Investigations Branch

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Admin Executive
1 month
United States
California
San Diego Get directions →
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ID: 699633
Published 1 month ago by California Department of Health Care Services
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San Diego, California, United States
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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:

Under the general direction of the Branch Cheif, Investigations Division, the incumbent plans, organizes, and coordinates the work of multiple offices statewide to conduct targeted full and preliminary criminal and administrative investigations of fraud, waste or abuse by DHCS program beneficiaries and providers, respectively. The incumbent must possess demonstrated management capabilities, including the ability to lead, set priorities, develop objectives, and monitor the performance of a highly technical operation under sometimes-stressful conditions. The incumbent must be able to direct staff and plan for workloads to meet tight time frames. The incumbent must have excellent communication skills, both written and verbal, to be effective in communicating with the legislature, executive staff, Medi-Cal providers and their attorneys. Travel of up to 15% is required. Overnight travel is routinely required and out of state travel including weekend and/or overnight stays may be required.

Have questions and/or need assistance? Contact Recruit@dhcs.ca.gov, we are here to help walk you through the state hiring process! This position is subject to the Department’s Conflict of Interest Code and filing a Statement of Economic Interests (Form 700) when assuming this position, annually by April 1, and when leaving this position.

Please see attached duty statement.

Electronic applications are highly encouraged.

This recruitment has been posted for more vacancies than currently exist as it may be used to fill additional identical vacancies which occur within 180 days of the closing date of this bulletin.

If you are interested in this position, it is critical to review the Classification Specifications to determine if you will meet the minimum qualifications (MQ’s). Please make note of Education and Experience requirements for the classification. The Classification Specification and MQ’s can be found here: Fraud Investigator, Department of Health Care Services Series - CalHR

Per CCR 24+.3, this job control may be used to fill subsequent vacancies.

You will find additional information about the job in the Duty Statement .

Working Conditions

Below are the options Department of Health Care Services - Audits Investigations offers incumbents:
• Telework stipends are currently available
• State issued vehicle and phone
• Flexible work schedules
• Training Development opportunities
• Bilingual (B) Candidates will have an opportunity to receive bilingual pay of $100 a month for employees; contingent they meet CalHR requirement.

Minimum Requirements You will find the Minimum Requirements in the Class Specification.
• SUPERVISING FRAUD INVESTIGATOR II, DEPARTMENT OF HEALTH CARE SERVICES

Additional Documents
• Job Application Package Checklist
• Duty Statement

Position Details

Job Code #:

JC-460654

Position #(s):

806-307-8066-003

Working Title:

Investigations Branch

Classification:

SUPERVISING FRAUD INVESTIGATOR II, DEPARTMENT OF HEALTH CARE SERVICES

$+,188.00 - $12,567.00

# of Positions:

Multiple

Work Location:

San Diego County

Telework:

Hybrid

Job Type:

Permanent, Full Time

Department Information

DHCS is a dynamic organization with ambitious goals and talented, committed employees. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians. DHCS is committed to addressing disparities within our organization and in our communities through efforts toward greater diversity, equity, and inclusion. This is accomplished, in part, by a commitment toward employing a diverse workforce that reflects the many communities we serve, and by promoting and enforcing equal employment opportunity

AI is seeking a candidate to join as a Supervising Fraud Investigator II. Please direct all questions to the hiring unit contact listed in this job posting.

Special Requirements

The position(s) require(s) a Drug Screening be passed prior to being hired.

The position(s) require(s) a Background Investigation be cleared prior to being hired.

The position(s) require(s) Medical Clearance prior to being hired.

The position(s) require(s) Psychological Evaluation clearance prior to being hired.

The position requires successful completion of the POST (CA Commission on Peace Officer Standards and Training) Certified Basic Peace Officer Training Course (basic academy)

Application Instructions

Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.

