What are the responsibilities and job description for the HEALTH PROGRAM SPECIALIST II position at Covered California?
Join the Covered California team!
Are you interested in using your analytical skills to improve automated eligibility for Californians seeking health coverage? Join our Eligibility Automation team to serve as a program subject matter expert, working with internal and external partners to translate complex eligibility and enrollment rules into clear business and system requirements. In this role, you will help define system behaviors, analyze defects and issues, and support solutions that reduce manual work, improve accuracy, and enhance customer experience. If you are passionate about expanding access to health coverage and enjoy solving problems at the intersection of enrollment and eligibility, and technology in a collaborative environment, we encourage you to apply.
At Covered California, we recognize our employees are our most valuable asset. We have a variety of career fields that help make a difference in the lives of Californians, and we’re looking for talented and enthusiastic individuals to join our team! Learn more about why you should join the Policy, Eligibility, and Research Division.
This position is headquartered in Sacramento County. Business travel may be required, and reimbursement considers an employee’s designated headquarters office subject to regulations and bargaining unit contract provisions. Travel expenses associated with commuting to the employee’s office headquarters location are not reimbursable, other than authorized transit subsidies.
NOTE: To be considered for this job opportunity, applicants must be reachable on an employment list, have transfer eligibility, or have reinstatement eligibility. If you are new to California State service and you do not have list eligibility, you must take the exam for this classification. To gain employment list eligibility, please click here to access the Health Program Specialist II exam bulletin.
Possession of minimum qualifications will be verified prior to interview and/or appointment. If it is determined an applicant does not meet the minimum qualifications, the applicant's name may be removed from the eligibility list.
Covered California does not provide visa sponsorship and is not an E-Verify employer.
Effective July 1, 2025, in response to the budget deficit, the Department of Human Resources (CalHR) has implemented the Personal Leave Program 2025 (PLP 2025). PLP 2025 requires that each full-time employee working their assigned work schedule receive a 3 percent reduction in pay in exchange for 5 hours of PLP 2025 leave credits monthly through June 30, 2027
You will find additional information about the job in the Duty Statement.
This position may be eligible for telework. In accordance with Government Code section 14200, only employees who reside in California are eligible for telework. The amount of telework is at the discretion of the Department and based on Covered California’s current telework policy. While Covered California supports telework, in-person attendance may be required based on operational needs. Employees are expected to be able to report to their worksite with minimal notification if an urgent need arises, as determined by the Department.