Attorney IV

Overview

This position involves performing sensitive and complex legal work related to health care service plans and Pharmacy Benefit Managers (PBM). Reporting to the Assistant Chief Counsel, the Attorney IV provides direction and leadership on plan benefits, plan and provider payment, risk and delegation arrangements, compliance with Director’s Letters, and reviews complex legal matters. The role includes conducting legal research in connection with the administration and regulation of licensees under the Knox-Keene Health Care Service Plan Act of 1975 and the implementation of Federal Health Care Reform.

Responsibilities

• Provide legal direction and leadership on health care service plan programs and Pharmacy Benefit Managers.
• Review and analyze complex legal issues related to plan benefits, payment arrangements, risk, and delegation.
• Ensure compliance with Director’s Letters and applicable laws.
• Conduct legal research related to the regulation and administration of health care service plans.
• Assist in the development and implementation of policies and procedures.
• Coordinate and present at public meetings as needed.

Requirements

• Must meet the minimum qualifications for the Attorney IV classification.
• Must clear a background investigation prior to hire, including fingerprinting and criminal record check.
• Must be a resident of California and maintain residency if teleworking.
• Submission of a cover letter describing interest in the position is required.
• Official or unofficial transcripts must be submitted if using education to meet minimum qualifications.

Preferred Qualifications

• Expertise in health care service plan programs, benefits, operations, reform, and trends.
• Experience in health care law.
• Experience with health plan mergers and acquisitions.
• Experience developing, drafting, and negotiating competition-related undertakings.
• Experience conducting internal and external market impact analyses.
• Experience coordinating and presenting at public meetings.
• Experience developing, drafting, and negotiating third-party monitoring vendor agreements.
• Background in the health care industry.
• Strong consultation, leadership, and policy development skills.
• Effective oral and written communication skills.
• Ability to use good judgment and follow established procedures.
• Ability to adjust to shifting priorities and meet deadlines.

Compensation & Benefits

• Salary range: $11,993.00 - $16,096.00 per month.
• New state employees will be hired at the minimum salary of the classification or minimum of alternate range when applicable.
• Position is subject to the Personal Leave Program 2025 (PLP 2025), which includes a temporary salary reduction in exchange for leave credits.
• Benefits information is available through the state benefits summary.

Work Location & Telework

• Location: Sacramento County, California.
• Work environment: Climate-controlled office or cubicle with artificial lighting.
• Hybrid telework may be available based on operational needs and subject to change.
• Teleworking employees must reside in California and maintain residency.

Application Instructions

• Submit a completed State Examination/Employment Application (STD Form 678) or electronic state employment application.
• Include a current resume.
• Include a cover letter explaining your interest in the Attorney IV position (required for consideration).
• Submit transcripts if using education to meet minimum qualifications.
• Applications must be received or postmarked by July 13, 2026.
• Applications can be submitted electronically through the state careers portal or mailed/dropped off at the specified address in Sacramento, CA.

Additional Information

• Applicants must not include confidential information such as Social Security numbers or birthdates in application documents.
• Foreign degree holders must provide transcript evaluations from approved agencies.
• Reasonable accommodations are available upon request during the hiring process.
• Priority consideration is given to candidates with SROA and Surplus eligibility.

Equal Opportunity Employer

This employer is an equal opportunity employer and does not discriminate based on age, ancestry, color, disability, family care and medical leave status, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (including pregnancy and related conditions), or sexual orientation.

Special Notes

• The position requires clearance of a background investigation prior to hire.
• The role supports the mission to ensure equitable, high-quality, timely, and affordable health care within a stable delivery system for Californians.
• The organization values diversity and inclusion at all levels.