*Please Note: This position is open until filled. Application assessment will be ongoing and the hiring authority reserves the right to offer the position at any time during the recruitment process. It is to the applicant’s advantage to apply as early as possible. * Initial review of applications is scheduled for 11/13/2020. It is in the applicant’s best interest to apply before then.
We are seeking an accomplished individual to collaborate at a high level with executive managers, senior managers and stakeholders to develop solutions and influence decisions that drive progress on health care issues that impact all Washingtonians. This is a dynamic role that will utilize both your expertise and ability to connect and communicate with people, as well as your foundation of technical experience and skills. If you are interested in doing meaningful work with an energetic team of collaborators and decision makers, we want to talk with you!
This position is primarily responsible for managing the development and implementation of benefit design and purchasing strategies for the Employees and Retirees Benefits (ERB) Division administration of the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) Programs and the portfolios of benefits including medical, pharmacy, dental, vision, life, AD&D, and disability benefits. As the largest public commercial insurer in the state, this position’s benefit design and purchasing strategy work can influence the entire commercial insurance market in Washington.
The position also coordinates with the central policy division of the agency to ensure strategic alignment with overall agency purchasing strategies, and other key agency initiatives, for Medicaid and the PEBB and SEBB programs. It is responsible for leading and coordinating activities of executives, managers, and subject matter experts, both internally within the HCA and externally with partnering organizations.
This position also designs the necessary processes and systems to support the development and implementation of strategic initiatives and leads multi-function work groups to achieve the required metrics. Multi-functional work group members include financial directors, actuarial consultants, legal counsel, policy analysts, contract managers, operations managers, medical directors, pharmacists, and other clinical staff.
Some of what you will do:
This position directs the policy work of the Employees & Retirees Benefits (ERB) Division using independent judgment by organizing the activities of assigned programs to accomplish the following:
- Coordinate with the agency’s central policy division to ensure alignment of strategic priorities and initiatives wherever possible.
- Lead and coordinate the work of a multi-functional team of financial, legal, clinical, contracting, and operational experts and executives in the development, deployment, and evaluation of procurement and benefit design strategies that meet agency goals.
- Assist the ERB Division Director in preparing for and organizing Board meetings for both programs, developing the content of Board presentations with presenters, and in some instances, presenting initiatives and ideas directly to the Board in open public meetings. In the absence of the ERB Division Director, this position is the primary delegate for continuing to advance work and materials for both Boards’ meetings.
- Write and maintain the 3-year strategic plan for the ERB Division benefit design.
- Establish and manage a consistent, repeatable, and dynamic process for the vetting, selection, and planning of procurement and benefit design strategies.
- Continuously scan the health care and employee benefits marketplace, current policies, and best practices for potential solutions or initiatives. Conduct research internally and externally to identify ways to adapt best practices for deployment in the ERB Division environment.
- Develop RFIs, RFPs, as well as less formal methods of market research, to identify vendors, costs, and benefits of new services or products for PEBB and SEBB Program members.
- Represent the ERB Division on community partnerships and initiatives consistent with division goals, including participation in Washington Health Alliance initiatives and other multi-employer partnerships.
- Maintain oversight of Washington Wellness, the employer outreach arm of the ERB Division’s wellness strategies to influence employee behavior, and adoption of healthy behavior change.
- Develop consumer engagement/education strategies to support ERB Division programs and initiatives to be deployed via multiple channels. Lead and coordinate efforts across communications and employer outreach channels.
- Draft and coordinate the review of most legislative reports assigned to the ERB Division that are strategic in nature.
- This position has responsibilities as a member of the division leadership team to include:
- Conduct activities in support of, and in partnership with, the ERB Division Director.
- Serve as a member of the ERB division management team.
- Provide consultation and feedback to ERB Division senior and mid-level managers, and technical and administrative staff to support them in successfully completing assigned duties and responsibilities.
- Serve as an ERB Division senior leadership representative on HCA intra-agency standing committees and ad hoc committees as assigned.
- Provide primary leadership and high-level management to accomplish the strategic priorities and defined business outcomes of assigned division organizational programs.
- Supervise the senior-level management and other select staff of assigned division organizational programs.
- Identify opportunities for improving customer service and efficiency. Oversee implementation of new technology, business processes, or other similar initiatives that have an impact on the PEBB and SEBB Programs.
