Exam Bulletin - Health Program Auditor III

Department of Health Care Services

Exam Code: EX-1897

Examination Plans Included:

  • HEALTH PROGRAM AUDITOR III, DEPARTMENT OF HEALTH SERVICES - Promotional

Final Filing Date: Applications are accepted on a continuous basis.

Classification Details

HEALTH PROGRAM AUDITOR III, DEPARTMENT OF HEALTH SERVICES: $6,264.00 - $8,238.00 per Month

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

Application Instructions

Upcoming Filing Cutoff Dates:

  • 6/28/2024
  • 9/30/2024
  • 12/30/2024

Examination/Employment Application (STD 678) must be received or postmarked by the filing date indicated above. Applications postmarked, personally delivered or received via interoffice mail after the filing date will be processed in the next group.

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.

Promotional Examination(s):

  • HEALTH PROGRAM AUDITOR III, DEPARTMENT OF HEALTH SERVICES - Promotional

In addition to meeting the Minimum Qualifications, competition is limited to individuals who meet at least one of the following filing criteria:

  • 1. Have a permanent civil service appointment with a promotional testing department (see Testing Departments), or
  • 2. Are current or former employees of the legislature for 2 or more years as defined in Government Code 18990, or
  • 3. Are current or former non-elected exempt employees of the executive branch for 2 or more consecutive years as defined in Govt. Code 18992, or
  • 4. Are persons retired from the United States military honorably discharged from active duty with a service disability or honorably discharged from active duty as defined in Government Code 18991. Applicants must provide a copy of discharge papers (DD 214) for verification purposes at the time of application.

Under certain circumstances other employees may be allowed to compete under provisions of Rules 234, 235 and 235.2. California Code of Regulations Rules 233, 234, 235.2 and 237 contain provisions regarding civil service status and eligibility for promotional examinations.

For all Classifications, once you have participated in any of the following examinations, you may not recompete for 12 months:

Exam Code(s):

    1897

For HEALTH PROGRAM AUDITOR III, DEPARTMENT OF HEALTH SERVICES, once you have participated in any of the following examinations, you may not recompete for 12 months:

Exam Code(s):

  • EX-01897

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.

You may apply by mail to:

  • Department of Health Care Services
    Selection Section
    MS 1300
    P.O. Box 997411
    Sacramento, CA 95899-7411

Indicate the Examination Code and Classification(s) on your Examination/Employment Application (STD 678).

You may drop off your application and any applicable or required documents at:

  • Department of Health Care Services
    Selection Section
    1501 Capitol Ave.
    Suite 71.1501
    Sacramento, CA 95814
    8:00 AM - 5:00 PM

Indicate the Examination Code and Classification(s) on your Examination/Employment Application (STD 678). All applicants must provide proof of identification. Accepted forms of identification are: 1) a photo identification card or 2) two forms of signed identification.

Electronic applications are highly encouraged

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.

00104252 - HEALTH PROGRAM AUDITOR III, DEPARTMENT OF HEALTH SERVICES

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 II, Department of Health Care Services.  (Applicants who have completed six months of service performing health program accounting or auditing duties of a class with a level of responsibility equivalent to that of Health Program Auditor II, Department of Health Services, will be admitted to the examination, but they must satisfactorily complete one year of this experience before they can be considered eligible for appointment.)

 

Or II

Experience:  Three years of increasingly responsible professional health program accounting or auditing experience including at least one year conducting a variety of complex health program audits or financial examinations.  (Experience in 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 Health Program Auditor II, Department of Health Care Services.)

And

 

Education:

Either

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

 

Position Description

00104252 - HEALTH PROGRAM AUDITOR III, DEPARTMENT OF HEALTH SERVICES

This is the second and full journey level requiring independence and proficiency in conducting and evaluating complex and difficult fiscal, management and internal audits of various health programs, health facilities, health maintenance organizations, fiscal intermediaries, site mitigation and other contractors, internal management controls, and individuals subject to state and federal laws and regulations, which govern the Department's health programs.  Incumbents assist in audit program evaluation and in the development and improvement of health program audit methods and techniques; or conduct administrative hearings involving financial assessments in accordance with the California Administrative Code and related federal regulations.  Incumbents perform case research and evaluation duties, review evidence, examine testimony and prepare proposed decisions; and present findings in formal hearings and court proceedings.  

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
1Education/ExperienceN/A100%

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

No written test is required, and no interview will be conducted. An E&E examination is based solely upon information provided with the application. Information provided with the application will be assessed compared to a standard developed in relation to the elements of the job, and linked to the knowledge and abilities required on the job.

Special care should be taken to submitting a complete description of your education and experience relevant to the typical tasks, scope, and minimum qualifications stated on this bulletin. Supplemental information will be accepted, but competitors should read this bulletin carefully to determine what kind of information will be useful to those individuals completing the evaluation.

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
  4.  Title XVIII of the Social Security Act
  5.  Title XIX of the 1965 Social Security Act, as amended
  6.  Medicare Program Regulations Manual
  7.  Skilled Nursing Facility Manual
  8.  Provider Reimbursement Manual
  9.  Welfare and Institutions Code, Section 14170
  10.  State of California Health and Safety Code
  11.  Title 22, Division 3 and 5 of the California Administrative Code
  12.  California Health Facilities Commission Accounting and Reporting Manual for Long-Term Care Facilities
  13.  Title 42-Code of Federal Regulations
  14.  Fiscal Intermediary Manual
  15.  Government Code, Title 2, Division 3
  16.  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
  17.  Health and Safety Code, Division 20 and EPA requirements regulating the control of hazardous materials
  18.  State Administrative Manual provisions related to contracts
  19.  Federal cost reporting requirements, California Public Contract Code, and federal acquisition regulations
  20.  Health delivery systems administered by the Department of Health Care Services
  21.  Operational aspects of major contracts subject to audit by the Department
  22.  Specialized and complex program auditing practices and procedures
  23.  Electronic data processing systems relative to health program and contractor's  accounting methods
  24.  Title 22, Division 3 and 5 of the California Administrative Code
  25.  Organization and operation of the Department's programs

 

Ability to:

  1. Apply auditing principles and procedures
  2. Apply 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

Eligible List Information

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

  • Department of Health Care Services

The names of successful competitors will be merged onto the eligible list(s) in order of final score regardless of test date. Eligibility expires 12 months after it is established. Applicants must then retake the examination to reestablish eligibility.

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

Veterans' Preference is not granted for promotional examinations.

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

Diversity, Equity, And Inclusion

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 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)
By Mail
In Person (see bulletin for details)
Alternate Application Process

While we recommend that you utilize your CalCareer Account to take advantage of all the tools available, you may choose to apply for this examination without using your account. In this case, print and complete the Exam Application Package Checklist and include it if you submit a hard copy application.

Exam Application Package Checklist

Blank Application Form (STD678)

Accommodation Request (STD679)