Associate Health Program Adviser

New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

About the Department

California’s Department of Health Care Access and Information works to ensure that healthcare is available where Californians need it most. With offices in Sacramento and Los Angeles, we strengthen the state’s healthcare system through facility construction, expanding the health workforce, and providing vital health information. Our diverse team upholds the values of professionalism, innovation, equity, and service. We provide tools and support to help you start, build, or transition your career while making a meaningful impact for all Californians.

At HCAI’s Office of Health Information, we shape conversations and generate impactful insights about California’s healthcare landscape from data submitted to us by hospitals, health plans, prescription drug manufacturers, and California’s health workforce. These conversations and insights inform policymakers, researchers, community leaders, and the broader healthcare industry regarding topics such as health care cost transparency, the total cost of care, and health outcomes. Our mission is to expand equitable access to quality, affordable health care for all Californians.

HCAI is committed to building an inclusive work environment that promotes diversity, where employees are appreciated and feel comfortable being their authentic selves. We value our employees’ skills, experience, and unique perspectives because they enrich our workforce and make us stronger.

About the Role

Under the direction of the Health Program Manager I (HPM I) of the Hospital Fair Billing Program (Program), and guidance from Health Program Specialist I (HPS I) staff, the Associate Health Program Adviser (AHPA) performs the more difficult and complex duties involved in the planning, implementation, monitoring, and evaluation of hospital compliance with Assembly Bill (AB) 1312. The AHPA performs financial analysis of patient billing complaints and assists with eligibility determination, penalty determination, appeals, and regulations development pertaining to hospital compliance with the laws regarding health care debt and fair billing. The AHPA will perform other special projects as required and must utilize professional discretion while working both collaboratively and independently.

The Program is responsible for ensuring that hospitals comply with the laws regarding health care debt and fair billing, as set forth at Article 1, Chapter 2.5, Part 2, Division 107 of the Health and Safety Code (Section 127400 et seq.), including requirements for hospital discount payment, charity care, and debt collection policies. In addition to reviewing these policies, the Program receives consumer complaints, conducts investigations and assesses penalties when warranted, pursues enforcement actions as necessary through the administrative hearing process, and administers an appeal process from administrative penalties.

Responsibilities

• Perform financial analysis of patient billing complaints.
• Assist with eligibility determination, penalty determination, appeals, and regulations development pertaining to hospital compliance with laws regarding health care debt and fair billing.
• Plan, implement, monitor, and evaluate hospital compliance with Assembly Bill (AB) 1312.
• Conduct investigations and assess penalties for hospital non-compliance.
• Pursue enforcement actions through the administrative hearing process.
• Administer the appeal process from administrative penalties.
• Perform special projects as required, utilizing professional discretion while working both collaboratively and independently.

Qualifications

Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

Skills

• Financial analysis of patient billing complaints.
• Eligibility and penalty determination.
• Regulations development related to health care debt and fair billing.
• Planning, implementation, monitoring, and evaluation of compliance programs.
• Conducting investigations and assessing penalties.
• Professional discretion in collaborative and independent work environments.

Pay

$6,031.00 - $7,547.00 per month.

Effective July 1, 2025, specific Bargaining Units and associated Excluded State employees are subject to a salary reduction between 2% - 4.62% in exchange for Personal Leave Program 2025 (PLP 2025) hours each month.

Schedule

• Permanent, Full Time
• Hybrid (Telework available)

Location

Sacramento County