The Director of Value Based Care will be responsible for managing
professionals contracted to staff the Office of Value Based Health Care
Delivery (the Office). The General Assembly mandated the creation of Office to
“reduce health-care costs by increasing the availability of high quality,
cost-efficient health insurance products with stable, predictable, and
Essential functions are fundamental, core functions common
to all positions in the class series and are not intended to be an exhaustive
list of all job duties for any one position in the class. Since class
specifications are descriptive and not restrictive, incumbents can complete job
duties of similar kind not specifically listed here.
Work of the Office includes, but is not limited to, the
implement, and monitor Affordability Standards such as those to increase
primary care investment, limit unit price growth for non-professional services,
and expand adoption of meaningful alternative payment models.
mandatory minimums for payment innovations, including alternative payment
models, and evaluate annually whether primary care spending is increasing in
compliance with the established mandatory minimums for payment innovations.
data and develop annual reports regarding carrier investments in health care,
including commercial reimbursement rates for primary and chronic care services,
the role of price and utilization in healthcare spending and prescription drug
spending as a driver of total cost of care.
and evaluate the percentage of spending in primary care that is delegated to
hospitals and related networks for care coordination through alternative
policies and approaches to address provider and payer market consolidation and
other market trends.
the activities of Pharmacy Benefit Managers (PBMs), including licensing
requirements, ensuring adequate PBM networks, overseeing required reporting by
PBMs, and assisting market conduct investigations of PBMs.
The Director’s management of contracted professionals
includes the following tasks:
a liaison between the Department and the contracted professionals staffing the
Office as well as state task forces such as the Primary Care Reform
Collaborative and the Health Care Commission.
and aligning the work of the Office with other work of the Department, of the
National Association of Insurance Commissioners, and other Delaware state agencies.
the contracted professionals in identifying and connecting with appropriate
Delaware stakeholders including healthcare providers, payers, and agency
in the production, review and approval of deliverables including reports,
presentations, regulations, and commentary related to legislative efforts.
Knowledge, Skills and Abilities
of laws, rules and regulations of the insurance industry.
of principles and practices of health policy development and program
of budget preparation and insurance program analysis.
of contract management and control.
program management and staff supervision.
research, analysis, and reporting of health insurance market trends including,
financial market trends, alternative payment models, emerging issues, and
development of care delivery and payment models.
respond effectively to the most sensitive inquiries or complaints.
develop and design continuing education, and to write clear and concise
make effective and persuasive presentations on controversial and complex topics
as well as promote public awareness.
JOB REQUIREMENTS for Director of Office of Value Based
Please attach a resume with your online application
the resume tab in DEL to provide a detailed description of how your education,
training and/or experience meets each job requirement including employer,
experience/responsibilities, and dates (month/year) of employment/training.
Applicants must have education, training and/or experience
demonstrating competence in each of the following areas:
years experience in analyzing insurance and financial market trends to make
recommendations to management.
years experience in interpreting and ensuring compliance with insurance
industry laws, rules, regulations, standards, policies, and procedures.
experience in program administration such as overseeing and directing the
development, implementation and evaluation of programs and services; planning
and establishing short and long range program goals and objectives; providing
advice to other agency organizational units through consultation.
experience in developing policies and procedures.
experience in operations management which includes planning, directing,
coordinating, controlling, and evaluating operations typically through
experience in writing and defending proposed legislation and regulations.
Additional Posting Information
This posting may be closed on or before 11/23/2022 upon filling the vacant position.
Conditions of Hire
Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.
The application and resume are evaluated based upon a rating
of your education, training and experience as they relate to the job
requirements of the position.
essential that you provide complete and accurate information on your
application and the supplemental questionnaire to include dates of employment,
job title and job duties.
and training, list name of educational provider, training course titles and
summary of course content.
information supplied in response to the questions must be supported by the
information supplied on the application including your employment, education,
and training history as it relates to the job requirements.
Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.