CORPORATION EXAMINER IV (SPECIALIST)

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. Please let us know how you heard about this position by taking a brief survey: DMHC Recruitment Survey. Leave Program (PLP) 2025 agreement: Effective July 1, 2025, the California Department of Human Resources (CalHR) implemented the temporary Personal Leave Program 2025 (PLP 2025). PLP 2025 directs that each employee receive a temporary reduction in pay in exchange for PLP 2025 leave credits. The temporary salary reduction percentage and the number of PLP 2025 leave credits are based on the position's associated bargaining unit. The salary range(s) included in this job advertisement do not include the temporary salary reduction., The mission of the Department of Managed Health Care (DMHC) is to 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. If you are interested in learning about the Department of Managed Health Care (DMHC) culture from the perspective of someone like yourself, contact our Someone Like Me program (please check your Spam or Junk folders for our email replies). 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.

Do you have a valid CPA license?, Do you have experience in Stakeholder relationship building?, Do you have a Bachelor's degree?, 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., Foreign Degrees or Transcripts - Applicants with foreign degrees or transcripts who wish to apply that coursework toward meeting the minimum qualifications of the classification must provide a transcript evaluation that indicates the number of units to which his/her foreign coursework is equivalent. DMHC accepts foreign transcript evaluations that are completed by one of the agencies approved by the California Commission on Teacher Credentialing.

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. Position Details