Department of Managed Health Care, State of California
Job Description and Duties
Under the direction of the Assistant Chief Counsel, Commercial Team, the Attorney IV in the Office of Plan Licensing performs sensitive and highly complex legal work focusing on health care regulation and health care service plan compliance within the jurisdiction of the Department of Managed Health Care. Duties include providing direction and leadership on plan filings including license applications, material modifications and amendments to license applications. The position will significantly interact with the DMHC divisions and department management as required. The ideal candidate has extensive experience in the field of health care regulation, including mental health/substance use disorder coverage and benefits and demonstrated experience with the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). The work entails legal review, legal research, transactional review of health care service plan documents, and applying the law in connection with the administration and regulation of entities licensed pursuant to the Knox-Keene Health Care Service Plan Act of 1975, including the implementation of federal health care reform. Duties involve communication with licensees and coordination with other divisions/offices on filings and matters concerning licensees. In addition, performance encompasses work relative to data collection and analysis, and other special projects, including drafting and implementing regulations and managing Department contracts with consultants, as required, and serving as lead for MHPAEA and other mental health related issues.
NOTE: Salaries do not reflect reductions arising from the COVID-19 pandemic. Information for actual reductions is available in the Human Resources Manual, Section 2113, Personal Leave Program (PLP) at http: hrmanual.calhr.ca.gov/Home/ManualItem/1/2113
California Attorneys, Administrative Law Judges and Hearing Officers (CASE) Bargaining Unit 2
You will find additional information about the job in the Duty Statement.
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