Job Posting: Policy and Network Adequacy Lead

Department of Health Care Services

JC-534114
-
Policy and Network Adequacy Lead
HEALTH PROGRAM SPECIALIST II

$7,276.00 - $9,107.00 per Month
New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

Final Filing Date: 11/5/2026

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 direction of the Health Program Manager II, the Health Program Specialist II (HPS II) serves as the policy and network adequacy lead within the Managed Care Quality and Monitoring Division (MCQMD). The incumbent functions as a highly skilled technical consultant, responsible for the ongoing review, reconciliation, and monitoring of MCP 274 files and network data with the Open Data Portal and Provider Application and Validation for Enrollment (PAVE). The HPS II conducts continuous analysis to identify and resolve data gaps, ensuring the most current and accurate information for the Fee-For-Service (FFS) network. The position also performs complex analyses of delivery-system and benefit transitions affecting Medi-Cal managed care members, including changes related to Community Supports and other managed care services, identifying continuity-of-care issues, provider network impacts, operational dependencies, and reporting gaps. The HPS II collaborates with MCP network adequacy teams, Community Supports program staff, and internal DHCS divisions to assess provider and network information, reconcile enrollment, authorization, and service data, and support development of standardized monitoring approaches that improve visibility into provider availability, service transitions, and emerging access issues. The incumbent evaluates provider appointment availability and new patient acceptance through systematic data analysis; develops analytical reports, dashboards, and issue briefs that synthesize managed care information; and supports readiness and post-implementation monitoring for major program, benefit, network, or delivery-system changes.
As the policy and network adequacy lead, the HPS II translates analytical findings into actionable, plain-language policy updates, refines guidance to maintain alignment with DHCS Unified Information Systems (UIS) policies, and leads cross-branch and cross-divisional projects involving managed care data, provider networks, member transitions, and Community Supports. The incumbent engages stakeholders to resolve data and directory discrepancies, supports coordinated implementation activities across DHCS programs, and exercises a high degree of independence and expertise while performing functions that are sensitive and critical to the Department’s mission. The position requires established knowledge of managed care, health care services, and policy development, as well as strong analytical, communication, and collaborative skills.

Have questions and/or need assistance? Contact recruit@dhcs.ca.gov, we are here to help walk you through the state hiring process!

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

Working Conditions

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

Minimum Requirements

You will find the Minimum Requirements in the Class Specification.

Additional Documents

Position Details

Job Code #:
JC-534114
Position #(s):
805-149-8336-XXX
Working Title:
Policy and Network Adequacy Lead
Classification:
HEALTH PROGRAM SPECIALIST II
$7,276.00 - $9,107.00
New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.
# of Positions:
Multiple
Work Location:
Sacramento County
Telework:
Hybrid
Job Type:
Permanent, Full Time

Department Information

DHCS’ purpose is to provide equitable access to quality health care leading to a healthy California for all.

DHCS is a dynamic organization with ambitious goals and talented, committed employees. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians. DHCS is committed to addressing disparities within our organization and in our communities through efforts toward greater diversity, equity, and inclusion. This is accomplished, in part, by a commitment toward employing a diverse workforce that reflects the many communities we serve, and by promoting and enforcing equal employment opportunity.

Take a look at some of DHCS' recent projects and happenings that our Department has accomplished in the DHCS Newsroom.


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

           Health Program Specialist II. See the Minimum Requirements section above.

  1. Complete the state application by clicking “Apply Now” above. See below for detailed application instructions.
  2. Submit your application package with all required documents - see the "Required Application Package Documents" section below.
  3. Once you have applied, take the Health Program Specialist II Examination.

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 SOQ must be no more than two pages in length, double-spaced and using 12-point font. You must indicate your Full Name and Job Control Number at the top right corner. 

Candidates who fail to provide an SOQ with their application or do not follow SOQ instructions may be disqualified. Resumes do not take the place of the SOQ.

 

1. Describe a specific experience where you independently analyzed a complex dataset or identified a data gap/discrepancy, and then converted your findings into a policy recommendation, process change, or written guidance.

2. Describe a time you led or coordinated a complex, cross-functional initiative where requirements were evolving, details were still taking shape, and priorities had to be balanced.

Application Instructions

Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.

Final Filing Date: 11/5/2026

Who May Apply

Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

How To Apply

Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:

Address for Mailing Application Packages

You may submit your application and any applicable or required documents to:

Department of Health Care Services
Mailing
Attn: Certification Technician JC-526071
M.S. 1300
P.O. Box 997411
Sacramento, CA 95899-7411

Address for Drop-Off Application Packages

You may drop off your application and any applicable or required documents at:

Department of Health Care Services
Drop-Off
Certification Section JC-526071
1501 Capitol Avenue, Suite 71.1501
Sacramento, CA 95814
Monday – Friday (excluding holidays)
08:00 AM - 04:00 PM

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 www.CalCareers.ca.gov. 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 Statement of Qualifications section.
Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

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:
The ideal candidate will demonstrate:
-Strong analytical and research abilities related to evaluating delivery-system and benefit transitions, identifying continuity-of-care risks, provider network impacts, operational dependencies, and data gaps affecting visibility into provider availability and member access, synthesizing findings and providing well-reasoned recommendations.
- Expertise in health program administration, including familiarity with Medi-Cal managed care operations, provider enrollment processes, network adequacy standards, and State/Federal regulatory frameworks.
- Advanced policy development and interpretation skills, with the ability to translate complex analytical findings into clear, actionable, plain-language policy guidance.
- Exceptional communication skills, demonstrating the ability to clearly articulate complex information in writing and verbally to diverse audiences, including MCPs, internal divisions, and external stakeholders.
- Strong project management and organizational skills, including the ability to manage multiple priorities, meet deadlines, and coordinate cross-divisional efforts in a fast-paced environment.
- Demonstrated ability to work both independently and collaboratively, exercising a high degree of initiative, sound judgment, and professional discretion when handling sensitive or mission-critical program work.
- Comfort navigating ambiguity, with the ability to interpret evolving data, balance competing considerations, and make informed decisions amidst complex situations.
- Strong interpersonal skills, including the ability to build and maintain cooperative working relationships with MCP representatives, internal DHCS divisions, and external partners.
- Commitment to program integrity and professional standards, maintaining consistent attendance, adhering to departmental policies, and upholding the quality and accuracy of all program outputs.

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


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 and Salary Information

Telework: This position is currently eligible for telework. 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 Ave, Sacramento, CA 95814.

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.

Additional Information

This recruitment may be used to fill other vacancies.


Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.

 

Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed.

 

Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, T&D, or Surplus/SROA), and the Job Control (JC) number and/or position number in the “Examination(s) or Job Title(s), For Which You Are Applying” section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application. Please remove any confidential information (i.e., social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission.

 

All information on the Employment Application (STD 678) must be completed. Applicants should include all employment history on the Employment Application (STD 678), including detailed job descriptions, hours worked per week, and start/end dates (MM/DD/YYYY). Resumes or other documents may not be substituted for the Employment Application (STD 678).

 

If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Recruitment Section at recruit@dhcs.ca.gov. For all other questions regarding your CalCareer account, please contact CalHR’s CalCareers Unit at (866) 844-8671 or calcareer@calhr.ca.gov.

Equal Opportunity Employer

The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.

It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.

Application Methods:
Electronic (Using your CalCareer Account)
By Mail
Drop-off
Print Job