Final Filing Date: 1/2/2025

Who May Apply

Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

How To Apply

Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:

Address for Mailing Application Packages

You may submit your application and any applicable or required documents to:

Department of Health Care Services

Mailing

Attn: Certification Technician

M.S. 1300

P.O. Box ++7411

Sacramento , CA +58++-7411

Address for Drop-Off Application Packages

You may drop off your application and any applicable or required documents at:

Department of Health Care Services

Drop-Off

1501 Capitol Avenue, Suite 71.1501

Sacramento , CA +5814

08:00 AM - 05:00 PM

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:
• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is optional. It may be included, but is not required.

Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

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:
• Willingness to work in various locations throughout the State and at odd and irregular hours
• Keenness of observation
• Good memory for names, faces, places, and incidents
• Willingness to associate with criminally inclined persons
• Satisfactory record as a law-abiding citizen
• Exercise good judgment and demonstrate good work habits
• Coursework in the following subjects: introduction to criminal justice, introduction to criminal law, basic investigation, evidence, criminal procedure, and philosophy of law.

If you are interested in this position, complete the following simple steps:
• Review the education and experience minimum qualifications (MQ’s) of the [Insert Classification(s) and hyperlink]. See the Minimum Requirements section above.
• Complete the state application by clicking “Apply Now” above. See below for detailed application instructions.
• Submit your application package with all required documents - see the "Required Application Package Documents" section below. 4. Once you have applied, take the Supervising Special Investigator II.

https://calcareers.ca.gov/CalHrPublic/Exams/ExamBulletin.aspx?ExamControlId=27++

Benefits

DHCS is dedicated to creating an innovative workplace for its team members that is inclusive, diverse, and interactive! Here are a few of the ways we stay engaged with our team:
• Continuous and ongoing training
• Diversity, Equity, and Inclusion program activities
• Employee Assistance Program (EAP)

Additionally, as a team member of the State of California, you may be eligible for many benefits, such as:
• Medical, including health, dental, and vision insurance
• Paid Holidays and vacation/leave
• Defined retirement program
• Savings Plus Program (401(k), 457)
• Medical/Dependent Care Reimbursement Accounts

Full benefits information can be found on CalHR's California State Civil Service Employee Benefits Summary

Contact Information

The Hiring Unit Contact is available to answer questions regarding the position or application process.

Hiring Unit Contact:

Alex Solorio

(323) +73-0867

Alex.Solorio@dhcs.ca.gov

Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.

EEO Contact:

EEO Officer

(+16) 440-7370

civilrights@dhcs.ca.gov

California Relay Service: 1-800-735-2+2+ (TTY), 1-800-735-2+22 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

Additional Information

Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.

Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed.

A completed state application (STD. 678) and any documents list under “Required Application Documents” must be submitted with your application package. Applicants who are relying on additional documentation (e.g., transcripts, copy of degrees, certifications, licenses, etc.) in order to prove that they meet the minimum qualifications listed in the Classification Specification (located on the right under “Additional Documentation) must submit those documents with their application package. Failure to submit these documents may result in your application being disqualified. Applications must include a description of the duties performed for each position held; reference to a resume in place of a description of the duties performed will not be accepted.

Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, TD, or Surplus/SROA), and the Job Control (JC) number and/or position number in the “Examination(s) or Job Title(s), For Which You Are Applying” section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application. Please remove any confidential information (i.e. social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission.

Use only if the exam is open and continuous

Here is the link to the exam bulletin for CLASSIFICATION: CalCareers

If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Recruitment Section at Recruit@dhcs.ca.gov

For all other questions regarding your CalCareer account, please contact CalHR’s CalCareers Unit at (866) 844-8671 or CalCareer@calhr.ca.gov

Telework

This position may be eligible for telework up to three days per week and is required to report in-person and site-based a minimum of two days per week. The amount of telework is at the discretion of the Department and is subject to change consistent with DHCS’ Telework Program and Government Code sections 14200 – 14203. Telework is available to California residents, and proof of residency may be required.

Business travel may be required, and reimbursement considers an employee’s designated office and residence subject to regulations and bargaining unit contract provisions. All commute expenses to the reporting location will be the responsibility of the selected candidate.

Equal Opportunity Employer

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.

