Medical Program Consultant, Department of Health Services
California State Personnel Board Specification
Definition
Under administrative direction, to serve as the Department's highest level medical consultant; to give professional advice and guidance concerning scope and quality of medical benefits under the provisions of the California Medical Assistance Program; and to do other related work.
Typical Tasks
Advises the Department regarding appropriate type and content of medical services to be provided under the California Medical Assistance Program; recommends changes in scope of benefits, quality, and utilization controls, and payment mechanisms for covered medical services; recommends new and revised rules, regulations, procedures, and standards affecting providers of medical services under the California Medical Assistance Program; recommends priorities for the provision of medical services or benefits on a statewide basis; consults with statewide professional organizations, community groups, public officials, Department staff, and others on the medical phases of the California Medical Assistance Program; establishes and maintains liaison and cooperative relationships with the medical profession and allied groups, provider organizations, advisory committees, and other public and private agencies engaged in health and medical services; evaluates reports from regions and districts and recommends appropriate courses of action; analyzes and prepares reports concerning proposed legislation affecting medical services of the California Medical Assistance Program; assists in investigations of providers and recommehds disciplinary action when appropriate; provides staff assistance to committees of the Health Review and Program Council and other advisory committees; supervises consultants assisting in the development of policies and standards; conducts studies; prepares reports.
Minimum Qualifications
Possession of the legal requirements for the practice of medicine in California as determined by the California Board of Medical Quality Assurance or the California Board of Osteopathic Examiners. (Applicants who are in the process of securing approval of their qualifications by the Board of Medical Quality Assurance or the Board of Osteopathic Examiners will be admitted to the examination, but the Board to which application is made must determine that all legal requirements have been met before candidates will be eligible for appointment.) and Either I In the California state service either:
1. One year of experience performing the duties of a Medical Consultant II, Department of Health Services; or
2. Three years of experience performing the duties of a Medical Consultant I, Department of Health Services. Or IIExperience: Five years of experience in the practice of medicine, two years of which shall have been in an administrative, supervisory, or consultant capacity in a public health or welfare agency or in a medical care or rehabilitation program.
Knowledge and Abilities
Knowledge of: Principles and practices of general medicine and surgery with particular reference to the techniques and trends in the diagnosis of physical and mental handicaps and in treatment programs for such handicaps; interrelationships of Federal, State and local professional and voluntary public health and welfare agencies and the programs and services of such agencies; principles of preventive medicine; principles of community organization and skill in their application; Department's Affirmative Action Program objectives; a manager's role in the Affirmative Action Program and the processes available to meet affirmative action objectives.
Ability to: Direct the work of others; formulate medical policies, standards, rules ahd regulations for the California Medical Assistance Program; evaluate the quality and scope of medical services provided under this program; analyze situations accurately and take effective action; establish and maintain cooperative relations with those contacted in the work; write effectively; speak effectively before professional and lay groups; effectively contribute to the Department's affirmative action objectives.
Special Personal Characteristic
Willingness to travel.
