Alternate Health Care Purchasing Manager / Health Care Operations Manager

Successful candidate will manage the Purchasing & Service Delivery (PSD) Alternate Purchasing Unit and oversee contracting and coverage policies with the Managed Care Organizations (MCOs) for both the traditional MCO contracts and Special Needs Purchasing (SNP) contracts. This individual is also responsible for coordinating the MCO coverage policies and contracts with other areas within DHS, including the integrated health partnerships. This position manages two sections, the Special Needs Purchasing section and the Managed Care Contracting and Service implementation section, as well as an administrative assistant who supports the entire unit.

As a member of the PSD management team, this position works with a team of managers to establish goals consistent with agency priorities, manage resources, and strategically plan for coordinated efforts. The primary responsibilities of this position are to:

The individual in this position is a cross-program managed care contracting and policy expert in areas ranging from traditional MCO contracts to emerging purchasing strategies.

Qualifications

Minimum Qualifications:

• Four (4) years of advanced professional work experience working with health care benefits policy with at least one year progressive managerial, supervisory or leadership experience.
• Experience must include:
  • Knowledge of health care delivery system and health care marketplace.
  • Strong analytical, problem solving, and organizational skills with the ability to produce and measure performance and results.
  • Both broad and extensive health care expertise and experience as a health care purchasing policy specialist.
  • Research, develop, and recommend resource acquisition, utilization, and management strategies.
  • Interpretation of state and federal level policies impacting HCA’s programs, policies, health care purchasing strategies, and operations.
  • Working with fee-for-service vs. managed care concepts with ability to optimize funding through the effective management of both payment options.
  • Government processes, federal-state connections, system/infrastructure design concepts, and fiscal responsibility and accountability methods.
  • Working with best practices and state/federal expectations associated with health care purchasing strategies, budget management, data integrity, performance measurement, contractual agreements, and livery concepts and options; payment system and service delivery models; contractual agreement mechanisms and logistics; and strategic planning.
  • Skilled presenter and negotiator with foresight and ability to determine the impact of decisions. Candidate has the skills to manage a large scale contract operations, manage relations with health plans, and ensure that negotiated contracts will produce intended results at a cost acceptable to the state.

Preferred Qualifications:

• Ability to recognize the need for and strategically utilize experts in the areas of: managed care, purchasing, developing service delivery systems, payment systems, rate-setting, financing, client service systems, quality assurance/integrity, legal services, and accountability.
• A background as a contract or healthcare attorney.
• Experience in legislative policy-making.

Additional Requirements
To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

REFERENCE/BACKGROUND CHECKS – The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

Application Details

Why Work For Us
GREAT BENEFITS PACKAGE! The State of Minnesota offers a comprehensive benefits package including low cost medical and dental insurance, employer paid life insurance, short and long term disability, pre-tax flexible spending accounts, retirement plan, tax-deferred compensation, generous vacation and sick leave, and 11 paid holidays each year.

This position is located in Minnesota’s great capital city, St. Paul. The State of Minnesota offers employees subsidies for public transportation allowing for convenient and easy access to commute to work. Ride the new METRO “Green Line” Light Rail Train to work! The 10th Street Station is located close by.

Our mission as an employer is to actively recruit, welcome and support a workforce, which is diverse and inclusive of people who are underrepresented in the development of state policies, programs and practices, so that we can support the success and growth of all people who call Minnesota home.

How to Apply
Click “Apply” at the bottom of this page. If you are unable to apply online, please contact the job information line at 651.259.3637.

For additional information about the application process, go to http://www.mn.gov/careers .

Contact
If you have questions about the position, contact Chad Hope at chad.hope@state.mn.us .

If you are a Connect 700 applicant, please email your certificate to Daniel Thorp at daniel.thorp@state.mn.us by the position close date.

If you are an individual with a disability and need an ADA accommodation for an interview, you may contact Lisa Duda at 651.431.2344 or lisa.duda@state.mn.us for assistance.

AN EQUAL OPPORTUNITY EMPLOYER

The State of Minnesota is an equal opportunity, affirmative action, and veteran-friendly employer. We are committed to providing culturally responsive services to all Minnesotans. The State of Minnesota recognizes that a diverse workforce is essential and strongly encourages qualified women, minorities, individuals with disabilities, and veterans to apply.

We will make reasonable accommodations to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651.259.3637 or email careers@state.mn.us . Please indicate what assistance you need.