Health Program Specialist

Summary

Medical Survey SpecialistUnder the general supervision of the Supervisor II, the Health Program Specialist I (HPS I) functions as a highly skilled independent program consultant who performs the more complex, specialized duties which have significant statewide impact on the Department's health plan survey efforts pursuant to the Knox-Keene Health Care Service Plan Act of 1975. Responsibilities include project management; formulating recommendations for implementing Department initiatives; planning, organizing, and conducting medical surveys of health care service plans; and organizing and leading project teams to respond to changes in regulations and Department directives as they impact the Division of Plan Surveys and other Offices. The incumbent conducts statutorily mandated surveys, as well as non-routine and investigative medical surveys, of licensed health care service plans.This Health Program Specialist I position is telework at this time but may be required to attend meetings at the downtown office when needed. This position is required to travel 20% of the time to conduct medical surveys of health plans.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.You will find additional information about the job in the Duty Statement.The Department of Managed Health Care (DMHC) has locations in Downtown Sacramento and Rancho Cordova. Both locations are located close to light-rail with various amenities. The incumbent will work in a climate-controlled cubicle and/or office environment with artificial lighting.This position may be eligible for Hybrid work. In-person attendance is required based on the operational needs of the position and in accordance with Executive Order N-22-25 the Statewide Hybrid Telework Policy, Government Code section 14200, and any applicable department telework requirements. The successful candidate must reside in California at the time of appointment. Proof of California residency may be required.The mission of the Department of Managed Health Care (DMHC) is to ensure health plan members have access to equitable, high-quality, timely, and affordable health care within a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for members. The Department protects the health care rights of Californians by regulating health care service plans, assisting members through a member Help Center, educating members on their rights and responsibilities and preserving the financial stability of the managed health care system.DMHC values diversity at all levels of the organization and is committed to fostering an environment in which employees from a variety of backgrounds, cultures, and personal experiences are welcomed and can thrive. DMHC believes the diversity of our employees and their unique ideas inspire innovative solutions to further our mission. Join DMHC and help us improve the lives of all Californians.The position(s) require(s) a Background Investigation be cleared prior to being hired. Any documents you submit for a job vacancy such as your state application, resume, cover letter, educational transcripts, etc. SHOULD NOT include ANY confidential information. Confidential information that should be excluded or removed from these documents include, but is not limited to, your Social Security Number (SSN), birthday, driver's license number (unless required), basis of eligibility, examination results, LEAP status, marital status, and age. Confidential information on the first page of applications submitted electronically online, such as Easy ID number, SSN, examination related information, and driver's license number will automatically be redacted upon submission.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: 11/2/2026Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP 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. 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).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 PackagesYou may submit your application and any applicable or required documents to:Department of Managed Health Care DMHC Recruitment Attn: Human Resources Office 1215 O Street, MS-08 Sacramento, CA 95814Address for Drop-Off Application PackagesYou may drop off your application and any applicable or required documents at:Department of Managed Health Care DMHC Recruitment (Drop Off) Department of Managed Health Care 1 FTB Sacramento, CA 95827 08:00 AM - 05:00 PMThe 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.Resume is optional. It may be included, but is not required.Statement of Qualifications - The Statement of Qualifications (SOQ) is a MANDATORY requirement to apply for this position. The SOQ will answer specific questions and provide insight to the hiring manager regarding the candidate's education, training, experience, and skills to meet the minimum and desirable qualifications for the position.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.The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position.Department Website: Human Resources Contact: DMHC Recruitment (916) 322-8437 recruitment@dmhc.ca.gov Hiring Unit Contact: Joseph Marino (916) 255-3367 joseph.marino@dmhc.ca.govPlease 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 Office (916) 738-3394 EEO@dmhc.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.To be considered for this vacancy, please complete all applicable fields on the application form, including a list or description of previous/current occupational experience in the duties performed section.Electronic applications through your CalCareer account are highly recommended.Do NOT include your social security number on any submitted documents. If submitting your application via postal mail or in person, please notate RPA: 26-087 and Job Control: JC-536498 on your application.All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to clearly demonstrate how you meet the Minimum Qualifications for the position on your State Application (STD Form 678). The application should also clearly demonstrate the candidate's ability to meet the Desirable Qualifications identified in this job advertisement. The Classification Specification for Health Program Specialist I is located at the top of this Job Announcement Posting under Minimum Requirements.Foreign Degrees or Transcripts – Applicants with foreign degrees or transcripts who wish to apply that coursework toward meeting the minimum qualifications of the classification must provide a transcript evaluation that indicates the number of units to which his/her foreign coursework is equivalent. DMHC accepts foreign transcript evaluations that are completed by one of the agencies approved by the California