It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants. Read more

Published on 2025/09/10. Modified on 2025/09/10.

Description

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:

Under the general direction of the Branch Cheif, Investigations Division, the incumbent plans, organizes, and coordinates the work of multiple offices statewide to conduct targeted full and preliminary criminal and administrative investigations of fraud, waste or abuse by DHCS program beneficiaries and providers, respectively. The incumbent must possess demonstrated management capabilities, including the ability to lead, set priorities, develop objectives, and monitor the performance of a highly technical operation under sometimes-stressful conditions. The incumbent must be able to direct staff and plan for workloads to meet tight time frames. The incumbent must have excellent communication skills, both written and verbal, to be effective in communicating with the legislature, executive staff, Medi-Cal providers and their attorneys. Travel of up to 15% is required. Overnight travel is routinely required and out of state travel including weekend and/or overnight stays may be required.

Have questions and/or need assistance? Contact Recruit@dhcs.ca.gov, we are here to help walk you through the state hiring process! This position is subject to the Department’s Conflict of Interest Code and filing a Statement of Economic Interests (Form 700) when assuming this position, annually by April 1, and when leaving this position.

Please see attached duty statement.

Electronic applications are highly encouraged.

This recruitment has been posted for more vacancies than currently exist as it may be used to fill additional identical vacancies which occur within 180 days of the closing date of this bulletin.

If you are interested in this position, it is critical to review the Classification Specifications to determine if you will meet the minimum qualifications (MQ’s). Please make note of Education and Experience requirements for the classification. The Classification Specification and MQ’s can be found here: Fraud Investigator, Department of Health Care Services Series - CalHR

Per CCR 24+.3, this job control may be used to fill subsequent vacancies.

You will find additional information about the job in the Duty Statement .

Working Conditions

Below are the options Department of Health Care Services - Audits Investigations offers incumbents:
• Telework stipends are currently available
• State issued vehicle and phone
• Flexible work schedules
• Training Development opportunities
• Bilingual (B) Candidates will have an opportunity to receive bilingual pay of $100 a month for employees; contingent they meet CalHR requirement.

Minimum Requirements You will find the Minimum Requirements in the Class Specification.
• SUPERVISING FRAUD INVESTIGATOR II, DEPARTMENT OF HEALTH CARE SERVICES

Additional Documents
• Job Application Package Checklist
• Duty Statement

Position Details

Job Code #:

JC-460654

Position #(s):

806-307-8066-003

Working Title:

Investigations Branch

Classification:

SUPERVISING FRAUD INVESTIGATOR II, DEPARTMENT OF HEALTH CARE SERVICES

$+,188.00 - $12,567.00

# of Positions:

Multiple

Work Location:

San Diego County

Telework:

Hybrid

Job Type:

Permanent, Full Time

Department Information

DHCS is a dynamic organization with ambitious goals and talented, committed employees. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians. DHCS is committed to addressing disparities within our organization and in our communities through efforts toward greater diversity, equity, and inclusion. This is accomplished, in part, by a commitment toward employing a diverse workforce that reflects the many communities we serve, and by promoting and enforcing equal employment opportunity

AI is seeking a candidate to join as a Supervising Fraud Investigator II. Please direct all questions to the hiring unit contact listed in this job posting.

Special Requirements

The position(s) require(s) a Drug Screening be passed prior to being hired.

The position(s) require(s) a Background Investigation be cleared prior to being hired.

The position(s) require(s) Medical Clearance prior to being hired.

The position(s) require(s) Psychological Evaluation clearance prior to being hired.

The position requires successful completion of the POST (CA Commission on Peace Officer Standards and Training) Certified Basic Peace Officer Training Course (basic academy)

Application Instructions

Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.

