Managed Care Plan Research Data Analyst II – Financial Management Branch (Hybrid Option)

California Department of Health Care Services • Sacramento, CA, United States • $200k - $250k / year • 1m ago

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:

The Capitated Rates Development Division (CRDD) is responsible for developing and processing Medi-Cal managed care capitation rates for more than 10 million beneficiaries across California’s 58 counties. Under the direction of the Section Chief, the Research Data Analyst II (RDA II) acts as program lead and performs independent, varied, and complex technical research and statistical work in support of the financial monitoring and oversight activities required to comply with the expanded federal requirements outlined in the CalAIM waiver special terms and conditions. Duties include program evaluation and planning, policy analysis and formulation, systems development, budgeting and planning, data collection and analysis, evaluation of medical loss ratio (MLR) reporting by Medi-Cal managed care plans (MCPs) and their subcontractors, and consultation with management and staff.

The RDA II conducts and reviews analytical studies and surveys, formulates policies, procedures, and program alternatives, and makes recommendations on a broad spectrum of administrative and program-related matters pertinent to the Medi-Cal managed care delivery system and the CalAIM waiver special terms and conditions. The RDA II maintains an environment of teamwork and communication within the Branch, working with other professional staff to examine financial reports, analyze fiscal information and transactions, review applicable financial and utilization data from MCPs, subcontractors, and/or other stakeholders as well as the data warehouse and public data sources, and will maintain ongoing records of contract, financial, fiscal, policy, and other documents. The RDA II will be expected to have intermediate knowledge of at least one of the following and be willing to learn: BusinessObjects, Teradata Studio, or SAS, as well as Excel, PowerBI, Tableau, Python, etc. This is a dynamic division that is committed to keeping up with the evolving nature of data collection and interpretation.

Minimum Requirements

RESEARCH DATA ANALYST II

Position Details

Job Code #: JC-429772

Position #(s): 805-760-5731-710

Working Title: Managed Care Plan Research Data Analyst II – Financial Management Branch (Hybrid Option)

Classification: RESEARCH DATA ANALYST II

Salary: $6,265.00 - $7,848.00 A

# of Positions: Multiple

Work Location: Sacramento County

Telework: Hybrid

Job Type: Permanent, Full Time

Contact Information

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

Hiring Unit Contact:

Megan Yim

(916) 345-7610

Megan.Yim@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.

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