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Chief Executive Officer
Chief Executive Officer - Valley Health Plan
Salary: $218,189.38 - $279,956.75 Annually
Location: Throughout the County of Santa Clara, CA
Job Type: Full-Time
Department: Valley Health Plan
Job Number: 19-A4H-A
FINAL FILING DATE: Continuous. If the Final Filing Date states "Continuous", the application filing period may close any time after ten business days from the issue date of this job announcement if sufficient qualified applications have been received. Postmarks are not acceptable, therefore it is important to submit your application as soon as possible.
Under the direction of the County Executive or designee, this position is responsible for the management and operation of the County Health Maintenance Organization dba Valley Health Plan. The incumbent leads the development and implementation of managed care systems, health care delivery networks, products, strategies, and infrastructure to insure the successful and financially sound operation of the Health Plan.
Link to the brochure: https://www.sccgov.org/sites/esa/executive/Documents/VHP%20CEO%20Brochure.pdf
FILING PERIOD and APPLICATION PROCEDURE:
This position will remain open until filled. The recruitment may be extended or closed as early as 10 days after issue date, therefore, it is critical to submit your application as soon as possible.
This recruitment requires the submission of an online application.
No paper applications will be accepted. Applicants who are viewing this job announcement outside of our Santa Clara County website must go to www.sccjobs.org to apply. Computers are made available for applicants at the County Government Center, 70 West Hedding Street, 8th Floor, East Wing, San Jose, CA, 95110 during normal business hours.
All applicants are strongly advised to provide the following:
2. Cover letter explaining why you are the ideal candidate including specific examples from your experience. (maximum of 3 pages)
3. Complete responses to the supplemental questions.
This additional information is necessary and will be evaluated during the competitive screening process.
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Typical management responsibilities may include but not limited to:
•Acts as the Chief Executive Officer of Valley Health Plan (VHP) to ensure that the plan maintains its Knox Keene license in good standing;
•Continues to evolve VHP to meet stated financial and operational goals as a competitive enterprise;
•Sets goals, priorities, and objectives for administrative and financial operations for the department in compliance with the Agency's mission, State and Federal law and County policy; consults regularly with the County Executive or designee and department managers so that goals can be identified and achieved;
•Plans, organizes and implements strategic planning, including organization restructuring/development of County wide Managed Care Programs;
•Develops an organized and integrated approach to improving the health status of various populations by creating care delivery networks to meet the access to care needs and systems that track and trend health status and cost benefits;
•Assesses market trends and leads the development of new services, products and programs to meet established or projected needs;
•Reviews legislation as required to respond to and even anticipate State and Federal mandates as a fundamental component of strategic planning;
•Develops and implements strategies to improve revenue and contain costs of targeted populations;
•Partners with other agencies as required to support the health and financial agendas of the County Board of Supervisors;
•Recommends the annual VHP budget to the County Executive and assists in the presentation to the Board of Supervisors;
•Establishes and maintains goals, objectives and strategies for carrying out the functions of Valley Health Plan consistent with overall County goals;
•Continues to develop and evolve a strong management team and a competent and motivated work force;
•Consults with administrative/managerial staff and outside agencies on a regular basis concerning managed care programs;
•May be assigned disaster service worker duties, as needed; and
•Assume other responsibilities and projects as assigned.
Considerable education, training and experience which would demonstrate the ability to perform the above tasks and possession of the following knowledge and abilities:
Experience Note: The required knowledge and ability would typically be acquired through the attainment of a Bachelor's degree from an accredited college or university in Health Care Administration, Business/Public Administration or a closely related field. A Master's degree is highly desirable. Five to seven years of substantial managed care program or related experience where recent management responsibility and financial accountability was held, preferably in a managed care delivery system or operation integrated inpatient and clinical system program dealing with at least some of the following coverage and insurance products: Uninsured, Medicaid, Commercial and Medicare. Previous experience with managing operations over a large geographic area with a wide variety of providers including a large public teaching hospital is preferred.
•Principles of organization, administration, management, health systems, hospital administration, and medical group management;
•Basic Health Plan operations and departmental organizations;
•Laws and regulations governing the development and operation of Managed Care Programs with an emphasis on CA Title 28;
•Legislative process and analysis;
•Business practices and operating customs peculiar to Health Care Providers and Networks;
•Information systems for system planning, marketing, and health care financing and clinical utilization;
•The nature and extent of political interests and considerations surrounding health care delivery;
•The potential effects of Federal, State and local budgetary actions on Managed Care Programs;
•Requirements and procedures of the major regulators such as the Department of Managed Health Care, Department of Health Care Services, and the Centers for Medicaid and Medicare Services at a minimum;
•Principles of strategic planning and execution of the Plan;
•Principles of health payment mechanisms, third party reimbursement and health and hospital finance including prepaid and State/Federal level programs;
•Marketing and sales of health care insurance products;
•The dynamics of Community Based Organizations and culturally diverse population management.
•Provide cohesive leadership in a complex environment;
•Develop and implement short and long-range strategies, goals and objectives;
•Operate the Health Plan as a successful competitive enterprise;
•Prepare and present effective oral and written presentations on a variety of issues to various audiences;
•Establish and maintain effective working relationships with representatives of other governmental agencies (i.e. advisory commissions, department staff, members of the Board of Supervisors, and other key community stakeholders);
•Formulate and implement policies and procedures as well as evolve the infrastructure to insure the efficient and successful operation of Valley Health Plan;
•Adjust operations and services to meet consumer needs and market conditions;
•Work cooperatively and effectively with key County agencies to improve health status and control costs;
•Continually improve the quality of care and access of the delivery network;
•Maintain focus on improving customer service, market share, and financial factors affecting programs;
•Work effectively as a member of several management teams and coalitions;
•Recruit, hire, organize and develop competent staff.
VETERANS PREFERENCE INFORMATION: Any veteran who has submitted a copy of their DD214 form, and received a discharge of other than dishonorable, from the armed forces showing service in any branch of the United States military will be given a preferential credit of five percent (ten percent for those identified as disabled veterans), after attaining a passing examination score for a numerically scored examination, as applicable by Memorandum of Understanding.
THE EXAMINATION PROCESS: The examination process may include one or more of the following: application review, application appraisal, preliminary competitive rating, performance test, written test, and/or oral interview examination.
This recruitment may require completion of Supplemental Questions in order to evaluate your education, training and experience relative to the required knowledge and abilities for the position you are applying for.
Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria. Your answers should be as complete as possible, as no additional information will be accepted from applicants once the Competitive Rating evaluation has begun.
*New Hires shall be subject to a pre-employment criminal background check.
DISASTER SERVICE WORKERS: Under California law, all County employees are designated as Disaster Service Workers (DSW). In the event of a catastrophic event, County employees may be expected to fulfill emergency action assignments. As DSW's, they may be assigned to assist in any disaster service activity that promotes the protection of public health and safety and preservation of lives and property.
INFORMATION ON PERS CONTRIBUTION: For new members, salaries above a limitation imposed by federal law (that limit per IRS is $124,180 for 2019): (1) neither the County nor the employee makes contributions to PERS on the portion of salary that exceeds the limit, and (2) the portion of the salary that exceeds the limit is not used by PERS to calculate the retirement benefit. If you were a member prior to January 1, 2013, the limit is $280,000 for 2019.
Time: Full time
Updated: 8/28/2019 10:15:27 AM