Auditor (Hybrid) (Auditor I)

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 Auditor I is the entry and initial working level of the Health Program Auditor series. Provider Investigations is a team of multidisciplinary staff (auditors, medical and Investigative staff established to investigate Medi-Cal fraud, and to develop the basis for the successful prosecution of said fraud, in 13 diverse Medi-Cal program areas including: Drug Medi-Cal, Skilled Nursing Homes, Narcotic Treatment Providers, Adult Day Health Care, Mental Health, Home Health, Hospice, HIV and Antipsychotic Drugs,Transportation Operators, Pharmacies and Residential Care Facilities. Up to 15% of overnight travel may be necessary to complete audits or attend meetings and other activities, as directed by management. The role of the Auditor I in the Audits & Investigations (A&I), Investigations Division (ID) conducts administrative and criminal investigations to address fraud, waste, and abuse in Medi-Cal and other DHCS programs. Specific activities include fraud data analytics, Medi-Cal fraud Hotline and complaint intake, investigative audits, provider fraud investigations, and beneficiary fraud investigations. The Auditor I qualifies for a “Hire Above Minimum “(HAM) salary. The starting salary for the classification will be: $4,470 The Staff Services Management Auditor qualifies for a “Hire Above Minimum “(HAM) salary. The starting salary for the classification will be: $4,926 This position is subject to the Department's Conflict of Interest Code and filing a Statement of Economic Interests (Form 700) when assuming office, annually while in office, and upon leaving office. This is a re-advertisement of JC-531001. If you previously applied under JC-531001, you would need to re-apply under this new Job Control, JC-537500 in order to be considered. Have questions and/or need assistance? Contact Recruit@dhcs.ca.gov, we are here to help walk you through the state hiring process! You will find additional information about the job in the Duty Statement. Special Requirements Simple Application Steps If you are interested in this position, complete the following these simple steps: • Review the education and experience minimum qualifications (MQ’s) of the Auditor I, Associate Management Auditor, and Staff Services Management Auditor. See the Minimum Requirements section above. • Submit your application package with all required documents - see the "Required Application Package Documents" section below. • Once you have applied, take the appropriate exam:Auditor I, Associate Management Auditor, Staff Services Management Auditor. Individuals who claim list eligibility must have reachable placement on the appropriate certification list for a classification they apply to. Education: If you are meeting minimum qualifications with education, you must include a copy of your diploma/degree and/or unofficial/informal transcripts for verification. Official transcripts may be required upon appointment. • Travel required 15% of the time. • The position requires a Live Scan prior to being hired. Successful candidates are required to submit to a background investigation process, including mandatory electronic fingerprinting via the California Department of Justice (DOJ) Live Scan system. Statement of Qualifications Requirement Section Applicants must include a Statement of Qualifications (SOQ) for this recruitment. The SOQ is a narrative discussion, not a cover letter, prepared by the applicant describing how their skills, knowledge, abilities, education, training, and experience, qualify them for the position. The SOQ serves as documentation of the applicant’s ability to present information clearly and provide DHCS additional information about their experience and qualifications concisely in writing. The SOQ must be no more than two pages in length, double-spaced and using 12-point font. You must indicate your Full Name and Job Control Number at the top right corner. Candidates who fail to provide an SOQ with their application or do not follow SOQ instructions may be disqualified. Resumes do not take the place of the SOQ. Please describe your experience and education as it relates to job duties. 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: This position requires the incumbent to have and maintain good rapport, consistent and regular attendance, communicate effectively both orally and in writing in dealing with the public and/or other employees. Please indicate your eligibility in the area of the application where you enter the position name and number for which you are applying. Desirable skills include: • Strong communication skills (both written and verbal) • Knowledge of Microsoft products such as Excel, Word, and Teams • Analytical, independently makes decisions on supportable facts