Job Posting: Medical Consultant I

Department of Health Care Services

JC-403701
-
Medical Consultant I
MEDICAL CONSULTANT I, DEPARTMENT OF HEALTH SERVICES

$11,154.00 - $16,508.00 per Month

Final Filing Date: 12/19/2023

Job Description and Duties

This position is a statewide recruitment, the incumbent will be headquartered in the county nearest their residence, including but not limited to the following counties: Sacramento and Los Angeles.

The Medical Consultant I functions either independently or as a member of a review team to conduct on-site and other types of reviews of Medi-Cal providers, including physicians, clinics, laboratories, capitated health maintenance organizations, and other providers. Travel of up to 10% is required. Overnight travel is routinely required and out of state travel including weekend and/or overnight stays may be required.


This recruitment has been posted for more vacancies than currently exist as it may be used to fill additional identical vacancies which occur within 180 days of the closing date of this bulletin.

If you are interested in this position, it is critical to review the Classification Specifications to determine if you will meet the minimum qualifications (MQ’s). Please make note of Education and Experience requirements for the classification. See below for Minimum Requirements in the Class Specification. 

Please submit a Standard State Employment Application Form (STD 678). Applications will be screened and only the most qualified candidates will be interviewed. Failure to complete the STD. 678 in its entirety may result in disqualification.

Electronic applications are highly encouraged.

This position is eligible for telework. Please refer to the duty statement attached below and the "Working Conditions" section on this Job Control for additional information.

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

Working Conditions

Below are the options Department of Health Care Services - Audits & Investigations offers incumbents:
  • This is a remote-centered position, which allow 3 or more days of teleworking.
  • Regular or recurring telework may occur as part of the incumbent’s ongoing regular schedule per DHCS’s Telework Policy, in accordance with Government Code Sections 14200 – 14203 for employees residing in California.
  • Telework stipends are currently available
  • Flexible work schedules which include alternative work schedule options
  • Training & Development opportunities
  • Committed to supporting Diversity & Inclusion in the workplace
  • Transit subsidy available when applicable
  • Paid holidays, no on call
  • Paid time off for continuing education for licensure requirement 
  • Should the Incumbent need to report to an office, they will report to the DHCS office location: Sacramento and Los Angeles.

    Minimum Requirements

    You will find the Minimum Requirements in the Class Specification.

    Additional Documents

    Position Details

    Job Code #:
    JC-403701
    Position #(s):
    806-109-7787-XXX
    Working Title:
    Medical Consultant I
    Classification:
    MEDICAL CONSULTANT I, DEPARTMENT OF HEALTH SERVICES
    $11,154.00 - $16,508.00
    # of Positions:
    Multiple
    Work Location:
    United States
    Telework:
    Telework
    Job Type:
    Permanent, Full Time

    Department Information

    DHCS is California’s health care safety net, helping millions of low-income and disabled Californians each and every day.

    DHCS' purpose is to provide equitable access to quality health care leading to a healthy California for all. To accomplish this, DHCS finances and administers state and federal health programs, including medical, dental, mental health, substance abuse treatment services, and long-term care. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians.

    DHCS is a dynamic department 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 with 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 which reflects the many communities we serve, and by promoting and enforcing equal employment opportunities.


    Audits and Investigations (A&I) is the designated Program Integrity Unit for California’s Medicaid program – Medi-Cal. A&I’s mission is to protect and enhance the integrity of the health programs administered by DHCS. To carry this out, A&I performs financial and compliance audits, including post-service post-payment utilization reviews, of Medi-Cal providers; performs compliance and medical audits of medical, dental and behavioral health managed care plans; identifies and investigates Medi-Cal provider and beneficiary fraud, waste, and abuse, emphasizing fraud prevention; ensures accountability of state and federal health care funding by recovering identified overpayments; performs onsite reviews as part of the Medi-Cal provider enrollment process; provides technical assistance (financial and medical) for the development and enhancement of DHCS health programs and related policy; and provides technical assistance and audited data to support health care financing initiatives and objectives such as provider rate setting.

