Nurse Evaluator Ii, Health Services

Job Posting:

Coding & Medical Policy Evaluator

Department of Health Care Services

JC-531507 -

JC-531507 - Coding & Medical Policy Evaluator NURSE EVALUATOR II, HEALTH SERVICES

$7,430.00 - $9,757.00 per Month New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

Final Filing Date: 9/28/2026

The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies, counties, and partners for the care of low-income families, children, pregnant women, older adults, and persons with disabilities.

This is an exciting opportunity to join our diverse team in the following role.

The role of the Coding & Medical Policy Evaluator is to apply medical knowledge to monitor and evaluate provider claiming patterns, monitor implementation and performance of medical policy in the claims processing system, and recommend appropriate action based on the facts obtained. Assists in the development and implementation of new or revised Medi-Cal and Public Health Medical Policy. Prepares reports for management review and approval.

Have questions and/or need assistance? Contact  , we are here to help walk you through the state hiring process!

This position is subject to the Department's Conflict of Interest Code and filing a Statement of Economic Interests (Form 700) when assuming office, annually while in office, and upon leaving office.

You will find additional information about the job in the Duty Statement .

Please see the Telework and Salary Information section below for telework, reporting location, and temporary statewide salary reduction details.

You will find the Minimum Requirements in the Class Specification.

• NURSE EVALUATOR II, HEALTH SERVICES

NURSE EVALUATOR II, HEALTH SERVICES $7,430.00 - $9,757.00 New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.

# of Positions:

Multiple

Work Location:

Telework:

Hybrid

Job Type:

Permanent, Full Time

DHCS’ purpose is to provide equitable access to quality health care leading to a healthy California for all.

DHCS is a dynamic organization with ambitious goals and talented, committed employees. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians. DHCS is committed to addressing disparities within our organization and in our communities through efforts toward greater diversity, equity, and inclusion. This is accomplished, in part, by a commitment toward employing a diverse workforce that reflects the many communities we serve, and by promoting and enforcing equal employment opportunity.

Take a look at some of DHCS' recent projects and happenings that our Department has accomplished in the DHCS Newsroom.

Education:

If you are meeting minimum qualifications with education, you must include a copy of your diploma/degree and/or unofficial/informal transcripts for verification. Official transcripts may be required upon appointment.

If using education to meet classification MQ pattern:

Education: If you are meeting minimum qualifications with education, you must include a copy of your diploma/degree and/or unofficial/informal transcripts for verification. Official transcripts may be required upon appointment.

(If required) - Statement of Qualifications Requirement Section

Applicants must include a Statement of Qualifications (SOQ) for this recruitment. The SOQ is a narrative discussion, not a…