California Department of Managed Health Care
Surveys Senior Counsel (Telework)
California Department of Managed Health Care, Los Angeles, California, United States,
Job Description And DutiesThis position is eligible for full-time telework under Government Code 14200 for eligible applicants residing in California. Remote-centered teleworker employees may be required to report in person to headquarters and/or offsite events or locations, as determined by management, and will be required to utilize a shared workspace or “hotel” when working in the office.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 Attorney, Assistant Chief Counsel, Division of Plan Surveys (DPS) within the OPM, the incumbent 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 incumbent will work on the medical surveys of the DMHC's licensed full-service commercial health plans and specialty health plans to assess the plan's 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 the consultant's work product and performing complex legal analysis of the findings from the surveys. The position will also provide legal guidance, finalize corrective action plans and draft referrals to the Office of Enforcement. The incumbent will periodically travel to and work on-site at health plan facilities.Working ConditionsThe DMHC utilizes a hybrid telework model to provide all employees with an avenue to telework while ensuring business and operational needs are met.Remote-Centered employees are expected to maintain a safe and distraction-free work environment at the approved alternate work location. Remote-Centered employees agree to adhere to the state telework policy, the DMHC's telework policy, and conditions cited in the Telework Agreement (STD 200).Office-Centered employees are expected to maintain a dedicated workstation at a DMHC official worksite. Office-Centered employees are expected to work in a climate-controlled office or cubicle under artificial lighting.Minimum RequirementsYou will find the Minimum Requirements in the Class Specification.ATTORNEY IIIPosition DetailsJob Code #:
JC-412874Position #(s):
409-571-5795-035Working Title:
Surveys Senior Counsel (Telework)Classification:
ATTORNEY IIISalary:
$10,536.00 - $13,526.00 A# of Positions:
1Work Location:
Sacramento CountyTelework:
TeleworkJob Type:
Permanent, Full TimeDepartment InformationThe mission of the California Department of Managed Health Care (DMHC) is to protect consumers’ health care rights and ensure a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for consumers.Special RequirementsThe 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.Application InstructionsCompleted applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered.Final Filing Date: 1/29/2024How To ApplyComplete Application Packages must be submitted to apply for this Job Posting.QualificationsStatement of QualificationsIn order to be considered for this position, you must submit the following Statement of Qualifications (SOQ) with your application. The SOQ must be typewritten, use no less than Arial 12 point font, and be no more than two pages in length.Equal Opportunity EmployerThe State of California is an equal opportunity employer to all.
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JC-412874Position #(s):
409-571-5795-035Working Title:
Surveys Senior Counsel (Telework)Classification:
ATTORNEY IIISalary:
$10,536.00 - $13,526.00 A# of Positions:
1Work Location:
Sacramento CountyTelework:
TeleworkJob Type:
Permanent, Full TimeDepartment InformationThe mission of the California Department of Managed Health Care (DMHC) is to protect consumers’ health care rights and ensure a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for consumers.Special RequirementsThe 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.Application InstructionsCompleted applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered.Final Filing Date: 1/29/2024How To ApplyComplete Application Packages must be submitted to apply for this Job Posting.QualificationsStatement of QualificationsIn order to be considered for this position, you must submit the following Statement of Qualifications (SOQ) with your application. The SOQ must be typewritten, use no less than Arial 12 point font, and be no more than two pages in length.Equal Opportunity EmployerThe State of California is an equal opportunity employer to all.
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