HEALTH PROGRAM MANAGER III (DIRECTOR OF MEDI-CAL OPERATIONS) - EMERGENCY APPOINTMENT (HOMELESSNESS)

Health Program Manager III (Director Of Medi-Cal Operations) - Emergency Appointment (Homelessness)

Salary : $163,996.80 - $255,048.48 Annually

Location : Los Angeles County, CA

Job Type : Full time

The LA County Board of Supervisors recently declared a local state of emergency for homelessness, and the County is working to revise and expand our response to help all who are affected. We are looking for qualified and passionate individuals to help us in the mission of addressing issues like housing, mental health, and substance use. If you are looking for a new career that will directly benefit the population of LA County, this may be the opportunity for you.

The Department of Homeless Services and Housing is seeking qualified candidates to fill emergency Health Program Manager III (Director of Medi-Cal Operations) vacancies related to the homelessness crisis.

Under the emergency order, applicants who meet the requirements may be hired for an initial period of up to 90 days, with an opportunity for permanent County employment.

During your initial work period, you will be assessed on your work performance. This assessment will be weighted 100%.

Those who successfully pass the assessment will be considered for permanent appointment to Health Program Manager III (Director of Medi-Cal Operations).

Essential Job Functions

• Lead and oversee CalAIM initiatives, including Community Supports, Enhanced Care Management, Incentive Payment Programs (IPP / HHIP), and PATH.
• Align CalAIM with county housing and health objectives; coordinate applications, contracts, and compliance with State and health plans to maximize revenue and impact.
• Serve as primary liaison with health plans, DHCS, and county leadership on Medicaid funding opportunities, risk management, and program performance.
• Direct payor contracting strategy : negotiate and manage contracts with managed care organizations and third-party payors to optimize reimbursement, maintain compliance, and strengthen relationships.
• Drive financial planning and strategy for Medi-Cal and waiver programs; develop models, evaluate reimbursement streams, and advise on cost-effectiveness, scalability, and value-based purchasing.
• Oversee billing, payments, and claiming processes to ensure accuracy, timeliness, and resolution of denials or errors; implement financial tracking tools and provider training.
• Supervise and develop staff; manage resources, budgets, and workflow while promoting continuous improvement and professional growth.
• Represent the department in high-level stakeholder engagements with health plans, DHCS, DMHC, and other agencies; build partnerships and provide expert guidance on Medicaid / CalAIM contract requirements and opportunities.

Requirements

Minimum Requirements :

Option I : A Bachelor's degree from an accredited college or university in a discipline related to the core business function of the department - AND - Three (3) years of experience at the level of the Los Angeles County class of Health Program Manager II.

Option II : A Bachelor's degree from an accredited college or university in a discipline related to the core business function of the department - AND - Four years of management experience, which must have included two years at the level of the Los Angeles County class of Health Program Manager II.

Option III : A Bachelor's degree from an accredited college or university in a discipline related to the core business function of the department - AND - Six years of experience at the level of the Los Angeles County class of Health Program Manager I.

A Master's degree from an accredited college or university in a discipline related to the core business function of the department will be accepted for one year of the required experience.

You MUST meet the above requirement(s) in order to be appointed to fill any vacancies related to this recruitment.

Special Requirement Information :

To receive credit for your education, include a copy of your official diploma, official transcript, or letter / certificate from an accredited institution within seven (7) calendar days of the end of the filing period. Please submit documentation to AAvetyan@hr.lacounty.gov and indicate your name, the exam name, and the exam number. The document should show the date the degree was conferred and be in English; if it is in a foreign language, it must be translated and evaluated for equivalency to U.S. standards. For more information on our standards for educational documents, please visit :

We do not accept password-protected documents. Ensure documents are unlocked before attaching to your application or sending to the exam analyst.

A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.

Physical Class II - Light : This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.

Desirable Qualifications

Extensive experience working with or overseeing programs that serve people experiencing homelessness and / or Medicaid / Medi-Cal initiatives.

Extensive experience working with Medi-Cal Managed Care Plans.

Extensive experience managing large-scale programs, especially programs requiring coordination with multiple entities.

Experience developing and implementing programs in large public systems - especially experience in LA County or counties of similar size and demographics.

Experience in programs dependent on Medicaid funded revenue using claims-based infrastructure.

Experience with Medicaid Policy at the local, state or federal level.

Exceptional organizational skills.

Application and Filing Information :

Applications must be filed online only and will be reviewed for interview consideration on an ongoing basis. If you have not been contacted within 60 days and the recruitment remains open or reopens for filing, we encourage you to submit a new application. This will allow you to reaffirm your interest and update any relevant information.

Many important notifications will be sent electronically to the email address provided on the application, so it is important that you provide a valid email address. Please add AAvetyan@hr.lacounty.gov, as well as noreply@governmentjobs.com, and info@governmentjobs.com to your email address and list of approved senders to prevent email notifications from being filtered as spam / junk / clutter mail.

You have the ability to opt out of emails from LA County. If you unsubscribe, you will not receive any email notification for any examination for which you apply with Los Angeles County. Regardless of whether you choose to unsubscribe, you can always check for notifications by logging into governmentjobs.com and viewing your profile inbox, which saves a copy of all emailed notices.

Plan to submit your online application well in advance of the deadline as you may be required to verify your email address. This only needs to be done once per email address, and if you already have a job seeker account on www.governmentjobs.com / careers / lacounty, you can verify at any time by logging in and following the prompts. This is to enhance the security of your online application and to ensure you do not enter an incorrect email address.

Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number.

Computer and Internet Access at Public Libraries :

For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.

Anti-Racism, Diversity, and Inclusion (ARDI) : The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. The Department of Human Resources is committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices.

Department Contact Name : Armen Avetyan

Department Contact Number : (213) 866-8749

Department Contact Email : AAvetyan@hr.lacounty.gov

Teletype Phone : (800) 735-2929