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 matters related to plan benefits, payment arrangements, risk, and delegation.
• Conduct legal research relevant to the regulation and administration of health care service plans.
• Assist in the implementation of compliance with Director’s Letters.
• Support the administration and enforcement of the Knox-Keene Health Care Service Plan Act of 1975.
• Participate in the implementation of Federal Health Care Reform initiatives.

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 independent expert 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.
• Ability to provide consultation services to management and colleagues.
• Leadership skills in developing and implementing policies and procedures.
• Strong oral and written communication skills.
• Good judgment and ability to follow established program procedures.
• Ability to adjust to shifting priorities and meet deadlines.

Compensation & Benefits

• Salary range: $11,993.00 - $16,096.00 per month.
• New to State candidates 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 California Department of Human Resources.

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 application.
• Include a current resume.
• Include a cover letter explaining interest in the Attorney IV position (required).
• Submit transcripts if using education to meet qualifications.
• Applications must be received or postmarked by July 13, 2026.
• Applications can be submitted electronically or by mail/drop-off to the Human Resources Office in Sacramento.

Additional Information

• The position requires clearance of a background investigation prior to hire.
• Confidential information such as Social Security Number, birthdate, and driver’s license number should not be included in application documents.
• Foreign degree evaluations must be provided if applicable.
• The organization is an equal opportunity employer committed to a drug-free workplace.
• Reasonable accommodations are available upon request during the hiring process.

Location

Sacramento County, California (Hybrid telework eligible; must reside in California)