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The Office of Plan Monitoring (OPM) is responsible for evaluating and ensuring health care service plan regulatory compliance, quality improvement, and network adequacy as related to provision of managed health care services. The Division of Plan Survey’s (DPS or Division) public health and legal professionals plan and conduct routine and non-routine evaluations of licensed health plans and review service delivery filings for legal adequacy in order to ensure enrollees receive appropriate, sufficient, and timely care. The DPS also conducts focused behavioral health investigations of full-service commercial health plans (and their contracted specialized behavioral health plans) regulated by the Department of Managed Health Care (DMHC).
Under the general direction of the DPS Assistant Chief Counsel, the Attorney IV will work with broad discretion and independence, performing the most difficult, complex and sensitive legal work for the DMHC related to regulation and enforcement pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (“Knox-Keene Act”, Health and Safety Code Section 1340, et seq.). The Attorney IV will handle all aspects of complex surveys and act in a lead capacity over other attorneys in researching and resolving the most complex medical survey issues. Duties performed by the Attorney IV will include, but not be limited to, participating in survey planning and coordination activities; reviewing health plan documents; reviewing the consultant's work product and performing complex legal analysis of the findings from the surveys; making investigative inquires and coordinating with the DMHC's Office of Enforcement (OE); assisting with determining the legal justification for and participating in or monitoring the assigned attorney’s work on a non-routine survey; preparing, reviewing and editing reports of survey findings and memoranda concerning identified violations of applicable laws; and providing expert-level legal advice to both DPS and Department management and staff on rapidly-evolving issues in health care law. The Attorney IV will periodically travel to and work on-site at health plan facilities.
Traveling is required less than the 20% of duties indicated on the duty statement approximately three times a year.
This position provides hybrid telework opportunities, with employees required to work in-person at least two days per week. Beginning July 1, 2025, all employees will be required to work in-person at least four days per week in alignment with Executive Order N-22-25. Employees must work from a location within California while employed at the DMHC.
Please let us know how you heard about this position by taking a brief survey: DMHC Recruitment Survey
You will find additional information about the job in the Duty Statement.
Salary- $11,644 - $15,627/month
Minimum Requirements
You will find the Minimum Requirements in the Class Specification.
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:
• Strong knowledge of health care service plan programs and trends.
• Background specialty in the health care industry and experience with implementation of a major program.
• Ability to serve as a lead attorney, providing guidance to attorneys on complex, difficult, or sensitive legal issues and review of items prepared by other attorneys.
• Ability to serve as a high-level advisor and provide consultation services to management and executive leadership.
• Ability to provide leadership and assistance in developing and implementing new and updated policies and procedures.
• Ability to work independently, as well as cooperatively and effectively with others.
• Ability to organize and establish simultaneous workload priorities, work under pressure and meet deadlines.
• Exercise a high degree of initiative and confidentiality.
• Ability to professionally communicate both orally and in writing.
• Ability to reason well and use good judgment in following established program procedures.
• Dependable, punctual, and excellent attendance.
• Proficient use of the following software programs: Microsoft Teams, SharePoint, PowerPoint, Word, and Excel.
Other InformationAdditional Documents
Department Information
The mission of the California Department of Managed Health Care (DMHC) is to protect consumers’ health care rights and ensure a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for consumers. The Department protects the health care rights of more than 29.8 million Californians by regulating health care service plans, assisting consumers through a consumer Help Center, educating consumers on their rights and responsibilities, and preserving the financial stability of the managed health care system.
DMHC values diversity at all levels of the organization and is committed to fostering an environment in which employees from a variety of backgrounds, cultures, and personal experiences are welcomed and can thrive. DMHC believes the diversity of our employees and their unique ideas inspire innovative solutions to further our mission. Join DMHC and help us improve the lives of all Californians.
If you are interested in learning about the Department of Managed Health Care (DMHC) culture from the perspective of someone like yourself, contact ourSomeone Like Me program. Within five business days of your request to participate in the Someone Like Me program, you will be matched with a DMHC employee with a similar background to discuss the DMHC’s culture. This program is not part of, or in any way affiliated with the application or hiring process. Prospective employees must complete the application process on Cal Careers (e.g., submit your application within the specified timeframes on the job posting) to be considered for hire at the DMHC. None of the information you provide through the Someone Like Me program will be relayed to the Hiring Unit.
Department Website: http://www.dmhc.ca.gov
Special Requirements- The position(s) require(s) a Background Investigation be cleared prior to being hired.
All applicants not currently employed by the DMHC will be subject to a pre-employment background investigation. The investigation will consist of fingerprinting and an inquiry to the California Department of Justice to disclose criminal records.
Any documents you submit for a job vacancy such as your state application, resume, cover letter, educational transcripts, etc. SHOULD NOT include ANY confidential information. Confidential information that should be excluded or removed from these documents include, but is not limited to, your Social Security Number (SSN), birthday, driver’s license number (unless required), basis of eligibility, examination results, LEAP status, marital status, and age. Confidential information on the first page of applications submitted electronically online, such as Easy ID number, SSN, examination related information, and driver’s license number will automatically be redacted upon submission. Possession of Minimum Qualifications will be verified prior to interview and/or appointment.
If you are using education to meet the minimum qualifications for this position, you must submit a copy of your high school transcripts or college/university transcript(s).
Unofficial transcripts may be accepted during the application process; however, submission of official transcripts may be required prior to appointment.
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: 6/26/2025Who 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).
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 Managed Health Care
DMHC Recruitment
Attn: Human Resources Office
980 9th Street, Suite 500
Sacramento, CA 95814
Address for Drop-Off Application Packages
You may drop off your application and any applicable or required documents at:
Department of Managed Health Care
DMHC Recruitment
Human Resources Office
980 9th Street, Suite 500
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 required and must be included.
- Statement of Qualifications -
The Statement of Qualifications(SOQ) is a MANDATORY requirement to apply for this position. The SOQ will answer specific questions and provide insight to the hiring manager regarding the candidate’s education, training, experience, and skills to meet the minimum and desirable qualifications for the position.
Please see section labeled Statement of Qualifications Instructions for further direction.
Working Conditions
The DMHC utilizes a hybrid telework model to provide all employees with an avenue to telework while ensuring business and operational needs are met.
Remote-Centered employees are expected to maintain a safe and distraction free work environment at the approved alternate work location. Remote-Centered employees agree to adhere to the state telework policy, the DMHC’s telework policy, and conditions cited in the Telework Agreement (STD 200).
Office-Centered employees are expected to maintain a dedicated workstation at a DMHC official worksite. Office-Centered employees are expected to work in a climate-controlled office or cubicle under artificial lighting.
Contact InformationThe Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position.
Department Website:http://www.dmhc.ca.gov
Human Resources Contact:
DMHC Recruitment
(916) 322-8437
recruitment@dmhc.ca.gov
Hiring Unit Contact:
Johanne Medina
(916) 403-0862
johanne.medina@dmhc.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 Office
(916) 738-3394
EEO@dmhc.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.
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.
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. BenefitsBenefit information can be found on the CalHR website and the CalPERS website.
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