Job Posting: Chief, Health Plan Administration Division (HPAD)

Public Employees Retirement System

JC-142219
-
Chief, Health Plan Administration Division (HPAD)
C. E. A.

$10,010.00 - $11,924.00

Final Filing Date: 3/8/2019

Job Description and Duties

Our Health Policy and Benefits Branch is currently seeking a Chief for our Health Plan Administration Division to provide full management responsibility for the overall administration of the Health Plan Administration Division (HPAD) and drive our CalPERS mission.

Duties include but are not limited to:

  • Overseeing the contract management functions and plan development
  • Annual evaluation of premiums and benefit structures
  • Collecting premiums and analyzing the financial reporting by carriers
  • Examination of provider network adequacy and remedial action in the event of network disruption
  • Quarterly review of HMO, PPO, and LTC plans operations, and member grievances and appeals, as they relate to the California Public Employees’ Retirement System (CalPERS)

To view the position’s duty statement, please see attachment.

You will find additional information about the job in the Duty Statement.

Minimum Requirements

You will find the Minimum Requirements in the Class Specification.

    Additional Documents

    Position Details

    Job Code #:
    JC-142219
    Position #(s):
    275-175-7500-002
    Working Title:
    Chief, Health Plan Administration Division (HPAD)
    Classification:
    C. E. A.
    $10,010.00 - $11,924.00 B (CalPERS offers a performance program with the ability to earn an award up to 15% of base pay.)
    # of Positions:
    1
    Work Location:
    Sacramento County
    Job Type:
    Career Executive Assignment - Non Tenured, Full Time

    Department Information

    California Public Employees’ Retirement System (CalPERS) is the nation's largest public pension fund in providing retirement and health benefits to public employees, retirees, and their families and employers. Headquartered in downtown Sacramento, we are a destination employer within Northern California. CalPERS is family friendly and situated in close proximity to the Napa Valley, San Francisco, Lake Tahoe, and other desirable destinations. CalPERS offers benefit packages, competitive salary, and opportunities for advancement. Join an organization with an international reputation for leadership and innovation. If you are interested in becoming part of a diverse workforce where talent, experience, and expertise are valued, CalPERS invites you to apply for this opportunity.

    To take a look at CalPERS as a destination employer click here.

    Special Requirements

    Live Scan

    Candidates new to CalPERS are required to submit to a criminal history review process utilizing Live Scan fingerprinting.


    CalPERS Disclosure Requirements

    If employed, you may be subject to rules imposed by Personal Trading Regulations and Conflict of Interest Code that apply to CalPERS employees, which require disclosure of certain investment information and use of a designated trading platform for securities transactions, as well as filing a Statement of Economic Interest (Form 700).

    Application Instructions

    Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.

    Final Filing Date: 3/8/2019

    Who May Apply

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

    Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

    How To Apply

    Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:

    Address for Mailing Application Packages

    You may submit your application and any applicable or required documents to:

    Public Employees Retirement System
    Attn: Michele Samonte JC#142219
    Human Resources Division
    P. O. Box 942718
    Sacramento, CA 94229-2718

    Address for Drop-Off Application Packages

    You may drop off your application and any applicable or required documents at:

    Michele Samonte JC#142219
    400 Q Street, LPN, Room 3260
    Sacramento, CA 95811
    08:00 AM - 05:00 PM

    Required Application Package Documents

    The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:

    • Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
    • Statement of Qualifications - Is required. (see Examination Information below)
    Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.

    Examination Qualification Requirements

    All applicants must possess the knowledge and abilities, and any other requirements, described in this announcement.

    Note: Eligibility to take a CEA examination does not require current permanent status in the civil service.

    General Qualifications

    State civil service employees must possess essential general qualifications including integrity, initiative, dependability, good judgment, and ability to work cooperatively with others.

    Knowledge and Abilities

    Applicants must demonstrate the ability to perform high administrative and policy – influencing functions effectively. Such overall ability requires possession of most of the following more specific knowledge and abilities:

    • Knowledge of the organization and functions of California State Government including the organization and practices of the Legislature and the Executive Branch; principles, practices, and trends of public administration, organization, and management; techniques of organizing and motivating groups; program development and evaluation; methods of administrative problem solving; principles and practices of policy formulation and development; and personnel management techniques; the department’s or agency’s Equal Employment Opportunity Program objectives; and a manager’s role in the Equal Employment Opportunity Program.
    • Ability to plan, organize, and direct the work of multidisciplinary professional and administrative staff; analyze administrative policies, organization, procedures and practices; integrate the activities of a diverse program to attain common goals; gain the confidence and support of top level administrators and advise them on a wide range of administrative matters; develop cooperative working relationships with representatives of all levels of government, the public, and the Legislature and Executive branches; analyze complex problems and recommend effective courses of action; and prepare and review reports; and effectively contribute to the department’s or agency’s Equal Employment Opportunity objectives.

