Official SealDepartment of Human Resources


#PBT-0941-110550
Supplemental Questionnaire

Last Name
First Name

 

0941 - Managed Care Director (PBT-0941-110550)

Minimum Qualification Supplemental Questionnaire (MQSQ) & Training and Experience (T&E) Evaluation 

Please read the following instructions carefully as your examination score will be derived from your responses to the questions below.

The purpose of this MQSQ and T&E Evaluation is to determine whether you meet the minimum qualifications of a 0941 - Managed Care Director, as well as to determine your knowledge, skills and abilities and experience in job-related areas that have been identified as critical for satisfactory performance in this position. Please refer to the examination announcement for a more detailed description of these knowledge, skills, and abilities.  

This Training and Experience Evaluation will be assessed and scored to account for 60% of the total weight of your final score on the resulting eligible list.

Applicants must achieve a passing score on the Management Test Battery (MTB) in order to be ranked on the eligible list.  

The information provided should be consistent with the information on your application and is subject to verification. Verification of experience, licensure, and possession of valid certifications/certificates may be collected at any time during or after the selection process so please choose the best answer for the questions below. Once submitted, applicant responses cannot be changed. 

We suggest that you allow ample time to submit your application and answer the questions below. 


A

Select the statement that best matches the highest level of education you have completed. Do not include courses in progress.

No formal college/university education.
Attended some college, successful completion of less than 30 semester units / 45 quarter units of coursework from an accredited college or university.
Attended some college, successful completion of at least 30 semester units / 45 quarter units but less than 60 semester units / 90 quarter units of coursework from an accredited college or university.
Attended some college, successful completion of at least 60 semester units / 90 quarter units but less than 90 semester units / 135 quarter units of coursework from an accredited college or university.
Attended some college, successful completion of at least 90+ semester units / 135+ quarter units of coursework from an accredited college or university but less than a Bachelor's degree.
Bachelor's Degree and above from an accredited college/university.
B

Indicate the amount of verifiable management experience you possess in health plan operations or integrated health system managed care programs, of which all must include supervisory experience.

I do not have verifiable management experience working in health plan operations or integrated health system managed care programs, and no supervisory experience.
I have less than one year (less than 2,000 hours) verifiable management experience working in health plan operations or integrated health system managed care programs, which included supervisory duties.
I have at least one year (minimum 2,000 hours) but less than two years (4,000 hours) verifiable management experience working in health plan operations or integrated health system managed care programs, which included supervisory duties.
I have at least two years (minimum 4,000 hours) but less than three years (6,000 hours) verifiable management experience working in health plan operations or integrated health system managed care programs, which included supervisory duties.
I have at least three years (minimum 6,000 hours) but less than four years (8,000 hours) verifiable management experience working in health plan operations or integrated health system managed care programs, which included supervisory duties.
I have at least four years (minimum 8,000 hours) but less than five years (10,000 hours) verifiable management experience working in health plan operations or integrated health system managed care programs, which included supervisory duties.
I have five years (minimum 10,000 hours) but less than six years (12,000 hours) verifiable management experience working in health plan operations or integrated health system managed care programs, which included supervisory duties.
I have at least six years (minimum 12,000 hours) but less than seven years (14,000 hours) verifiable management experience working in health plan operations or integrated health system managed care programs, which included supervisory duties.
I have at seven years (minimum 14,000 hours) or more verifiable management experience working in health plan operations or integrated health system managed care programs, which included supervisory duties.
1

How much verifiable experience do you have working in Behavioral health service delivery or operations?

I do not possess any of this experience
I have a year, but less than three (3) years of this experience
I have at least three (3) years, but less than five (5) years of this experience
I have at least five (5) years, but less than ten (10) years of this experience
I have ten (10) or more years of this experience
2

How much verifiable experience do you have overseeing managed care operations?

I do not possess any of this experience
I have a year, but less than three (3) years of this experience
I have at least three (3) years, but less than five (5) years of this experience
I have at least five (5) years, but less than ten (10) years of this experience
I have ten (10) or more years of this experience
3

How much verifiable experience do you have overseeing managed care operations for a County Medi-Cal Mental Health Plan and the Drug Medi-Cal Organized Delivery Systems?

I do not possess any of this experience
I have a year, but less than three (3) years of this experience
I have at least three (3) years, but less than five (5) years of this experience
I have at least five (5) years, but less than ten (10) years of this experience
I have ten (10) or more years of this experience
4

Please identify all employment settings where you acquired your experience in health plan or managed care operations. Select all that apply.

Local/County Medi-Cal Managed Care Plans 
Specialty Mental Health Managed Care Plan 
Specialty Substance Use Managed Care Plan 
Private Managed Care Health Plan   
State or Federal Agency overseeing health plans  
Other local or state public health safety net programs or managed care plans  
I do not have any experience in health plan or managed care operations
5

Do you have verifiable experience in the application of State and Federal health care regulations and standards involving the following: 

Select all that apply.

