Job Description

Job Description and Duties

The Office of Plan Monitoring (OPM) is responsible for evaluating and ensuring health care service plan regulatory compliance, quality improvement, and network adequacy as related to provision of managed health care services. The OPM’s public health and legal professionals plan and conduct routine and non-routine evaluations of licensed health plans and review service delivery filings for legal adequacy in order to ensure enrollees receive appropriate, sufficient, and timely care.

Under the general direction of the Assistant Chief Counsel, Division of Plan Surveys (DPS) within the OPM, the Attorney III performs complex and sensitive legal work for the DMHC related to regulation and enforcement pursuant to the  Knox-Keene Health Care Service Plan Act of 1975 (“Knox-Keene Act,” Health and Safety Code Section 1340, et seq.). In particular, the Attorney III will work on medical surveys of the DMHC's licensed full-service and specialty health plans to assess for compliance with state and federal laws. Duties performed by the Attorney III will include, but not be limited to, participating in survey planning and coordination activities, reviewing health plan documents, reviewing surveyors' work product and performing complex legal analysis of the survey findings. The Attorney III position will also provide legal advice and counsel to both DPS and DMHC management concerning the terms and implementation of corrective action plans and review and provide recommendations with respect to referrals prepared by DPS attorneys to the DMHC’s Office of Enforcement.

The Attorney III will periodically travel to and work on-site at health plan facilities.

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

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You will find additional information about the job in the .

Working Conditions

The 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 telework. The telework schedule is permitted at the operational needs of the Department and is subject to change, consistent with the State Telework Policy and the DMHC’s Telework Policy. All employees who telework are required to be California residents and maintain California residency in accordance with Government Code 14200.

Special Requirements

• The position(s) require(s) a Background Investigation be cleared prior to being hired.

All applicants not currently employed by the DMHC will be subject to a pre-employment background investigation. The investigation will consist of fingerprinting and an inquiry to the California Department of Justice to disclose criminal records.

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. Possession of Minimum Qualifications will be verified prior to interview and/or appointment.

If you are using education to meet the minimum qualifications for this position, you must submit a copy of your high school transcripts or college/university transcript(s).

Unofficial transcripts may be accepted during the application process; however, submission of official transcripts may be required prior to appointment.

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:

• Background and interest in health care law

• Ability to serve as a lead attorney, providing guidance to other attorneys, non-legal staff, and consultants on complex, difficult, or sensitive legal issues

• Experience analyzing, interpreting, and implementing newly enacted legislation

• Ability to serve as a high-level advisor and provide consultation services to management and executive leadership

• Ability to work cooperatively and effectively with others, including non-legal staff.

• Ability to prioritize workload and manage multiple projects simultaneously

• Ability to communicate professionally and effectively, both orally and in writing

• Proficient use of the following software programs: Microsoft Teams, SharePoint, PowerPoint, Word, and Excel

Benefits

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

Additional Application Instructions

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.

Do NOT include your social security number on any submitted documents. If submitting your application via postal mail or in person, please notate RPA: 25-045 and Job Control: JC 489765 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 the Attorney III 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 Commission on Teacher Credentialing .

PLEASE NOTE: If you are mailing your application, it must be postmarked by the final filing date. Hand delivered applications must be submitted no later than 5:00 p.m. on the final filing date. Applications slipped under the door at the Human Resources Office will be time stamped the following business day.

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 required and must be included.
• 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.

  Please see section labeled Statement of Qualifications Instructions for further direction .

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