institution including courses in elementary and advanced accounting, auditing, and cost accounting, and three semester hours of business law.

And

Either I

One year of experience in the California state service performing professional health program accounting or auditing duties of a class with a level of responsibility equivalent to that of Health Program Auditor III, Department of Health Services.

Or II

Experience: Four years of increasingly responsible professional health program accounting or auditing experience including at least one year conducting a variety of complex audits or financial examinations. (Experience in the California state service applied toward this requirement must include at least one year performing the duties of a class with a level of responsibility equivalent to that of a Health Program Auditor III.)

All employees must be able to qualify for a fidelity bond and be willing to travel and work away from the office.

Position Description

00104249 - HEALTH PROGRAM AUDITOR IV, DEPARTMENT OF HEALTH SERVICES

This is the advanced journey or specialist level. Positions at this level are characterized by assignment of only the most complex and comprehensive health program audits, audit appeals, and compliance issues and where the highest degree of judgment must be exercised in the application of laws, rules, regulations, and audit procedures.

Under general direction:

1. Serve as an independent staff specialist, prime resource, and innovator in new audit and/or compliance program development, implementation, monitoring, and evaluation.

2. Interface with other agencies, organizations, fiscal intermediaries, site mitigation and other contractors, individuals, and corporations where health program audit and compliance expertise is required and the highest degree of judgment must be exercised in the application of State and Federal laws, rules, regulations, and audit and appeal procedures.

3. Conduct or review very large, complex and sensitive audits characterized by having major fiscal impact and a complex organizational structure (i.e., larger statewide and national organizations or multilayered contractor/subcontractor).

4. Conduct the most complex and sensitive administrative hearings involving financial assessments and settlement grievances, sensitive and complex policies, substantial amounts of funds; and controversial regulation interpretations.

For information regarding position location(s), please refer to the Eligible List Information section.

Examination Information

This examination consists of the following component(s):

Component OrderComponent TypeComponent DuePercentage of Final Score
1Supplemental ReportWith Application100%

Components that are due with your application will be scored and will count toward your final examination result. Failure to submit these items may result in disqualification or elimination from the examination.

A final score of 70% must be attained to be placed on the eligible list.

The Training and Experience Evaluation examination is designed to elicit specific information regarding each candidate’s training and experience relative to the testing classification. Responses to the examination will be assessed based on pre-determined rating criteria. In appraising the relative qualifications of candidates, consideration will be given to the extent and type of pertinent training and experience over and above that which is required under “Minimum Qualifications”.

In addition to evaluating the applicant's relative knowledge, skill and ability as demonstrated by quality and breadth of education/experience, emphasis in each test component will be on measuring competitively, relative to job demands, each applicant's:

Knowledge of:

  1. General auditing and accounting principles and procedures
  2. Business law
  3. State and Federal laws and regulations which govern the Medi-Cal Program, Title XVIII of the Social Security Act
  4. Title XIX of the 1965 Social Security Act, as amended
  5. Medicare Program Regulations Manual
  6. Skilled Nursing Facility Manual
  7. Provider Reimbursement Manual
  8. Welfare and Institutions Code, Section 14170
  9. State of California Health and Safety Code
  10. Title 22, Division 3 and 5 of the California Administrative Code
  11. The California Health Facilities Commission Accounting and Reporting Manual for Long-Term Care Facilities
  12. Title 42-Code of Federal Regulations
  13. Fiscal Intermediary Manual
  14. Government Code, Title 2, Division 3
  15. Legal opinions and court decisions as they relate to departmental programs, auditing practices and procedures as used in the various audit programs in the Department, and related departmental policies and procedures
  16. Health and Safety Code, Division 20 and EPA requirements regulating the control of hazardous materials
  17. The State Administrative Manual provisions related to contracts
  18. Federal cost reporting requirements, California Public Contract Code, Federal acquisition regulations
  19. The health delivery systems administered by the Department of Health Services
  20. The operational aspects of major contracts subject to audit by the Department
  21. Specialized and complex program auditing practices and procedures
  22. Electronic data processing systems relative to health program and contractor's accounting methods
  23. The organization and operation of the Department's programs
  24. The California Administrative Procedures Act
  25. The most comprehensive knowledge of State and Federal laws, rules and regulations which govern the various departmental health programs and/or contractors subject to audit
  26. Specialized knowledge of financial, health program and contractor activity

 

Ability to:


