http://www.hca.wa.gov/hr.html Washington State Health Care Authority Employment Opportunities en-us http://www.hca.wa.gov/hr/director-of-benefit-delivery-systems-acquisition-and.html Serve 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.Management of 4-8 staff within the benefit delivery system, varying from front line classified staff to high level management positions.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 environmentThree years of health plan experienceKnowledge of health plan functions such as claims, preauthorization, medical review, and provider contractingMinimum five years experience managing a diverse staffDemonstration of excellent communication skills, both verbal and writtenTwo years experience working with or in the public sectorStrong leaderConfident decision-maker 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.  Mon Nov 16 00:00:00 -0800 2009