Job Description

Medical Survey SpecialistUnder the general supervision of the Supervisor II, the Health Program Specialist I (HPS I) functions as a highly skilled independent program consultant who performs the more complex, specialized duties which have significant statewide impact on the Department's health plan survey efforts pursuant to the Knox-Keene Health Care Service Plan Act of 1975. Responsibilities include project management; formulating recommendations for implementing Department initiatives; planning, organizing, and conducting medical surveys of health care service plans; and organizing and leading project teams to respond to changes in regulations and Department directives as they impact the Division of Plan Surveys and other Offices. The incumbent conducts statutorily mandated surveys, as well as non-routine and investigative medical surveys, of licensed health care service plans.This Health Program Specialist I position is telework at this time but may be required to attend meetings at the downtown office when needed. This position is required to travel 20% of the time to conduct medical surveys of health plans.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.You will find additional information about the job in the Duty Statement.The Department of Managed Health Care (DMHC) has locations in Downtown Sacramento and Rancho Cordova. Both locations are located close to light-rail with various amenities. The incumbent will work in a climate-controlled cubicle and/or office environment with artificial lighting.This position may be eligible for Hybrid work. In-person attendance is required based on the operational needs of the position and in accordance with Executive Order N-22-25 the Statewide Hybrid Telework Policy, Government Code section 14200, and any applicable department telework requirements. The successful candidate must reside in California at the time of appointment. Proof of California residency may be required.The mission of the Department of Managed Health Care (DMHC) is to ensure health plan members have access to equitable, high-quality, timely, and affordable health care within a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for members. The Department protects the health care rights of Californians by regulating health care service plans, assisting members through a member Help Center, educating members on their rights and responsibilities and preserving the financial stability of the managed health care system.DMHC values diversity at all levels of the organization and is committed to fostering an environment in which employees from a variety of backgrounds, cultures, and personal experiences are welcomed and can thrive. DMHC believes the diversity of our employees and their unique ideas inspire innovative solutions to further our mission. Join DMHC and help us improve the lives of all Californians.The position(s) require(s) a Background Investigation be cleared prior to being hired. Any documents you submit for a job vacancy such as your state application, resume, cover letter, educational transcripts, etc. SHOULD NOT include ANY confidential information. Confidential information that should be excluded or removed from these documents include, but is not limited to, your Social Security Number (SSN), birthday, driver's license number (unless required), basis of eligibility, examination results, LEAP status, marital status, and age. Confidential information on the first page of applications submitted electronically online, such as Easy ID number, SSN, examination related information, and driver's license number will automatically be redacted upon submission.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: 11/2/2026Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP 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. 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).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 PackagesYou may submit your application and any applicable or required documents to:Department of Managed Health Care DMHC Recruitment Attn: Human Resources Office 1215 O Street, MS-08 Sacramento, CA 95814Address for Drop-Off Application PackagesYou may drop off your application and any applicable or required documents at:Department of Managed Health Care DMHC Recruitment (Drop Off) Department of Managed Health Care 1 FTB Sacramento, CA 95827 08:00 AM - 05:00 PMThe 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.Resume is optional. It may be included, but is not required.Statement of Qualifications - The Statement of Qualifications (SOQ) is a MANDATORY requirement to apply for this position. The SOQ will answer specific questions and provide insight to the hiring manager regarding the candidate's education, training, experience, and skills to meet the minimum and desirable qualifications for the position.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.The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position.Department Website: Human Resources Contact: DMHC Recruitment (916) 322-8437 recruitment@dmhc.ca.gov Hiring Unit Contact: Joseph Marino (916) 255-3367 joseph.marino@dmhc.ca.govPlease 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 Office (916) 738-3394 EEO@dmhc.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.To be considered for this vacancy, please complete all applicable fields on the application form, including a list or description of previous/current occupational experience in the duties performed section.Electronic applications through your CalCareer account are highly recommended.Do NOT include your social security number on any submitted documents. If submitting your application via postal mail or in person, please notate RPA: 26-087 and Job Control: JC-536498 on your application.All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to clearly demonstrate how you meet the Minimum Qualifications for the position on your State Application (STD Form 678). The application should also clearly demonstrate the candidate's ability to meet the Desirable Qualifications identified in this job advertisement. The Classification Specification for Health Program Specialist I is located at the top of this Job Announcement Posting under Minimum Requirements.Foreign Degrees or Transcripts – Applicants with foreign degrees or transcripts who wish to apply that coursework toward meeting the minimum qualifications of the classification must provide a transcript evaluation that indicates the number of units to which his/her foreign coursework is equivalent. DMHC accepts foreign transcript evaluations that are completed by one of the agencies approved by the California