Job Description
Join to apply for the Special Investigator role at California Department of Managed Health Care .
California Department of Managed Health Care provided pay range
This range is provided by California Department of Managed Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$5,528.00 - $6,863.00 A
$6,310.00 - $8,217.00 B
$6,924.00 - $9,037.00 C
New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.
Job Description And Duties
The Office of Enforcement (Enforcement) at the Department of Managed Health Care handles the litigation needs of the Department, representing the Department in actions to enforce the managed health care laws. Enforcement has an exciting opportunity for an experienced, motivated, committed special investigator. The successful candidate will be responsible for conducting complex investigations and preparing accurate reports for the Department related to health care service plans pursuant to the Knox-Keene Health Care Service Plan Act of 1975, (Health and Safety Code section 1340, et seq.) and its implementing regulations (California Code of Regulations, title 28, division 1, chapter 1 (sections 1300.41-1300.826)).
ESSENTIAL FUNCTIONS OF THIS POSITION INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING (other duties may be assigned)
Under the supervision of the Supervising Special Investigator I (SSI I), the incumbent is assigned to the Division of Investigation (DOI) in a non-Peace Officer, journey-level position.
The Special Investigator conducts diverse administrative and civil investigations as part of the Enforcement's prosecution of violations of the Knox-Keene Health Care Service Plan Act of 1975 and its implementing regulations.
The incumbent will work independently or in conjunction with other Special Investigators in executing thorough investigations of alleged violations.
The incumbent provides complete investigative evidence to Enforcement's attorneys, Deputy Director and SSI I.
Responds to requests from the Office of Enforcement and other DMHC programs for investigative support.
Prepares in-depth investigative plans, fieldwork reports, and final investigative reports.
Minimum Requirements
You will find the Minimum Requirements in the Class Specification.
SPECIAL INVESTIGATOR
Additional Documents
Job Application Package Checklist
Duty Statement
Position Details
Job Code #: JC-497740
Position #(s): 409-411-8612-005
Working Title: Special Investigator
Classification: SPECIAL INVESTIGATOR
# of Positions: 1
Work Location: Sacramento County
Telework: Hybrid
Job Type: Permanent, Full Time
Department Information: The mission of the Department of Managed Health Care (DMHC) is to ensure health plan members have access to equitable, high-quality, timely, and affordable health care within a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for consumers. The Department protects the health care rights of 30.2 million Californians by regulating health care service plans, assisting consumers through a consumer Help Center, educating consumers on their rights and responsibilities and preserving the financial stability of the managed health care system.
Special Requirements: The position(s) require(s) a Background Investigation be cleared prior to being hired.
Application Instructions
Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Final Filing Date: 11/17/2025.
Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting.
Application Packages may be submitted electronically through your CalCareer Account at
If submitting a hard copy, a completed copy of the Application Package listing must be included.
Address for Mailing Application Packages: Department of Managed Health Care, DMHC Recruitment, Attn: Human Resource Office, 980 9th Street, Suite 500, Sacramento, CA 95814.
Address for Drop-Off Application Packages: same as above, 08:00 AM - 05:00 PM.
Required Application Package Documents: State Examination/Employment Application STD Form 678, Resume (optional), Statement of Qualifications (required).
Desirable Qualifications
Demonstrated ability to conduct complex investigations to detect violations, including consumer outreach and interview related parties.
Experience collecting and analyzing evidence to support administrative actions and/or prosecution in a California Superior Court.
Experience conducting investigative research and reviewing healthcare related documents such as financial statements and claim/billing documents.
Experience preparing correspondence and clear/concise reports related to investigatory work.
Demonstrated ability to act quickly, make decisions under strict deadlines and/or high pressure situations, and apply advanced analytical and communication skills.
Experience maintaining effective working relationships with colleagues, program staff and management, and staff of other state and federal agencies, while working both independently and as part of a team.
Benefits
For information on benefits, please visit the Benefit Summary page on the CalHR website.
Contact Information
Human Resources Contact: Megan Lee, (916) 330-5229, megan.lee@dmhc.ca.gov
Hiring Unit Contact: Anthony Amato, (916) 330-5237, anthony.amato@dmhc.ca.gov
EEO Contact: EEO Office, (916) 738-3394, EEO@dmhc.ca.gov
California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice)
Equal Opportunity Employer
The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug‑free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Other, Information Technology, and Management
Industries
Hospitals and Health Care
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Job Tags
Permanent employment, Full time, Work at office, Remote work,