    These knowledge and abilities are expected to be obtained from the following kinds of experience with substantial participation in the formulation, operation and/or evaluation of program policies (experience may have been paid or volunteer; in State service, other government settings, or in a private organization):

    CEA Level A - Responsible for broad administrative and program activities, including the execution and/or evaluation of program policies.

    CEA Level B - Responsible for extensive managerial and program administration or broad program manager experience with substantial participation in the formulation, operation, and/or evaluation of program policies.

    CEA Level C - Responsible for extensive highly professional influence and contributes to program, policy, and the methods to provide professional services needed to set policies, to meet the mission of the State department and often exercising technical and or professional skills that are required at this level.

    Desirable Qualifications

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

    • Thorough knowledge of Health Care and managed Care industries, health care economics, administration finance and business strategies
    • Strong leadership skills and demonstrated ability to think strategically and function effectively as a member of a top management team
    • Strong management skills, particularly in the area of policy program direction related to health care administration, and the demonstrated ability to monitor workloads and accomplish stated objectives
    • Experience in an administrative or executive capacity, at least equivalent to Staff Services Manager III, with responsibility for policy development and program administration, especially in a medical administrative or health setting

    Examination Information

    STATEMENT OF QUALIFICATIONS
     
     A Statement of Qualifications (SOQ) is required and serves as the examination for this CEA recruitment. It identifies the critical factors required in job success for this CEA position.

    The required SOQ must be submitted with your application. You must provide responses, specific examples and indicate years of experience for EACH of the qualification factors in your SOQ.  The SOQ must not exceed two pages, single-sided and single-spaced. Failure to follow this format and the Application Instructions will result in disqualification. The responses and examples provided in your SOQ may be the only tool used for determining your final score and rank.

    Your SOQ must address the following in numerical order:

    1. Strong leadership skills in federal and state health policy, demonstrated ability to think strategically and function effectively as a member of a top management team.

    2. Knowledge of and demonstrated effectiveness in implementing statewide health initiatives and policies including broad-based background in public and private health insurance benefits, contracts and finance.

    3. A clear understanding and knowledge of the legislative process and protocol, and ability to effectively represent CalPERS health policies and perspectives to members of the State Legislature, their staff and other individuals involved in the legislative process.

    4. Demonstrated capacity to work cooperatively and promote partnerships within State purchasing and regulatory agencies such as Covered California, Department of Managed Care or similar agencies.

    5. Experience working on major health policy issues such as health care reform, managed health care, prescription drugs, Medicare Part D and Medicare Advantage programs.

    6. Demonstrated contract procurement and negotiating skills and experience presenting issues before a wide range of audiences including a board or similar body.

    7. Direct managerial experience working with subordinate managers in health administrative and policy formulation capacities, or a significant health or human services program.

    If you meet the requirements stated in this announcement, you may take this competitive examination. Possession of the Examination Qualifications requirements does not assure a place on the eligible list. Your performance in the examination will be compared with the performance of others who take this examination, and all successful candidates will be ranked according to their scores.

    A minimum rating of 70% must be attained in the Examination to obtain list eligibility for this position. All candidates will receive written notification of their examination results.

    The results of this examination will only be used to fill this position. Applications will be retained for twelve months.

    Hiring interviews for the Job may be conducted with the most qualified candidates.

    The examining Department reserves the right to revise the examination plan to better meet the needs of the service, if the circumstances under which this examination was planned change. Such revision will be in accordance with civil service law and rules and all competitors will be notified.

    Special Testing Arrangements

    If you have a disability and need special testing arrangements, answer the Reasonable Accommodations question appropriately on your Application (STD 678). You will be contacted to make specific arrangements. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this announcement.

    Benefits

    CalPERS employees are eligible for a number of benefits. Health benefits and leave programs are available for most permanent, full-time employees and some permanent, part-time employees. Benefit eligibility may depend on length of service and may be subject to collective bargaining agreements, which are contracts negotiated between the State of California and employee organizations that define employees' wages, hours, and conditions of employment. Some added benefits CalPERS offers include:
    • Alternate Work Schedules
    • Flexible Work Hours
    • Child Care

     For more details about employee benefits, visit the California Department of Human Resources website.

    Contact Information

    The Human Resources Contact is available to answer questions regarding the position or application process.

    Human Resources Contact:
    Michele Samonte
    (916) 795-9360
    Michele.Samonte@calpers.ca.gov

    Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.

    EEO Contact:
    CalPERS EEO
    (916) 795-3675
    EEO@calpers.ca.gov
    California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.

    Equal Opportunity Employer

    The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.

    It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.