PURPOSE OF JOB CLASS (NATURE OF WORK)
In the Office of Healthcare Advocate, Division of Healthcare Innovation, this class is accountable for directing statewide initiatives to transform and align providers, consumers, employers, payers and state leaders around healthcare reforms.
Receives administrative direction from the Healthcare Advocate.
Directs the staff of the State Innovation Model (SIM) project unit.
EXAMPLES OF DUTIES
Directs staff and operations of the State Innovation Model (SIM)/Healthcare Reform project office; develops, implements and evaluates statewide healthcare innovation plan policies, goals and objectives; designs and develops healthcare innovation plan initiatives relative to healthcare delivery and payment reform, health information technology, healthcare workforce development, community health improvement, practice transformation and stakeholder engagement; designs and implements quality/performance measurements to ensure effectiveness of healthcare innovation plan; evaluates staff; interprets and administers pertinent laws; oversees the implementation of new procedures and procedural revisions; oversees office and programmatic budgets; maintains contacts with individuals within and outside of the Office of Healthcare Advocate, Division of Healthcare Advocate who might impact on policy or program activities which may include healthcare accreditation organizations, providers, consumers, employers, payers, state leaders and other state agencies; represents the state at public forums; may testify before federal or state legislative committees; performs related duties as required.
KNOWLEDGE, SKILL AND ABILITY
Considerable knowledge of and ability to apply management principles and techniques; considerable knowledge of relevant state and federal laws, statutes and regulations; considerable knowledge of care delivery and payment reform initiatives under the Affordable Care Act (ACA), State Innovation Model Initiative (SIM) through the Center for Medicare and Medicaid Innovation (CMMI); considerable knowledge of principles, methods and procedures in healthcare financing and administration including planning, organizing, financing, evaluating and reimbursement; considerable knowledge of and ability to execute and sustain health system performance improvement initiatives; considerable interpersonal skills; considerable oral and written communication skills.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
Five (5) years of experience in an administrative capacity in the management of a large public health or health insurance program.
Note: Administrative capacity must have included personnel management responsibility for a large agency division with programmatic budget responsibility of at least $2,000,000.
An advanced degree in public health, health care management/administration, health insurance administration, health care planning, nursing, psychology, medicine or other related health care field is required.
JOB CLASS DESIGNATION
(12)-General Administration and Management
(1)-Officials And Administrators