Medi-Cal Eligibility Analyst Series
California State Personnel Board Specification
Series established February 6, 1996
Scope
This series specification describes classes used in the Department of Health Services which perform a variety of analytical and consultative functions relating to local procedures, supportive manuals and automated data systems for eligibility determination in public assistance programs at the county level. Incumbents work in conjunction with State and/or county staff in the development, implementation, and application of laws, regulations, and policies regarding the mandated public assistance programs administered at the county level.
Definition of Series
This series describes a recruiting and developmental class as well as a full journey level class responsible for the more varied and difficult assignments. Incumbents in this class series perform a variety of tasks related to the development and implementation of statewide policy and procedures related to eligibility determination for public assistance programs administered at the county level. Experience at the county level in the eligibility determination process is the basis upon which incumbents in this class can analyze, evaluate, and develop recommendations for State and county program staff in the administration and implementation of State and federally mandated programs. Incumbents provide consultation to electronic data processing systems staff in interpretation of and operational application of policy directives for automated systems and nonautomated systems used for eligibility determination at the county level. This class provides knowledge of county administration issues, procedures and operations; experience in county manual and automated systems operations and maintenance; and knowledge of linked data bases operating in the counties. This knowledge and experience is critical to the successful development, implementation, and ongoing maintenance of California's Statewide Automated Welfare Systems (SAWS) and other automated systems which will eventually be operational in all 58 counties. The efficient integration of State and county requirements in resolving issues to ensure consistent Medi-Cal eligibility determinations throughout the State is critical to the equitable administration of multiple public assistance programs [e.g., Medi-Cal; Aid to Families with Dependent Children (AFDC), including Homeless Assistance, Transitional Child Care (TCC) and Transitional Medi-Cal (TMC); Food Stamps; and County Medical Services Program (CMSP)].
Factors Affecting Position Allocation
Factors affecting position allocation include the scope and level of responsibility, complexity and magnitude of assignments; independence of action and decisions; and the impact of decisions on statewide regulation development and policy implementation regarding eligibility determinations for public assistance.
Definition of Levels
Assistant Medi-Cal Eligibility Analyst
This is the entry and first journey level class in the series. Under supervision, incumbents perform work of average difficulty in a variety of consultative and advisory assignments; conduct analysis and evaluation of Federal law and policy for development of State and local operations, procedures, and systems to be implemented at the county level; determine the impact on county welfare departments, including automated and manual systems, equipment, budgeting, staff support, forms development, benefit issuance, and training; provide training to county staff on policies and procedures; integrate State policies and procedures with the county welfare departments' policies and procedures for application among the counties manual and automated systems, as well as the State's automated systems [e.g., Medi-Cal Eligibility Data System (MEDS), Case Date System (CDS), SAWS, etc.].
Associate Medi-Cal Eligibility Analyst
This is the full journey level class within the series. Incumbents, under general direction, perform the more responsible, varied, and complex work in a variety of consultative and advisory assignments; conduct analysis, evaluation, and implementation of Federal and State laws and policies assessing the impact on the counties and their ability to effectively administer public assistance programs. Incumbents provide technical assistance to the counties in the development of regulations and policies. Incumbents work with other State staff to reconcile public assistance program policy with SAWS and other automated systems' capabilities and functional requirements; review test cases to evaluate the accuracy of all new program requirements; analyze errors and make recommendations for corrections to SAWS and/or other automated systems. Incumbents may act in a lead capacity over a multidisciplinary group comprised of staff from a variety of agencies.
Minimum Qualifications
Assistant Medi-Cal Eligibility Analyst
Education: Equivalent to graduation from college. (Registration as a senior at an accredited institution will provide for admission to the examination, but applicants must produce evidence of graduation or its equivalent before they can be considered eligible for appointment.) Qualifying experience may be substituted for education on a year-for-year basis. and Experience: One year of experience supervising staff in the performance of eligibility determination for public assistance of family support case work in Medi-Cal or a combination of Medi-Cal and one of the following county programs: AFDC, Food Stamps, and CMSP.
Associate Medi-Cal Eligibility Analyst
Either I
One year of experience in the California state service performing the duties of an Assistant Medi-Cal Eligibility Analyst, Range B.
Or II
Education: Equivalent to graduation from college. (Registration as a senior at an accredited institution will provide for admission to the examination, but applicants must produce evidence of graduation or its equivalent before they can be considered eligible for appointment.) Qualifying experience may be substituted for education on a year-for-year basis. and
Experience: Three years of experience supervising staff in the performance of public assistance or family support case work in Medi-Cal or a combination of Medi-Cal and one of the following county programs: AFDC, Food Stamps, and Cmsp.
Knowledge and Abilities
Assistant Medi-Cal Eligibility Analyst
Knowledge of: Principles, practices, and trends of county and local government administration, management, and supportive staff services; county and local government functions and organizations, including budget preparation, internal policies, and local community resources; methods, techniques and systems used for county eligibility determinations; and county record-keeping processes, case review, and quality assurance practices.
Ability to: Research and analyze specific eligibility information contained in county case records; interpret county eligibility information and communicate this information understandably to others; recognize policy conflicts at the county level and develop solutions; gain and maintain confidence and cooperation from county management and administrative staff; and consult with and advise administrators or other interested parties on county program administrative issues.
Associate Medi-Cal Eligibility Analyst
Knowledge of: All of the above, and analysis methods and the principles of completed staff work; principles and practices of policy formulation; and principles, practices and trends of public and business administration, including management and supportive staff services such as budget, personnel, management analysis, planning, program evaluation or related areas.
Ability to: All of the above, and reason logically and creatively and utilize a variety of analytical techniques to resolve complex governmental problems; develop and evaluate alternatives; analyze data and present ideas and information effectively; and act in a lead capacity over multidisciplinary groups.
Class History