Final Filing Date: 1/2/2025

Who May Apply

Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

How To Apply

Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:

Address for Mailing Application Packages

You may submit your application and any applicable or required documents to:

Department of Health Care Services

Mailing

Attn: Certification Technician

M.S. 1300

P.O. Box ++7411

Sacramento , CA +58++-7411

Address for Drop-Off Application Packages

You may drop off your application and any applicable or required documents at:

Department of Health Care Services

Drop-Off

1501 Capitol Avenue, Suite 71.1501

Sacramento , CA +5814

08:00 AM - 05:00 PM

Required Application Package Documents

The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:
• Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
• Resume is optional. It may be included, but is not required.

Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

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:
• Willingness to work in various locations throughout the State and at odd and irregular hours
• Keenness of observation
• Good memory for names, faces, places, and incidents
• Willingness to associate with criminally inclined persons
• Satisfactory record as a law-abiding citizen
• Exercise good judgment and demonstrate good work habits
• Coursework in the following subjects: introduction to criminal justice, introduction to criminal law, basic investigation, evidence, criminal procedure, and philosophy of law.

If you are interested in this position, complete the following simple steps:
• Review the education and experience minimum qualifications (MQ’s) of the [Insert Classification(s) and hyperlink]. See the Minimum Requirements section above.
• Complete the state application by clicking “Apply Now” above. See below for detailed application instructions.
• Submit your application package with all required documents - see the "Required Application Package Documents" section below. 4. Once you have applied, take the Supervising Special Investigator II.

https://calcareers.ca.gov/CalHrPublic/Exams/ExamBulletin.aspx?ExamControlId=27++

Benefits

DHCS is dedicated to creating an innovative workplace for its team members that is inclusive, diverse, and interactive! Here are a few of the ways we stay engaged with our team:
• Continuous and ongoing training
• Diversity, Equity, and Inclusion program activities
• Employee Assistance Program (EAP)

Additionally, as a team member of the State of California, you may be eligible for many benefits, such as:
• Medical, including health, dental, and vision insurance
• Paid Holidays and vacation/leave
• Defined retirement program
• Savings Plus Program (401(k), 457)
• Medical/Dependent Care Reimbursement Accounts

Full benefits information can be found on CalHR's California State Civil Service Employee Benefits Summary

Contact Information

The Hiring Unit Contact is available to answer questions regarding the position or application process.

Hiring Unit Contact:

Alex Solorio

(323) +73-0867

Alex.Solorio@dhcs.ca.gov

Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.

EEO Contact:

EEO Officer

(+16) 440-7370

civilrights@dhcs.ca.gov

California Relay Service: 1-800-735-2+2+ (TTY), 1-800-735-2+22 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

Additional Information

Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.

Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed.

A completed state application (STD. 678) and any documents list under “Required Application Documents” must be submitted with your application package. Applicants who are relying on additional documentation (e.g., transcripts, copy of degrees, certifications, licenses, etc.) in order to prove that they meet the minimum qualifications listed in the Classification Specification (located on the right under “Additional Documentation) must submit those documents with their application package. Failure to submit these documents may result in your application being disqualified. Applications must include a description of the duties performed for each position held; reference to a resume in place of a description of the duties performed will not be accepted.

Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, TD, or Surplus/SROA), and the Job Control (JC) number and/or position number in the “Examination(s) or Job Title(s), For Which You Are Applying” section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application. Please remove any confidential information (i.e. social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission.

Use only if the exam is open and continuous

Here is the link to the exam bulletin for CLASSIFICATION: CalCareers

If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Recruitment Section at Recruit@dhcs.ca.gov

For all other questions regarding your CalCareer account, please contact CalHR’s CalCareers Unit at (866) 844-8671 or CalCareer@calhr.ca.gov

Telework

This position may be eligible for telework up to three days per week and is required to report in-person and site-based a minimum of two days per week. The amount of telework is at the discretion of the Department and is subject to change consistent with DHCS’ Telework Program and Government Code sections 14200 – 14203. Telework is available to California residents, and proof of residency may be required.

Business travel may be required, and reimbursement considers an employee’s designated office and residence subject to regulations and bargaining unit contract provisions. All commute expenses to the reporting location will be the responsibility of the selected candidate.

Equal Opportunity Employer

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.

It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
California Department of Health Care Services
California Department of Health Care Services
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