Health Program Monitoring Specialist

Job Description and Duties

Why Join DHCS?

The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies, counties, and partners for the care of low-income families, children, pregnant women, older adults, and persons with disabilities. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today!

About this Role:

The role of the HPS II is to be responsible for providing program and policy input and making recommendations related to the overall design, program development, and implementation of managed care programs. The HPS II performs functions that are sensitive and critical to the Department's basic mission, with responsibility to coordinate the development of broad policy that has multidepartment, immediate, and long-range impacts, and where the level of expertise required is substantially greater than that of other nonsupervisory positions. This HPS II position exercises a large degree of independence in serving as the subject matter expert for the Non-Emergency Medical Transportation (NEMT) and Non-Medical Transportation (NMT) benefit in the managed care setting. The HPS II also leads the development, implementation, and enforcement of Managed Care Plan (MCP) utilization management (UM policies, including grievances, appeasl, authorizations, and associated quarterly monitoring.

This position is located in the Managed Care Quality and Monitoring Division, Managed Care Monitoring Branch, Oversight Section.

Have questions and/or need assistance? Contact [email protected] , we are here to help walk you through the state hiring process!

You will find additional information about the job in the .

Working Conditions

Please see the Telework and Salary Information section below for telework, reporting location, and temporary statewide salary reduction details.

Special Requirements

Simple Application Steps

If you are interested in this position, complete the following simple steps:

1. Review the education and experience minimum qualifications (MQ’s) of the . See the Minimum Requirements section above.

2. Complete the statement of qualifications and the state application by clicking “Apply Now” above. See below for detailed application instructions.

3. Submit your application package with all required documents, which include the statement of qualifications - see the "Required Application Package Documents" section below.

4. Once you have applied, take the Examination.

If using education to meet classification MQ pattern:

Education: If you are meeting minimum qualifications with education, you must include a copy of your diploma/degree and/or unofficial/informal transcripts for verification. Official transcripts may be required upon appointment.

Statement of Qualifications Requirement Section

Applicants must include a Statement of Qualifications (SOQ) for this recruitment. The SOQ is a narrative discussion, not a cover letter, prepared by the applicant describing how their skills, knowledge, abilities, education, training, and experience, qualify them for the position.

The SOQ serves as documentation of the applicant’s ability to present information clearly and provide DHCS additional information about their experience and qualifications concisely in writing. The DH CS may not consider applicants who fail to provide an SOQ with their application. Resumes do not take the place of the SOQ.

The SOQ must be no more than two typewritten pages in length, using Arial 12-point font, single spaced. You must indicate at the top: the title (Statement of Qualifications), your Full Name and Job Control Number.

Your response should be clear, concise, and demonstrate your qualifications, experience, and skills as they relate to the duties of the Health Program Specialist II (HPS II) position.

Candidates who do not complete and submit an SOQ may not be considered for this position.

Please describe in detail your experience managing or supervising complex and major health programs or projects. Include specific examples of your involvement in program planning and implementation, data analysis and evaluation, and the development of recommendations to management. Additionally, highlight any contributions to policy, regulations, or standards development, and identify areas where you held major or independent responsibility. Be sure to specify the position(s) related to this experience and the skills you applied to accomplish these tasks.

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:

• Interacting effectively and professionally with internal and external partners.
• Program evaluation, critical thinking, and utilizing problem-solving skills with the ability to multi-task in a fast-paced environment.
• Working with a high degree of independence.
• Excellent communication, writing, analysis, and organization skills.
• Ability to analyze and evaluate the impact and effectiveness of program, policies, regulations, and/or procedures.
• Knowledge of key state and federal regulations.
• Ability to analyze data and develop monitoring tools and reports for oversight of Medi-Cal managed care.
  

Benefits

DHCS is dedicated to creating an innovative workplace for its team members that is inclusive, diverse, and interactive! Here are a few of the ways we stay engaged with our team:

• Continuous and ongoing training
• Diversity, Equity, and Inclusion program activities
• Employee Assistance Program (EAP)

Additionally, as a team member of the State of California, you may be eligible for many benefits, such as:

• Medical, including health, dental, and vision insurance.
• Paid Holidays and vacation/leave
• Defined retirement program
• Savings Plus Program (401(k), 457)
• Medical/Dependent Care Reimbursement Accounts

Full benefits information can be found on CalHR's California State Civil Service Employee Benefits Summary .

provides more information about our commitment to serving Californians and organizational excellence.

We need your help! Please let us know how you heard about our position by taking this brief optional survey: SurveyMonkey link . This survey is not required to be considered for this position.

Telework and Salary Information

This position is currently eligible for telework up to three days per week and is required to report in person a minimum of two days per week. The amount of telework is at the discretion of the Department and is subject to change consistent with DHCS’ Telework Program and Government Code sections 14200–14203. Telework is available to California residents, and proof of residency may be required.

The DHCS office location for this position is: 1501 Capitol Ave, Sacramento, CA 95814.

Personal Leave Program (PLP) 2025 agreement

Salary: Effective July 1, 2025, the California Department of Human Resources (CalHR) implemented the temporary Personal Leave Program 2025 (PLP 2025). PLP 2025 directs that each employee receive a temporary reduction in pay in exchange for PLP 2025 leave credits. The temporary salary reduction percentage and the number of PLP 2025 leave credits are based on the position’s associated bargaining unit. The salary range(s) included in this job advertisement do not include the temporary salary reduction. Please reach out to the hiring unit contact listed on this job advertisement for details.

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 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 - Please see the Statement of Qualifications section.