The Director of Benefit Delivery Systems, Acquisition, and Performance serves as a senior leader and clinical expert in the PEBB Plan Management (PPM) organization, reporting to the Assistant Administrator.

• Direct vendor contract activity, support internal account managers, and provide clinical expertise and perspective to the PPM organization.
• Participate in procurement and implementation of new vendors and services.
• Ensure collaboration between benefit delivery, and other departments within PPM, the agency and with other stakeholders.
• Account manager for programs and contracts with clinical impact.
• Serve as the PPM Clinical Director, providing direct clinical support and expertise during the development of PEBB benefits, coverage, reimbursement strategies and policies.
• Answer clinical questions related to coverage, determinations of when content experts are needed for decisions, lead for contract review for clinical issues, implementation of new or changing issues.
• Lead and coordinate PPM clinical meetings with vendors and work with vendor medical directors to ensure coordination of policy changes such as HTA decisions, legislative decisions, etc.
• Participate in the annual development of benefit change recommendations for PEB Board consideration and other scheduled activities related to the annual PEBB procurement process.
• Manage 4-8 staff within the benefit delivery system, varying from front line classified staff to high level management positions.

REQUIRED QUALIFICATIONS

• Current Washington health practitioner license (RN, Pharm D, MD, or other health care practitioner) AND a minimum of three years professional clinical work providing direct patient care in an evidence based medicine environment
• Three years of health plan experience Knowledge of health plan functions such as claims, preauthorization, medical review, and provider contracting
• Minimum five years experience managing a diverse staff
• Demonstration of excellent communication skills, both verbal and written Two years experience working with or in the public sector
• Strong leader
• Confident decision-maker

DESIRED QUALIFICATIONS

• Undergraduate degree in a clinical or health related field.
• Contract or account management experience with vendors, writing or responding to RFP's, contracts, vendor accountability, etc.
• Experience reviewing, auditing, and analyzing health plan data or other types of health or medical information.

TO APPLY, PLEASE SUBMIT: Resume Optional A letter of interest, telling us how you meet the qualifications listed. A completed Washington State application form, available at: http://www.dop.wa.gov/Pages/forms.aspx - Resume optional A minimum of three contacts for employment references, two supervisors and one peer or co-worker. The reference authorization form located at http://www.hca.wa.gov/reference_auth_form.html

APPLICATION MATERIALS MUST BE RECEIVED NO LATER THAN 5:00 P.M. on NOVEMBER 16 2009 FOR FIRST PRIORITY REVIEW. You may submit these materials by mail, e-mail, or fax:

MAILING ADDRESS Health Care Authority Human Resources Office P.O. Box 42698 Olympia, WA 98504-2698

E-MAIL: hcajobs@hca.wa.gov FAX: 360 923-2604 PLEASE USE "PPM Benefit Delivery Systems" in the Subject Line.

Contact information: Pam Dickey 360-923-2814 TTY 360-923-2703

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