     

    A&I also strives to improve the effectiveness and efficiency of DHCS and the programs it administers.

    Investigations Division is responsible for state mandated annual contract compliance reviews of medical managed care plans (MCP); federally mandated post-service, post-payment (PSPP) Behavioral Health (BH) utilization reviews; BH and dental managed care contract reviews; provider enrollment onsite reviews of high and moderate risk prospective Medi-Cal providers; onsite reviews for site certification and recertification of county-owned or operated Short Doyle Medi-Cal Providers; and other requested third-party contract compliance reviews.

    We are seeking a candidate to join as a Medical Consultant I. Please direct all questions to the hiring unit contact listed in this job posting.

    Special Requirements

    Applicant must have a medical license.

    Individuals who claim list eligibility must have reachable placement on the appropriate certification list for a classification they apply to: https://www.dhcs.ca.gov/services/admin/jobs/Documents/3HAAA.pdf

    Special Requirements: This position is designated under the Conflict of Interest Code. The position is responsible for making or participating in the making of governmental decisions that may potentially have a material effect on personal financial interests. The appointee is required to complete a Form 700 within 30 days of appointment and annually thereafter.

    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: 12/19/2023

    Who May Apply

    Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list 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. Individuals who are eligible for a Training and Development assignment may also be considered for this position(s).

    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
    Attn: Certification Technician
    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
    1501 Capitol Avenue, Suite 71.1501
    Sacramento, CA 95814
    08:00 AM - 05:00 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 -
      Applicants must include a Statement of Qualifications (SOQ) for this recruitment. The SOQ is a narrative discussion 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 concisely in writing. DHCS may not consider applicants who fail to provide an SOQ with their application. Resumes do not take the place of the SOQ.

      The Statement of Qualifications (SOQ) should be no more than 2 pages in length (one and a half space, 1 inch left and right margins, and a font size comparable to Arial 12 point).

      Describe your work experience, educational background and training that has prepared you for this position.
    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:

    This position requires the incumbent to have and maintain good rapport, consistent and regular attendance, communicate effectively both orally and in writing in dealing with the public and/or other employees. Please indicate your eligibility in the area of the application where you enter the position name and number for which you are applying.

    Desirable Skills include:

    • Enthusiastic and self-motivated
    • Good communication skills (both written and verbal)
    • Strong work ethic and ability to preserve
    • Attention to detail 
    • Strong working knowledge of Computer Systems
    • Problem Solving
    • Emotional Intelligence
    • Able to Conduct Contextual Analysis
    • Independent
    • Ability to take Initiative

    Benefits

    The state offers comprehensive benefits for its employees, who provide essential and exceptional service to millions of Californians every day.

    • Health, Vision and Dental
    • Retirement
    • Savings Plan
    • Group Legal Service Insurance
    • Vacation/Annual Leave Accrual
    • Paid Holidays
    • Employee Assistance Program


    Benefit information can be found on the     CalHR and CalPERs websites.

    Contact Information

    The Hiring Unit Contact is available to answer questions regarding the position or application process.

    Hiring Unit Contact:
    Sajid Hussain
    (916) 713-8903
    sajid.hussain@dhcs.ca.gov

    Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.

    EEO Contact:
    EEO Officer
    (916) 440-7370
    civilrights@dhcs.ca.gov
    California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.


    Additional Information

    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.

    A completed state application (STD. 678) and any documents list under “Required Application Documents” must be submitted with your application package. Applicants who are relying on additional documentation (e.g., transcripts, copy of degrees, certifications, licenses, etc.) in order to prove that they meet the minimum qualifications listed in the Classification Specification (located on the right under “Additional Documentation) must submit those documents with their application package. Failure to submit these documents may result in your application being disqualified. Applications must include a description of the duties performed for each position held; reference to a resume in place of a description of the duties performed will not be accepted.

    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.

    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.