Network Review Analyst (Associate Governmental Program Analyst)

Under the direction of the Staff Services Manager I (SSM I) in the Office of Plan Monitoring, Division of Provider Networks, the incumbent is assigned program-related responsibilities that ensure effective interpretation and implementation of the Knox-Keene Health Care Service Plan Act of 1975 (Act), the California Code of Regulations, title 28 (Regulations) and program policies and procedures. The incumbent is responsible for performing duties involved in planning, implementing, monitoring and evaluating health program activities within the OPM. The incumbent provides analytical support for the review and evaluation of health care service plan licensing filings and data from various network review projects. The incumbent will use computer software (e.g., Excel, Access, Word and geographic access software) to analyze and display data, develop reports and present information at meetings.

This position is eligible for full-time telework under Government Code 14200 for eligible applicants residing in California. Remote-centered teleworker employees may be required to report in person to headquarters and/or offsite events or locations, as determined by management, and will be required to utilize a shared workspace or “hotel” when working in the office.

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.

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:

• Work proficiently on spreadsheets and database files using Microsoft Excel, Word and Access applications

• Experience gathering, analyzing and organizing data to make recommendations on program issues

• Experience in managed health care

• Ability to organize and establish simultaneous workload priorities and work under pressure

• Ability to work independently and in a team environment

• 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

• Dependable, punctual and excellent attendance

• Experience using technical software (i.e. Excel, Access, geo access software, Tableau) to sort data, create maps, write queries, pivot tables, create graphs, reports, databases, etc.

A Statement of Qualifications (SOQ) is REQUIRED with your application. The SOQ serves as documentation of each candidate's ability to present information clearly and concisely in writing. The SOQ should be no more than one (1) page using 12-point font. Resumes and cover letters do not take the place of the SOQ. Applications submitted without the SOQ will not be considered. Please respond to the following:

Describe your background, experience, education and/or training that pertains to this job.