Job Description

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 general direction of the Research Data Supervisor I, the Research Data Specialist I (RDS I) performs complex duties focused on combating provider fraud in the Medi-Cal Program to achieve significant savings and overpayment recoveries for the program. The RDS I must be able to take initiative and work independently; perform research methodology, data mining, ad hoc reporting; must have a working knowledge of SAS or Business Objects; and must proficiently use Microsoft Word, Excel, Outlook, and Power Point. The RDS I must be able to analyze and present Medi-Cal claims data that uncover over-utilization of services, fraud, waste, or abuse in pursuit of improper payment recoveries. The RDS I must have good knowledge of the Medi-Cal fee-for-service and managed care programs and the interaction between the two programs. The RDS I must be able to effectively and sensitively communicate results to upper management via oral presentations and translate raw data into reports that reflect patterns and/or current trends in the utilization of Medi-Cal services. The RDS I must possess excellent writing and presentation skills to deliver reports on research findings and cost impact to the program for stakeholders, upper management, the Health and Human Services Agency, and the Legislature as assigned.

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

Per CCR 249.3, this job control may be used to fill subsequent vacancies.

You will find additional information about the job in the .

Working Conditions

Below are the options DHCS - A&I offers:

• 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

Please see the Telework Information section below for telework details.

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 Research Data Specialist I/II classification. See the Minimum Requirements section above.
2. Complete the statement of qualifications and the state application by clicking “Apply Now” above. See below for detailed application instructions.
3. Submit your application package with all required documents, which include the statement of qualifications - see the "Required Application Package Documents" section below. 
4. Once you have applied, take the examination:  Research Data Specialist I or  Research Data Specialist II

Statement of Qualifications Requirement Section

Candidates who do not complete and submit an SOQ may not be considered for this position. 

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 DHCS may not consider applicants who fail to provide an SOQ with their application.  Resumes do not take the place of the SOQ.

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.

Please describe your experience and education as it relates to the job duties.

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 persevere

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)

DHCS – A&I offers:

• Professional Competency Pay for Auditors who obtain CPA license or CIA certification
• Merit Based Promotional opportunities based on performance
• Training opportunities to support role
• Upward Mobility

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 

provides more information about our commitment to serving Californians and organizational excellence.

Telework Information

This position may be eligible for telework up to three days per week and is required to report in-person and site-based a minimum of two days per week. 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: Sacramento but, will consider candidates throughout all of California.

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 -

  A completed Statement of Qualifications (SOQ) must be submitted with your STD. 678 to be considered for this position. The statement of qualifications helps DHCS better understand your qualifications and experience as it relates to the role in which you are applying. Please see the Statement of Qualifications Requirement Section above for additional information.

Job Tags

Holiday work, Permanent employment, Full time, Contract work, Remote job, Flexible hours, 2 days per week, 3 days per week,

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