Division of Plan Surveys Attorney

The California Department of Managed Health Care (DMHC) is responsible for ensuring health plan members have access to high-quality and affordable health care. The Division of Plan Surveys Attorney will ensure compliance with health care regulations, participate in on-site surveys, and provide legal advice to management and staff.

Responsibilities

• Ensuring compliance with the Knox-Keene Act, the MHPAEA, and related state and federal law through the planning and participation in on-site surveys of health care service plans
• Making investigative inquiries, preparing and reviewing reports of survey findings, and preparing memoranda concerning identified violations of applicable laws
• Providing expert-level legal advice and counsel to the Division of Plan Surveys and other DMHC management and staff
• Reviewing new health plan license applications, notices of material modifications and amendments to existing health plan licenses related to areas under the authority of the Division of Plan Surveys
• Occasional travel will be required to conduct on-site medical surveys
• Periodically traveling to and working on-site at health plan facilities

Skills

• Possession of Minimum Qualifications will be verified prior to interview and/or appointment
• The position(s) require(s) a Background Investigation be cleared prior to being hired
• Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered
• 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
• Resume is required and must be included
• Statement of Qualifications - The Statement of Qualifications (SOQ) is a MANDATORY requirement to apply for this position
• Other - A Cover Letter is required for this recruitment
• Knowledge of health care service plan programs and trends
• Ability to organize and establish simultaneous workload priorities and work under pressure
• Exercise a high degree of initiative, flexibility, and confidentiality
• Ability to work independently, as well as cooperatively and effectively with others
• Ability to professionally communicate both orally and in writing
• Ability to reason well and use good judgment
• Dependable, punctual, and excellent attendance
• Proficient use of the following software programs: Microsoft Teams, SharePoint, PowerPoint, Word, and Excel
• Experience in public service or government
• Knowledge of data and policy analysis

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