Section Chief (Hybrid Option) jobs in United States
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California Department of Health Care Services · 12 hours ago

Section Chief (Hybrid Option)

The California Department of Health Care Services (DHCS) is responsible for the health care safety net in California. They are seeking a Section Chief to manage the Financial Management Section, overseeing non-actuarial functions related to Medi-Cal managed care capitation rates and ensuring compliance with financial regulations.

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Responsibilities

Manage the daily and long-term activities of a Financial Management Section (FMS)
Primary responsibility for non-actuarial, capitated rate-related functions with regard to Medi-Cal managed care plans (MCPs)
Development, analysis, and implementation of Medi-Cal managed care capitation rates
Oversight of MCPs' financial viability and compliance with statutory, regulatory, and contractual requirements regarding financial matters
Development of complex fiscal analyses and policy changes required for Medi-Cal budget assumptions (Local Assistance Estimate)
Development of payment policy, regulation, and monitoring and evaluation of Medi-Cal managed care delivery system waiver initiatives, including Special Terms and Conditions
Development and/or review of State Directed Payments, Medical Loss Ratio (MLR) or other risk mitigation calculations
Implementation of and ongoing compliance with federal Centers for Medicare and Medicaid Services (CMS) regulations and guidance related to managed care rate setting
Coordinate with multiple internal and external entities to meet all requirements for various CRDD programs, including but not limited to CMS, MCPs, counties, hospitals, health care districts, medical centers, MCP and provider associations, and accounting, budget, fiscal forecasting, and other internal Department of Health Care Services divisions

Qualification

Resume preparationExperience documentationEducation documentation

Required

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 required and must be included
Statement of Qualifications - Refer to the Statement of Qualifications Requirement Section for instructions
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
Candidates who do not complete and submit an SOQ may not be considered for this position

Benefits

Continuous and ongoing training
Diversity, Equity, and Inclusion program activities
Employee Assistance Program (EAP)
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

Company

California Department of Health Care Services

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The California Department of Health Care Services (DHCS) is the backbone of California’s health care safety net, helping millions of low-income and disabled Californians every day.

Funding

Current Stage
Late Stage

Leadership Team

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Crystal Taylor
Chief Strategy Officer (CSO)
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Palav Babaria
Chief Quality Officer and Deputy Director of Quality and Population Health Management
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