Surveys Senior Counsel (Attorney III)

Job Description and Duties 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 OPM’s 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. Under the general direction of the Assistant Chief Counsel, Division of Plan Surveys (DPS) within the OPM, the Attorney III performs 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.). In particular, the Attorney III will work on medical surveys of the DMHC's licensed full-service and specialty health plans to assess for compliance with state and federal laws. Duties performed by the Attorney III will include, but not be limited to, participating in survey planning and coordination activities, reviewing health plan documents, reviewing surveyors' work product and performing complex legal analysis of the survey findings. The Attorney III position will also provide legal advice and counsel to both DPS and DMHC management concerning the terms and implementation of corrective action plans and review and provide recommendations with respect to referrals prepared by DPS attorneys to the DMHC’s Office of Enforcement. The Attorney III will periodically travel to and work on-site at health plan facilities. You will find additional information about the job in the Duty Statement. 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. Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. You will find additional information about the job in the Duty Statement. Special Requirements • The position(s) require(s) a Background Investigation be cleared prior to being hired. The position(s) require(s) a Background Investigation be cleared prior to being hired. 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. 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: • Experience with consumer advocacy, public service, and data/policy analysis • Background and interest in health care law, public/governmental or administrative law • Experience conducting research and writing in health care law • Ability to serve as a lead attorney, providing guidance to other attorneys, non-legal staff, and consultants on complex, difficult, or sensitive legal issues • Experience analyzing, interpreting, and implementing newly enacted legislation • Ability to serve as a high-level advisor and provide consultation services to management and executive leadership • Ability work cooperatively and effectively with others, including non-legal staff. • Ability to prioritize workload and manage multiple projects simultaneously • Ability to communicate professionally and effectively, both orally and in writing • Proficient use of the following software programs: Microsoft Teams, SharePoint, PowerPoint, Word, and Excel Statement of Qualifications Instructions In order to be considered for this position, you must submit the following Statement of Qualifications (SOQ) with your application. An SOQ is a narrative discussion describing how the candidate’s education, training, experience and skills meet the minimum and desirable qualifications for the position. The SOQ should also document each candidate’s ability to present information clearly and concisely in writing. The SOQ must be typewritten, use no less than 12 point font, and be no more than two pages in length. The SOQ should address the following: • Describe your understanding of the mission of the DMHC. • Describe your experience, with regard to health care law, health care industry trends, and legislative and regulatory processes. • Describe your experience leading projects, and what leadership and organizational skills you have applied to ensure successful outcomes of your projects. Applicants that do not submit a SOQ with their application packet will automatically be disqualified from consideration for this position. Cover letters, resumes and applications will not take the place of the SOQ.