CORPORATION EXAMINER IV (SPECIALIST)

Job Description and Duties
Under general direction of the Deputy Director, Office of Financial Review, the Senior Examiner performs complex analysis of the financial, enrollment and compliance data submitted by health plans and risk bearing organizations (RBO) to assess the financial solvency of the health plans and RBOs. The Senior Examiner collaborates with internal and external stakeholders and acts as Provider Solvency’s Unit (PSU)’s project lead for monitoring the fiscal viability of medical groups and independent practice organizations that qualify as a risk-bearing organization (RBO) and voluntary employees’ beneficiary associations (VEBA); coordinates all Office of Technology and Innovation (OTI) projects; and assists the Deputy Director on other assignments as needed.

Working Conditions
The DMHC has locations in Downtown Sacramento and Rancho Cordova. Both locations are located close to light-rail with various amenities. The incumbent will work in a climate-controlled cubicle and/or office environment with artificial lighting.

This position may be eligible for hybrid telework. The telework schedule is permitted at the operational needs of the Department and is subject to change, consistent with the State Telework Policy and the DMHC’s Telework Policy. All employees who telework are required to be California residents and maintain California residency in accordance with Government Code 14200.

Department Information
The mission of the Department of Managed Health Care (DMHC) is to ensure health plan members have access to equitable, high-quality, timely, and affordable health care within 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 30.2 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.

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.

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:

1. Experience in leading financial and/or claims examinations and training staff.
2. Knowledge and ability to apply the Generally Accepted Auditing Standards (GAAS), Generally Accepted Accounting Principles (GAAP), Audit and Accounting Guide for Health Care Organizations (AICPA), Generally Accepted Governmental Auditing Standards (GAGAS), and other accounting or auditing standards.
3. Knowledge and the ability to apply the Knox-Keene Act.
4. Experience with Microsoft Access, Excel, Word and/or Audit Command Language (ACL).
5. Experience reviewing financial statements, such as income statements, balance sheets and/or cash flow statements.
6. Experience in analyzing financial projections and assumptions in a Corrective Action Plan.
7. Experience gathering, organizing, summarizing and interpreting financial data to prepare reports and/or recommendations.
8. Experience with examination protocols including the usage of workbooks or reference materials.
9. Experience in establishing and maintaining cooperative relations with internal and external stakeholders.
10. Bachelor’s Degree or higher in accounting, finance, business administration (registered college seniors can begin the process but must graduate before starting).
11. Possess CPA license or CPA Candidate in the process to take CPA test are preferred, but not required.
12. Understanding of federal and state legislation, statutes and regulations related to health care.
13. Strong written and oral communication skills.
14. Strong organizational skills and a commitment to producing a quality work product.
15. Ability to use tact and good judgment.
16. Ability to be flexible in response to changing workload.
17. Ability to develop positive working relationships with teammates and other colleagues.
18. Experience in leading and training staff.
19. Project Management experience.

Benefits
Contact Information
The Human Resources Contact is available to answer questions regarding the application process. The Hiring Unit Contact is available to answer questions regarding the position.

EEO Contact:
EEO Office
(916) 738-3394
EEO@dmhc.ca.gov

Additional Application Instructions
To be considered for this vacancy, please complete all applicable fields on the application form, including a list or description of previous/current occupational experience in the duties performed section.

Electronic applications through your CalCareer account are highly recommended.

If you are unable to apply electronically through your CalCareer account, please mail or drop off a hard copy of your application packet. Please notate RPA: 25-188 and Job Control: JC-519037 on your application.

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.