Health Plan Contracts Chief

About the role

CalPERS is currently seeking a talented leader to become Chief of the Health Plan Administration Section. CalPERS purchases health care for 1.5 million Californians, making it the largest public employer purchaser of healthcare in California and the second largest in the United States. Annually, CalPERS spends nearly $14 billion on healthcare, with approximately $2.5 billion of which is spent on pharmaceuticals.

Responsibilities

• Lead the team to develop and administer contracts with Health Maintenance Organization (HMO) plans, self-funded Preferred Provider Organization (PPO) plans, and corresponding Population Health Manager (PHM) and Pharmacy Benefit Manager (PBM)
• Help the CalPERS Board of Administration (Board) to determine covered benefits, manage health care costs, refine benefit designs, and pursue quality improvement efforts

Qualifications

Individuals who are eligible to be appointed to this Career Executive Assignment (CEA) by the State of California.

Pay

• $10,349.00 - $12,526.00 per month
• This is an incentive eligible position. The incumbent will be eligible for an annual incentive award of up to 15% of salary
• New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable

Schedule

• This position is eligible for a hybrid work schedule, with up to two days of remote work and three days or more onsite, per week
• Full Time

Special requirements

This recruitment requires a Statement of Qualifications (SOQ). An SOQ is required and serves as the examination for this CEA recruitment and must be included with your application. Applications received without an SOQ or those that do not respond to the specific questions below will not be considered.

The SOQ must be typed, titled "Statement of Qualifications", and each response must be numbered and list all relevant experience, education, and training, including places of employment, dates, and duties performed. You must provide responses including specific examples for each of the qualification factors outlined below. Your Statement must not exceed two pages in length and must not use smaller than 11-point font. Failure to follow this format and Application Instructions may result in disqualification.

In addition to evaluating each candidate's relative ability as demonstrated by quality and breadth of experience, the following SOQ factors will provide the basis for competitively evaluating each candidate and must address the following:

• Describe your ability and experience in planning, organizing, and directing the work of multi-disciplinary professional and administrative staff providing contract procurement, administration, oversight, and compliance activities
• Describe your experience working collaboratively with internal and external stakeholders, subject matter experts, and senior leadership to develop policies, procedures, or processes that measure and assess contract performance
• Describe your demonstrated communication skills and experience presenting sensitive and complex issues and technical requirements, both verbally and in writing, in a way that is understood by a wide range of stakeholders including executive leadership, a governing board or similar body
• Describe your leadership experience and demonstrated ability to think strategically and function as a member of a high-functioning senior leadership team

Resumes, letters, and other materials will not be evaluated or considered as responses to the Statement of Qualifications. Applications received without the SOQ or with an SOQ not properly formatted will not be considered.