  1. Apply auditing principles and procedures
  2. Apply the State and Federal rules and regulations which govern the various departmental programs in the conduct of audits or financial examinations
  3. Apply legal opinions, court decisions, and departmental policies and procedures
  4. Establish and maintain cooperative working relations with those contacted during the course of the work
  5. Analyze situations accurately and adopt an effective course of action
  6. Reason logically and creatively in unique situations
  7. Speak and write effectively
  8. Testify at hearings on disputed audit findings
  9. Negotiate successful program and contractor audit issues of average difficulty
  10. Read, understand, and evaluate computerized cost reports
  11. Adjust and modify work plan to meet changing conditions
  12. Write major sections of a complex and difficult audit
  13. For an audit of average difficulty, write a complete audit report with recommendations
  14. Handle the most difficult, complex, and comprehensive health program audit issues
  15. Write complete audit reports
  16. Independently function with general or limited guidelines
  17. Develop, implement, monitor, and evaluate new health audit programs
  18. Exercise the highest degree of judgment in applying laws and audit procedures

Eligible List Information

A Departmental Open eligible list for the HEALTH PROGRAM AUDITOR IV, DEPARTMENT OF HEALTH SERVICES Classification will be established for:

  • Department of Health Care Services

The list(s) will be abolished 12 months after being established, unless the needs of the State and conditions of the list(s) warrant a change in this period.

Resulting Eligibility List(s) will be used to fill vacancies throughout the State of California.

Veterans' Preference will be granted for this examination. Veterans' Preference is an assistance program for veterans, veteran widows and widowers, and spouses of 100% disabled veterans who seek employment with the state. Veterans' Preference is also extended to currently serving military members nearing their retirement or separation date.

You are not eligible for Veteran's Preference if you are:

  • A veteran who has been dishonorably discharged or released.
  • A veteran, widow or widower of a veteran, or spouse of a 100 percent disabled veteran who currently has permanent civil service status. (Permanent civil service status is the status of an employee who is lawfully retained in his/her position after completion of the applicable probationary period. This does not include limited term).

Veterans' Preference is codified in Government Code Sections 18973 – 18979.

Veteran status is verified by the California Department of Human Resources (CalHR). Directions to apply for Veterans' Preference are on the Veterans' Preference Application (Std. Form 1093), which is available at www.CalCareers.ca.gov, and the Department of Veterans Affairs.

Career Credits are not granted for examination(s) administered on an Open basis or a Promotional basis.

Diversity, Equity, and Inclusion

Department of Health Care Services 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 which reflects the many communities we serve, and by promoting and enforcing equal employment opportunity.

Testing Departments

  • Department of Health Care Services

Contact Information

Questions regarding this examination should be directed to:

Department of Health Care Services
Selection Section
MS 1300
P.O. Box 997411
Sacramento, CA 95899-7411
Phone: (916) 775-5398

California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice). TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

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.

Drug Free Statement

It is an objective of the State of California to achieve a drug-free State 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.

General Information

Examination and/or Employment Application (STD 678) forms are available at the California Department of Human Resources, local offices of the Employment Development Department, and through your CalCareer Account (www.CalCareers.ca.gov).

If you meet the requirements stated on this examination bulletin, you may take this examination, which is competitive. Possession of the entrance requirements does not assure a place on the eligible list. Your performance in the examination described in this bulletin will be rated against a predetermined job-related rating, and all applicants who pass will be ranked according to their scores.

Department of Health Care Services reserves the right to revise the examination plan to better meet the needs of the service, if the circumstances under which this examination was planned change. Such revision will be in accordance with civil service laws and rules and all applicants will be notified.

General Qualifications: Applicants must possess essential personal qualifications including integrity, initiative, dependability, good judgment, the ability to work cooperatively with others, and a state of health consistent with the ability to perform the assigned duties of the class. A medical examination may be required. In open examinations, investigation may be made of employment records and personal history and fingerprinting may be required.

Eligible Lists: Eligible lists established by competitive examination, regardless of date, must be used in the following order: 1) sub-divisional promotional, 2) departmental promotional, 3) multi-departmental promotional, 4) service-wide promotional, 5) departmental open, 6) open. When there are two lists of the same kind, the older must be used first. Eligible lists will expire in one to four years unless otherwise stated on the bulletin.

High School Equivalence: Equivalence to completion of the 12th grade may be demonstrated in any one of the following ways: 1) passing the General Education Development (GED) Test; 2) completion of 12 semester units of college-level work; 3) certification from the State Department of Education, a local school board, or high school authorities that the competitor is considered to have education equivalent to graduation from high school; or 4) for clerical and accounting classes, substitution of business college work in place of high school on a year-for-year basis.

Accepted applicants must provide proof of identification at each in-person test session. Acceptable identification consists of a photo identification card or two forms of signed identification.

Application Methods:
Electronic (Your CalCareer Account)