Application, MAGI and CalSAWS 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:

Under the general direction of the Staff Services Manager II (SSM II), Section Chief of the Application, MAGI, and CalSAWS Section, within the Policy Development Branch (PDB), the Health Program Specialist I (HPS I) serves as the subject matter expert and specialist for development, implementation, and policy consultation regarding the federal Medicaid rules. As subject matter expert, the HPS I will take lead in development of All County Welfare Directors Letters (ACWDLs), State Plan Amendments (SPAs), and regulatory language, ensuring compliance with Application, Renewal, Immigration, and Medi-Cal financial eligibility requirements in implementing Medi-Cal policy. The HPS I will provide expert consultation services to Unit, Section, Branch, and Division staff, executive management team members, and advocates on the complexities of eligibility policies as they relate to Medi-Cal eligibility rules and the subsequent policy implications for the Division and other divisions within the Department, county social services departments, and the public. The HPS I will be essential lead in working with various external stakeholders, the Centers for Medicare and Medicaid Services (CMS), as well as internal staff and executive management. The HPS I will also be in frequent consultation with the Covered California, the California Healthcare, Eligibility, Enrollment, and Retention System (CalHEERS), the California Department of Social Services (CDSS), county human services departments, and the California Welfare Directors Association (CWDA) in the implementation and development of uniform eligibility and enrollment policies and procedures. The HPS I must be able to perform their duties proficiently with minimal supervision, exercising considerable independent judgement in providing policy and procedural recommendations that have significant impact on California's Medi-Cal program. The recommendations of this HPS I affect county government operations and finances, and the health and welfare of the Medi-Cal member population. The specialist must have a thorough knowledge and understanding of state Medi-Cal eligibility laws and regulations, as well as remain up-to-date with the frequent changes occurring in the program. Instate travel that can include overnight stays may be required five percent or less of the time for trainings and meetings.

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

NOTE: To be considered for this Job Opportunity, applicants must have permanent civil service status, be reachable on an employment list, have transfer eligibility, or have reinstatement eligibility. IF YOU DO NOT HAVE ELIGIBILITY, YOU MUST TAKE THE EXAM. Please visit the CalCareers website to take the exam for this classification. HPS I Exam Link

This position is eligible for telework. Please refer to the duty statement attached below and the “Telework Information” section on this Job Control for additional information.

You will find additional information about the job in the .

Working Conditions

This position offers a hybrid work schedule as outlined in the telework information section below; the amount of telework is based on the operational business needs. 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.

Special Requirements

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

Benefit information can be found on the CalHR website and the CalPERS website.

DHCS 2023-2027 Strategic Plan 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 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.

Business travel may be required, and reimbursement considers an employee’s designated office and residence subject to regulations and bargaining unit contract provisions. All commute expenses to the reporting location will be the responsibility of the selected candidate.

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

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.