In the Office of Healthcare Advocate, State Innovation Model (SIM) unit, this class is accountable for assisting in the research, development, implementation of statewide health care reform initiatives to improve population health, healthcare delivery and affordability by reducing healthcare costs.
GUIDELINES FOR CLASS USE:
This advanced working level class will be accountable for major functions and complex streams of work to strategically achieve healthcare reform. This may include the functions of Care Delivery Reform, Quality Measurement Alignment, and Workforce Development and Analytics.
Works under the general supervision of the Director, Healthcare Innovation or an employee of a higher grade.
May lead lower level employees or internal/external support groups as assigned.
EXAMPLES OF DUTIES:
Performs a wide range of complex duties related to the State Innovation Model (SIM) statewide healthcare reform project; assists and/or may lead the development, implementation and evaluation of goals, policies and, processes related to the assigned function; serves as the subject matter of the function; researches and monitors changes in national care delivery standards and care delivery and payment reforms in other states; coordinates reform initiatives with various private entities and federal and state programs with integrated social and fiscal components of healthcare delivery, cost and payment; selects and monitors the performance of vendors to perform specialized training, data gathering and analysis and, technical assistance; monitors, analyzes, improves and provides guidance and reinforcement for the improvement of selected metrics to ensure quality of the deliverables of various programs, commercial, state and federal health plans, healthcare providers and others; recommends and monitors program or process changes; manages and monitors transformation grants; prepares required reports; develops and implements communication and public relations strategies; performs related duties as required.
MINIMUM QUALIFICATIONS REQUIRED KNOWLEDGE, SKILL AND ABILITY:
Considerable knowledge of local, state and federal laws and regulations pertaining to the healthcare industry, healthcare delivery, healthcare policy and reform, and insurance; knowledge of healthcare delivery and payment reform and practice transformation, knowledge of clinical and community integration; knowledge of legislative policy process; knowledge of planning, program and, project management principles; knowledge of process improvement or re-engineering to include measurement, analysis, improvement and control; considerable oral and written communication skills; ability to lead working groups to achieve goals; ability to plan and implement on time and within budget; ability to utilize computer software; some supervisory ability.
EXPERIENCE AND TRAINING:
Seven (7) years of professional experience in a healthcare program, health services agency or other health care organization to include program and or project administration.
One (1) year of the General Experience must have been performing formal program planning, development and evaluation.
College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equals six (6) months of experience to a maximum of four (4) years for a Bachelor's degree.
A Master's degree in healthcare management, health policy and management or other closely related field may be substituted for one (1) additional year of the General Experience.
This replaces the existing specification for the class of State Innovation Model Specialist in Salary Group AR 26 approved effective November 13, 2015. (Revised to modify Special Expereince and Substitutions Allowed).