Job Posting: Health Program Audit Manager III

Department of Health Care Services

JC-344562
-
Health Program Audit Manager III
HEALTH PROGRAM AUDIT MANAGER III DEPARTMENT OF HEALTH SERVICES

$9,255.00 - $11,040.00 per Month

Final Filing Date: 12/29/2022

Job Description and Duties

This position is a statewide recruitment, the incumbent will be headquartered in the county nearest their residence, including but not limited to the following counties: Fresno, Sacramento, San Francisco, Orange (Santa Ana), San Bernardino (Rancho Cucamonga), San Diego and Los Angeles.

Under the general direction of the CEA B, the Health Program Audit Manager III (HPAM III) is responsible for the supervision and management of the Provider Investigations Branch (PIB) and is responsible for providing a high level of assistance and expertise to the CEA B. The PIB is a multidisciplinary team (auditors, analysts, specialists, medical and Investigative staff) established to conduct targeted reviews and investigations which may result in a credible allegations of fraud (CAF) referrals to the California Department of Justice (DOJ), Division of Medi-Cal Fraud and Elder Abuse (DMFEA). The incumbent is responsible to lead the activities of the branch including planning, organizing, directing, coordinating, and evaluating team activities. Coordinate and collaborate cases with other branches within the Investigations Division and other Audits & Investigations Divisions. The incumbent should possess demonstrated management capabilities, including the ability to lead and set priorities; develop goals and objectives; and, monitor the performance of subordinate staff. The incumbent must have good written and verbal skills to be effective in communicating with members of the Medi-Cal provider community; provider associations; legal representatives; stakeholders; legislators; federal, state and local agencies; and, all other Departmental division representatives. The incumbent is responsible for ensuring a cohesive and effective close working relationship with the DMFEA to ensure that Medi-Cal investigative activities are well coordinated and support the prosecution of the PIB’s CAFs. Overnight travel may be required. Statewide travel is required, to include overnight stays, up to 10%.


If you are interested, please submit a Standard State Employment Application Form (STD 678). Applications will be screened and only the most qualified candidates will be interviewed. Failure to complete the STD. 678 in its entirety may result in disqualification.

Electronic applications are highly encouraged.

Per CCR 249.3, this job control may be used to fill subsequent vacancies.


You will find additional information about the job in the Duty Statement.

Working Conditions

Below are the options Department of Health Care Services - Audits & Investigations offers incumbents:

  • This is a remote-centered position, which allow 3 or more days teleworking.
  • Regular or recurring telework may occur as part of the incumbents ongoing regular schedule per DHCS’s Telework Policy, in accordance with Government Code Sections 14200 – 14203 for employees residing in California.
  • Telework stipends are currently available
  • Flexible work schedules which include alternative work schedule options
  • Training & Development opportunities
  • Committed to supporting Diversity & Inclusion in the workplace
  • Transit subsidy available when applicable


Benefits

The state offers comprehensive benefits for its employees, who provide essential and exceptional service to millions of Californians every day.

  • Health, Vision and Dental
  • Retirement
  • Savings Plan
  • Group Legal Service Insurance
  • Vacation/Annual Leave Accrual
  • Paid Holidays
  • Employee Assistance Program


Benefit information can be found on the CalHR and CalPERs websites.

In addition, DHCS – Audits & Investigations offer:

  • Training opportunities to support role
  • Upward Mobility

Minimum Requirements

You will find the Minimum Requirements in the Class Specification.

Additional Documents

Position Details

Job Code #:
JC-344562
Position #(s):
806-010-4257-XXX
Working Title:
Health Program Audit Manager III
Classification:
HEALTH PROGRAM AUDIT MANAGER III DEPARTMENT OF HEALTH SERVICES
$9,255.00 - $11,040.00
SUPERVISING MANAGEMENT AUDITOR
$9,196.00 - $10,962.00
# of Positions:
1
Work Location:
United States
Job Type:
Permanent, Full Time

Department Information

Department of Health Care Services (DHCS) is 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.

DHCS is a dynamic department with ambitious goals and talented, committed employees. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians. 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.

Audits and Investigations (A&I) is the designated Program Integrity Unit (PIU) for the Medi-Cal program. A&I’s mission is to protect and enhance the integrity of the health programs administered by the Department of Health Care Services (DHCS). A&I also strives to improve the effectiveness and efficiency of DHCS and the programs it administers.

Investigations Division is responsible for the statewide Medi-Cal and other DHCS programs' fraud, waste, and abuse investigative program. Areas of responsibility include fraud data analytics, Medi-Cal fraud Hotline and complaints, investigative audits, provider fraud investigations, and beneficiary fraud investigations.

A&I is seeking a candidate to join as a Health Program Audit Manager III and will consider Supervising Management Auditor. Please direct all questions to the hiring unit contact listed in this job posting.

Special Requirements

Individuals who claim list eligibility must have reachable placement on the appropriate certification list for a classification they apply to.

Staff Services Manager III exam as appropriate list for the Health Program Audit Manager III: CalCareers

Application Instructions

Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. 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: 12/29/2022

Who May Apply

Individuals 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. Individuals who are eligible for a Training and Development assignment may also be considered for this position(s).

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

How To Apply

Complete 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:

Department of Health Care Services
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:

  • 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 www.CalCareers.ca.gov. 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.
  • Statement of Qualifications -
    The Statement of Qualifications (SOQ) should be no more than 2 pages in length (one and a half space, 1 inch left and right margins, and a font size comparable to Arial 12 point). NOTE: A resume is optional and does not take the place of the SOQ. Applications received without a SOQ will not be considered:

    Please describe your experience and education as it relates to job duties.
Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

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:

This position requires the incumbent to have and maintain good rapport, consistent and regular attendance, communicate effectively both orally and in writing in dealing with the public and/or other employees. Please indicate your eligibility in the area of the application where you enter the position name and number for which you are applying.

Desirable skills include:

  • Experience managing multi-disciplinary teams to conduct targeted reviews within identified areas of risk
  • Strong research skills, particularly into laws, regulations and program policy governing a healthcare program
  • Ability to foster a creative and productive work environment within a multi-disciplinary team (auditors, clinicians, researchers, investigators, etc.)

Benefits

Benefit information can be found on the CalHR and CalPERs websites.

Contact Information

The Hiring Unit Contact is available to answer questions regarding the position or application process.

Hiring Unit Contact:
Chris Fisher
(916) 402-7843
Chris.Fisher@dhcs.ca.gov

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:
EEO Officer
(916) 440-7370
civilrights@dhcs.ca.gov
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.

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.