Medicaid Final Rule 
Other regulations relating to the operations of Medicaid managed care plans in CA 
Preparing for and participating in audits conducted by external oversight bodies 
Medi-Cal billing and documentation  
Health Insurance Portability and Accountability Act (HIPPA) and other regulations related to protecting patient privacy  
Developing and managing corrective action plans  
Managing performance improvement plans 
Developing quality improvement  
Monitor data quality and implement data collection and validation processes 
Other State and Federal health care regulations and standards
I do not have any experience in the application of State and Federal health care regulations and standards listed above
6

Please identify the verifiable experience you have had managing staff providing the following services. Select all that apply.

Member Services 
Adjudicating Grievances  
Eligibility Screening/Benefits Enrollment  
Utilization Management 
Network Adequacy 
Contracting for services  
Placement and care coordination  
Quality Assurance and Improvement  
Regulatory Affairs 
Risk Management 
I have not managed staff providing the following services above
7

How much verifiable experience do you have designing and managing quality improvement strategies?

I do not possess any of this experience
I have a year, but less than three (3) years of this experience
I have at least three (3) years, but less than five (5) years of this experience
I have at least five (5) years, but less than ten (10) years of this experience
I have ten (10) or more years of this experience
8

What is your verifiable experience with the following evaluation and quality improvement activities?

Developing program goals  
Defining metrics to measure impact and outcomes  
Developing evaluation or quality improvement strategies with a focus on equity (e.g. understanding or addressing disparities in access or outcomes by race, gender, language) 
Developing data collection tools  
Engaging clients/peers in quality improvement activities 
Developing strategies to solicit input regarding client experience/satisfaction  
Drafting evaluation reports 
Using LEAN Quality Improvement approaches (A3, plan do study act)  
Other evaluation and quality improvement activities not listed above
I have no experience in the evaluation and quality improvement activities listed above
9

How much verifiable experience do you possess in health system financing and budget?

I do not possess any of this experience 
I have a year, but less than three (3) years of this experience
I have at least three (3) years, but less than five (5) years of this experience 
I have at least five (5) years, but less than ten (10) years of this experience 
I have ten (10) or more years of this experience
10

How much experience do you have building coalitions and consensus with every level of an organization and with the community?

I do not possess any of this experience
I have a year, but less than three (3) years of this experience
I have at least three (3) years, but less than five (5) years of this experience
I have at least five (5) years, but less than ten (10) years of this experience
I have ten (10) or more years of this experience
11

Please indicate which group you have verifiable experience developing coalitions/relationships with. Select all that apply.

Department of Healthcare Services (DHCS)  
Executive leadership in city/county departments/Agencies  
High-profile commissions and committees 
Community stakeholders 
Local Health Plans 
Other groups not listed above
I have no experience developing coalitions/relationships with the groups listed above
12

Please identify all the agencies you have worked with as a representative to achieve mutual goals.

Homelessness and Supportive Housing 
Law Enforcement
Jail Health Services 
Adult Probation
District Attorney
Public Defenders Office  
Local Legislative Bodies 
Mayor’s office
Other agencies not listed above
I have no experience working with the agencies listed above
13

What is your verifiable management experience where duties included the following. Select all that apply.

Providing regular (i.e. weekly) clinical supervision 
Providing regular (i.e. weekly) administrative (non-clinic) 
Defining staff roles and responsibilities  
Directing the allocation resources 
Furthering organizational equity goals  
Managing relationships with internal and external stakeholders  
Setting goals and monitoring performance 
Developing written Performance Appraisals/Evaluations 
Coaching and/or training employees 
Managing Progressive Discipline   
Meetings with human resources and union representatives to discuss performance issues  
I have none of the management experience listed above.
14

Please indicate if you have developed or operated services or initiatives designed to serve the following population(s). Check all that apply.

People experiencing homelessness 
Residents in Permanent Supported housing   
Black/African American  
Asian/Pacific Islander 
Latinx/Mayan/Indigenous Communities  
Children, youth and their families 
Children and young adults in Foster care  
Justice Involved  
CalWorks beneficiaries 
Young people eligible for Special Education or Educationally Related Mental Health Services (ERMHS) 
Older adults  
Medi-Cal beneficiaries 
LGBTQ+ 
Other services or initiatives designed to serve various populations
I have no experience with the populations listed above 
 

CERTIFICATION:  By checking this box, I hereby certify that I am the author of the information supplied in this supplemental questionnaire. I understand that any false or incorrect statements may result in my disqualification or dismissal from employment with the San Francisco Department of Public Health and the City and County of San Francisco.  I also understand and agree that the information provided is subject to verification.