Official SealSan Joaquin County Human Resources Division


#1221-RB4002-SR
Supplemental Questionnaire

Last Name
First Name

 

This is a selective recruitment with special minimum qualification requirements for the position. Please provide detailed descriptions of your experience when answering the following questions. Your responses to the questions will be reviewed to assess your qualifications.


1.

Either PATTERN I

EXPERIENCE: Do you possess one year experience as an Accountant I in San Joaquin County service with one (1) year of experience in a Federally Qualified Health Center environment.? If yes, provide the following:

  • Name of employer
  • Position title
  • Duties performed (identify detailed duties performed in a Federally Qualified Health Care Center environment)
  • Timeline of employment
2.

Or PATTERN II

EDUCATION: Have  you graduated from an accredited four-year college or university with major coursework accounting, business administration, economics, or a closely related field, including at least twelve semester units in accounting? If yes, provide the following:

  • Name of educational institution you obtained the degree
  • Area of concentration
  • Total number of units obtained
  • Total numbers of semester unit in accounting (Note: Identify all accounting units)
3.

Do you possess two years of professional accounting experience within a Federally Qualified Health Center? If yes, provide the following:

  • Name of employer
  • Position title
  • Duties performed (identify detailed duties performed in a Federally Qualified Health Care Center environment)
  • Timeline of employment
4.

Must possess a valid and current State of California Driver's License.  Provide the following:

  • CDL number
  • Date of expiration
5.

Do you possess direct experience in the use of Uniform Data Systems and its associated reports? If yes, identify the following:

  • Employment setting (governmental, non-profit, etc)
  • Level of responsibility as it relates to understanding the system and reports you generated
  • Experience timeline
6.

Do you possess experience in the use of Prospective Payment Systems used in the determination of insurance reimbursement? If yes identify the following:

  • Employment setting (governmental, non-profit, etc)
  • Level of responsibility as it relates to task performance conducted using PPS
  • Experience timeline
7.

Do you possess experience conduction Single Audits or independent Financial Audits? If yes, identify the folowing:

  • Employment setting (governmental, non-profit, etc)
  • Level of responsibility as it relates to audit task accomplishments
  • Timeline of employment