Join us as part of the California Health Benefit Exchange (HBEx) a new Department which will improve the health of all Californians by assuring their access to affordable, high quality care. We are looking for enthusiastic and motivated individuals seeking an Associate Governmental Program Analyst (AGPA) position to join our team.
We have 2 vacancies in the Eligibility and Enrollment, Assisters Program and Reports Program area:
Eligibility and Enrollment
The Eligibility and Enrollment unit and the supporting California Health Eligibility and Enrollment Retention System will provide the State’s eligible population with a statewide, web-based portal to access affordable health care coverage and facilitate their enrollment in health plans operated by the Exchange, Department of Health Care Services, and the Managed Risk Medical Insurance Board. This unit will also be responsible for the statewide call center providing assistance to individuals and small businesses seeking health care coverage.
The AGPA works under the supervision of the Staff Services Manager I over the Assisters Program. “Assisters” offered through trusted and known channels will be critical to building a culture of coverage so that as many consumers as possible enroll in affordable health insurance. The Assisters Program must help individuals overcome complex and diverse barriers to enroll into coverage and must also provide information and services in a fair, accurate, impartial and culturally linguistic manner. It is estimated that in the early years of implementation, 50% to 75% of consumers may need some type of assistance in order to successfully enroll. Therefore, the AGPA will independently work as assigned on the development and implementation of the role, eligibility and standards, training, recruitment, compensation methodology and evaluation processes for “Assisters” and “Navigators.
As assigned will independently conduct research into assigned areas associated with development, implementation and ongoing operation of the Assisters Program. Examples of such projects may include
Research and preparation of policy directives and letters of instructions, design, development and monitoring of the Assisters Program. This includes program policies, training, certification, conflict of interest, registration requirements and processes for certified enrollment Assisters.
Development of criteria, methodology and processes to compensate those assisters that are designated as Navigators who facilitate one or more successful application resulting in enrollment in an exchange qualified health plan. This also may include development of processes to compensate Navigators for enrollment in Medi-Cal and Health Families and identification of possible funding sources.
Research and identification of criteria for affiliation of assisters with an enrollment entity or organization that is registered with the exchange and eligibility criteria.
Development of regulations, business rules, process workflows, training materials, work instructions, program materials program materials (e.g., website information, handbooks, forms, correspondence/notifications, etc.); and performance metrics and measurements for post implementation review of the Assisters Program.
Also included is development of testing eligibility and enrollment functions (Unit Testing, Systems Integration testing; and User Acceptance Testing), and implementing and monitoring corrective action plans.
Research and resolution of policy issues and development/completion of corrective action plans. Prepares complex, technical, written, analytical/research documents including HBEX Board agenda items, legislative impact analyses, program evaluation and performance measurements, legislative and regulatory proposals, research studies, fiscal proposals, issue papers, executive briefs, summaries and talking points/presentations to various audiences and other documents relating to the Assisters Program functions. As assigned, prepare briefing documents for HBEX executives on the research, development and implementation of complex statewide Assisters Program/Navigator strategies.
Conduct performance reviews and post implementation reviews of the Assisters Program. Participates in the development of performance metrics and independently applies approved performance measures to gauge program performance and identify areas where improvement is needed. Prepare associated reports advising management of successes as well as corrective action plans designed to correct deficiencies. Monitors ongoing completion of the corrective action plan and incorporates such into ongoing program reviews.
Acts as a liaison, representing the Exchange and its work at meetings, conferences, focus groups, etc., on a variety of Assisters/Navigator program and operational issues, serving as a subject matter expert. In this capacity the incumbent gathers information and reports back to management. As required the incumbent will share information at these meetings.
Incumbents are responsible but limited too the creation, implementation, and evaluation of policies and procedures for the respective program areas.
Demonstrated ability to produce completed staff work.
Ability to lead others and work in a team-based, collaborative environment that promotes diversity.
Knowledge of and effectiveness in implementing statewide initiatives and policies related to health care.
Demonstrated capacity to work cooperatively and promote partnerships with other state departments providing health benefits to low–income Californians (e.g., Department of Health Care Services, Managed Risk Medical Insurance Board, etc.).
Capacity to work cooperatively with federal control agencies to fund Exchange planning activities.
Knowledge of California health policies with a working knowledge of information technology health care systems.
Experience in the development of health care program business rules, policies and regulations.
Experience in implementing new programs related to health care.
Experience working under demanding time pressure and under public scrutiny, while maintaining composure and a sense of humor.
FILING REQUIREMENTS: Failure to submit the following with your application package may result in elimination from the hiring process:
State Application (STD 678) - Clearly indicate the position you are applying for and the basis of your eligibility in the Explanation section located at the bottom of page one.
Statement of Qualifications: Please provide a narrative discussion of how your education, training, experience, and skills qualify you for the position you applied for. The Statement of Qualifications serves as a documentation of your ability to present information clearly and concisely in writing and should be typed and no more than two pages in length.
Positions are pending establishment.
Benefits information can be found on the CalHR website, calhr.ca.gov, and the CalPERS website, www.calpers.ca.gov .
Associate Governmental Program Analyst (2 Positions)
If you are not a current or former State employee, you must first take an examination to obtain list eligibility. This does not apply to Student Assistant vacancies.
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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.