- Enhance the effectiveness of employees through timely appraisal and professional development opportunities. Support effective communications throughout the organization. Maintain the highest standards of personal, professional, and ethical conduct. Support the state’s goals for a diverse workforce. Provide ethical, effective, principle-based leadership and act as a coach or mentor for other managers.
- Provide day-to-day management leadership, decision making, motivation, and support to ERB Division managers, supervisors, and staff.
- Develop and organize management and staff under position’s direction, including identifying and addressing the professional development needs of direct reports.
- Administer staff scheduling process that complies with industry best practice, relevant HR law, and the collective bargaining agreements. Proactively communicate and collaborate with Labor and the workforce on expectations and changes. Create and maintain a measurement system to track and correct any performance issues.
- Coordinate and manage regular meetings with employers, labor unions, and other key stakeholders to vet policy proposals, seek operational feedback, and discuss strategic initiatives of both the agency and stakeholders.
Here is what we are looking for (Required Qualifications):
- Bachelor’s degree in a health care discipline, public health, public administration, business administration, or other health care field directly related to the work of the ERB Division Programs.
- Minimum three years’ experience in health services administration, health care benefits administration, and/or program management.
- At least two years of employee supervisory experience.
- Master’s degree in health care discipline, public health, public administration, business administration, or other health care field directly related to the work of the ERB Division Programs.
- At least 5-10 years’ experience in an employer or health plan role
- Direct experience with both self-insured plans and commercial insurance plans.
- Experience working with Labor Unions and the Legislature.
- Experience contracting with and monitoring health plan vendors in the commercial insurance market.
Advanced Technical and Professional Knowledge:
- General knowledge of PEBB and SEBB Program benefits, as well as the State of Washington’s commercial insurance market.
- General knowledge of federal and state health care reform provisions.
- Working knowledge of laws and regulations governing benefits plans.
- Working knowledge of best practices in employee benefits administration.
- Working knowledge of the full scope of health plan administration and how the elements are coordinated into a comprehensive functional system.
- Working knowledge of health plan benefits utilization management, medical case management, and innovative methods to manage medical costs through control of overuse, misuse, and underuse of medical services.
- Thorough understanding of evidence-based medical management concepts and application.
Complex Project Design, Planning, and Management:
- Skills necessary to conduct data analysis and review and to extrapolate data to identify performance benchmarks for employee benefit sponsorship.
- Demonstrated ability to lead diverse work groups that deal with complex aspects of employee benefit sponsorship and health plan administration, including work groups that are composed of members with varied professional credentials, education, and experience.
- Demonstrated ability to design, implement, and manage the operations of large complex projects in an environment involving special interest stakeholders, legislators of both houses and political parties, public and private contractor, community collaboration, and inter-governmental partnerships.
Communication and Interaction with Stakeholders:
- Group facilitation skills necessary to lead productive and efficient discussions.
- Communication skills necessary to effectively share knowledge with diverse audiences including co-workers, contractors, health care providers, public officials, SEBB and PEBB Program enrollees, and special interest stakeholders to foster informed decision making.
Leadership and Decision Making:
- Demonstrated ability to work effectively within the public arena through effective stakeholder interactions, inter-agency teamwork, and sensitivity to public attitudes and concerns.
- Decision-making skills necessary to make thoughtful responsive decisions that include assessing potential risks and managing to them, and employing a methodology that revisits and adjusts decisions as new information comes available.
- Demonstrated ability to function in an environment that requires concurrent management of multiple complex activities, flexible work hours, tight timelines, frequent periods of high stress, and resource limitations associated with being a public sector program financed with tax dollars.
Advanced Organizational Management:
- Demonstrated ability to establish a realistic organizational vision, articulate clear measurable goals, define meaningful action plans, and maintain a systems view that ties all the individual activities together.
- General knowledge of fiscal management and budgeting.
Human Resources Leadership and Management:
- Demonstrated ability to form and lead a cohesive, constructive team working relationship in an environment where participants represented a variety of health care professionals, including MDs, RNs, LPNs, PharmDs, where no clear authority hierarchy exists.
- Leadership skills necessary to guide and inform others in a manner that enables them to reach successful completion while retaining ownership of their assigned responsibilities.
- Mentoring skills necessary to develop a broad base of institutional knowledge and opportunities for internal career advancement.