HomeMy WebLinkAboutMINUTES - 11181986 - 1.55 POSITION ADJUSTMENT REQUEST No: 7Q
Date: 6/18/86
Dept. No./ - Copers
Department Health Services/CCHP Budget Unit No. 0860 ; Org. No,. ii --AgencyNo. 54
Action Requested: Establish the class of Health Plan Provi:der,Affairs Manager - Exempt, alloca
it to salary level #C5-2060 ($3563 - 4330) , and classify one ' "position.`
Proposed Effective Date:i;:7_ .
Explain why adjustment is needed: To provide an appropriate class and position to reflect the
described activity.
C1a�s-i ic-a i ieAAa a attached: Yes ® No
Draft Spec.
Estimated cost of adjustment: $ 349/mo.
Cost is within department's budget: YesXQ No
If not within budget, use reverse side to explain how costs are to be funded. Q
Department must initiate necessary appropriation adjustment. Web Beadle, !/
Use additional sheets for further explanations or comments. Dppt. Persomel Officer
or Department Head
Personnel Department Recommendation
- Date: 11/6/86
Establish the class of Health Plan Provider Affairs Manage r..- Exempt and allocate it
to Salary Level C5 2118 (3775-4589) ; classify one position.
This class is exempt from overtime.
Amend Resolution 71/17 establishing positions and resolutions allocating classes to the
Basic/Exempt salary Schedule, as described above.
Effective: day foll win Bard action.
�-
Date for Director of Personnel
County Administrator Recommendation
Date: il�ldY'1
m4opopo�rove Recommendation of Director of Personnel
c3 Disapprove Recommendation of Director of Personnel
Other:
for County Administrator
Board of Supervisors Action NOV 18 1986 Phil Batchelor, CIPA of the Board of
Adjustment APPROVED on Supervisors ndU-uety„dninistrator
Date: NOV 18 1986 By: �
APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT.
M347 F/R9
- The principles and techniques of successfully operating a prepaid health
plan;
- Contemporary health policy issues;
- Modern concepts of management and supervision.
Ability to:
- Gather and analyze data;
- Analyze complex administrative problems and recommend effective solutions;
- Negotiate contracts with various provider parties
- Present cost consequences of alternative solutions to decision makers
- Interpret and apply rules and regulations;
- Supervise the work of others.
Class Code:
10-7-86
LF:af
cc: HDC, WPH, RKH, LF, SB, EK, JR
Safety
Health Services
Departmental Approval j
Date
Director of Personnel J
Date
i
EXEMPT
D R A F T Proposed Salary Level Cb 2118 ($3775-4589)
Contra Costa County October 1986
HEALTH PLAN PROVIDER AFFAIRS MANAGER
DEFINITION:
Under general direction, to plan, organize and direct the provider
operations and related business affairs of the Contra Costa Health Plan; to
advise the Executive Director and the Plan Advisory Board on operational ,
provider and policy matters; to coordinate operational and related business
activities with the administrative staff of Merrithew Memorial Hospital and
health centers; and to do related work as required.
DISTINGUISHING CHARACTERISTICS:
This single position class is exempt from the Merit System and is
distinguished from other health care administrative positions by its
specialization in the management of the non-medical operational activities of
the Contra Costa Health Plan including developing, implementing and monitoring
contracts with provider hospitals and other health care providers, and the
ongoing operation of member service activities and utilization review systems
of the Plan. It is distinguished from that of Marketing Director/CCHP -
Exempt in that the latter 'directs the Plan's overall commercial and
non-commercial marketing activities.
This class reports to the Executive Director - Contra Costa Health
Plan (Assistant Director of Health Services) .
MANAGEMENT RESPONSIBILITIES:
- Formulates and recommends operational and related business affairs policies
and procedures and provides direction to the provider relations and related
business units of the Health Plan;
- Develops new product services and redesigns benefit package to increase
Health Plan market share; j
- Conducts special projects or studies designed to improve administrative
support and maximize services, such as time studies of access to the
delivery system;
- Consults with the HMO Advisory Board and Plan medical staff regarding
administrative aspects of Plan services;
- Directs provider contract planning and development, clinic and facilities
management agreements, membership services and grievance procedures, and the
primary, ancillary and specialty care delivery system arrangements;
- Develops, implements and monitors contracts with providers outside the
County delivery system and interdivisional service agreements within the
Health Services Department;
- Keeps informed on Federal and State legislation as it may relate to the
operation of HMO's;
- Participates in policy making discussions relative to future direction and
administration of the Health Plan;
- Provides guidance on risk-sharing policies and incentives;
- Coordinates visits by auditors from State and Federal agencies and is
responsible for followup and contract compliance;
- Works with management staff in the Department's Hospital and Clinics
Division to insure Plan patients have adequate access to the delivery system
and that services are acceptable to them;
- Conducts meetings regarding Plan activities and responds to requests for
information about the Contra Costa Health Plan;
- Represents the Health'Plan as assigned with other Federal , State and other
agencies;
- Supervises the work of others;
- Prepares correspondence and reports.
DESIRABLE QUALIFICATIONS: "
Education: Possession of a baccalaureate degree from an accredited
college or university with a major in Business Administration, Public
Administration, Hospital or Health Care Administration, Public Health
Administration or a closely related field.
Experience: Three years of fulltime experience or its equivalent in
an administrative capacity in a health service agency or program, at least one
year of which was in a health maintenance*organization or prepaid health plan.
Substitution for Experience: Possession of a Master's Degree in one
of the aforementioned subjects may be substituted for one year of the required
general experience.
Substitution for Academic Major: One year of additional qualifying
experience may be substituted for the required academic major.
Knowledge of:
- The principles and practices of health care administration;
- The laws and regulations governing prepaid health plans and health
maintenance organizations;
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY , CALIFORNIA
Adopted this Order on November 18 , 1986 by the following vote:
AYES: Supervisor Fanden, Schroder, Torlakson, McPeak.
NOES: None.
ABSENT: Supervisor Powers .
ABSTAIN: None.
SUBJECTS Ordinance (s) Introduced
The following ordinance(s) which amend(s ) the Ordinance
Code of Contra Costa County as indicated having been introduced , the
Board by unanimous vote of the members present waives full reading
thereof and fixes December 2 , IgR6 as the time for adoption
of same:
Section 33-5 . 313 adds the Health Plan Provider
Affairs Manager-Exempt to the list of classes
and positions which are excluded from the County' s
Merit System.