This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
Join to apply for the Unit Chief (Hybrid Option) role at California Department of Health Care Services .
California Department of Health Care Services (DHCS) is the backbone of California’s health care safety net, supporting low‑income families, children, pregnant women, older adults, and persons with disabilities. This position offers an opportunity to lead financial management functions for Medi‑Cal managed care plans.
Overview
The Capitated Rates Development Division (CRDD) develops and processes Medi‑Cal managed care capitation rates for more than 10 million beneficiaries across California. Under the general direction of the Section Chief, the Staff Services Manager I (SSM I) manages the daily and long‑term activities of a Financial Management Unit (FMU). The FMU’s primary responsibilities include: non‑actuarial, capitated rate‑related functions such as development, analysis, and implementation of Medi‑Cal managed care capitation rates; oversight of financial viability and compliance of Managed Care Plans (MCPs); development of fiscal analyses for budget assumptions; payment policy implementation; and monitoring of waiver initiatives and compliance with CMS regulations.
The SSM I coordinates with multiple internal and external entities including CMS, MCPs, counties, hospitals, health care districts, medical centers, and accounting, budgeting, and fiscal forecasting divisions within DHCS.
Responsibilities
Develop, analyze, and implement Medi‑Cal managed care capitation rates.
Oversee MCP financial viability and compliance with statutory, regulatory, and contractual requirements.
Prepare complex fiscal analyses and policy changes for Medi‑Cal budget assumptions and payment policy.
Monitor and evaluate Medi‑Cal managed care delivery system waiver initiatives.
Ensure compliance with CMS regulations related to managed care rate setting.
Coordinate with CMS, MCPs, counties, hospitals, health care districts, medical centers, and internal DHCS divisions.
Unit B1 – PP‑GEMT Program
Oversee the Public Provider Ground Emergency Medical Transportation (PP‑GEMT) Program.
Collect, analyze, and review cost and utilization data from MCPs for invoicing and reconciliation.
Develop project plans, deliverables, timelines, and flowcharts.
Maintain program communication mechanisms including website, FAQs, and email correspondence.
Handle logistics for invoicing, wire transfer payments, and provider reimbursements.
Unit K – Directed Payments Program
Develop and oversee directed payments within the Medi‑Cal managed care delivery system.
Conduct analytical studies and develop policies and procedures.
Maintain detailed records of contracts and funding pools.
Engage with hospitals, managed care plans, and CMS for program inquiries and data activities.
Minimum Requirements
Classification: STAFF SERVICES MANAGER I.
Minimum salary: $7,172.00 – $8,910.00.
New to state applicants will be hired at the minimum salary or alternate range if applicable.
Must meet the minimum qualifications listed in the Class Specification.
Benefits
Medical, dental, and vision insurance.
Paid holidays and vacation/leave.
Defined retirement program and Savings Plus Program (401(k), 457).
Medical/Dependent Care Reimbursement Accounts.
Continuous training, diversity, equity, and inclusion initiatives, and Employee Assistance Program.
Telework and Salary Information
Eligible for telework up to three days per week; required in-person reporting minimum two days per week.
Location: 1501 Capitol Avenue, Sacramento, CA 95814.
Business travel may be required; commute expenses are the candidate’s responsibility.
Application Instructions
Complete the State Examination/Employment Application STD 678 and submit the required documents as outlined in the Job Control (JC‑ ).
Include a Statement of Qualifications no more than two pages, double‑spaced, 12‑point font.
Submit applications electronically via CalCareer; hard copy applications may be mailed to the address or dropped off at the listed locations.
Final filing date: December 5, 2025.
Applicants must meet the Minimum Requirements and provide all required documents.
EEO and Equal Opportunity
California is an equal‑opportunity employer. All qualified applicants, regardless of age, ancestry, color, disability, gender, sexual orientation, or other protected status, are encouraged to apply.
Contact Information
Hiring Unit Contact: Megan Yim, (916) 345‑7610,
EEO Officer: (916) 440‑7370,
For reasonable accommodations, please contact the interview scheduler during the interview scheduling process.
We look forward to receiving your application.
#J-18808-Ljbffr
Worksite address
sacramento, CA, 95828, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.