Prescription Drug Affordability Director (Program Management II): DORA/Division of Insurance

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Prescription Drug Affordability Director (Program Management II): DORA/Division of Insurance

Salary

$7,606.00 - $9,887.00 Monthly

Location

Denver, CO

Job Type

Full Time

Job Number

SFA-4304-4/24

Department

Department of Regulatory Agencies

Division

Division of Insurance

Opening Date

04/24/2024

Closing Date

5/8/2024 11:59 PM Mountain

FLSA

Determined by Position

Type of Announcement

This position is open only to Colorado state residents.

Primary Physical Work Address

1560 Broadway, Denver, CO 80202

Department Contact Information

Monique Ford: monique.ford@state.co.us

How To Apply

Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.

• Description

• Benefits

• Questions

Department Information

This announcement may be used to fill multiple vacancies.

The Department of Regulatory Agencies (DORA) is dedicated to preserving the integrity of the marketplace and is committed to promoting a fair and competitive business environment in Colorado.

Consumer protection is our mission.

DORA values and promotes diversity, supporting a workplace that is inclusive of people from different backgrounds and experiences; creating an environment that is reflective of our communities; promoting positive relationships; and putting forth unique perspectives to fulfill our mission.

• Employer-sponsored RTD EcoPass, with offices located at Civic Center Plaza, above the RTD Civic Center station, and just a few blocks from RTD light rail.

• Extensive work-life programs such as flexible schedules, training and professional development opportunities on a wide variety of subjects, and more!

• Employee wellness programs, including the Colorado State Employee Assistance Program (CSEAP), which provides free, confidential counseling services.

• Bike-to-work programs, including access to storage lockers and bike racks.

• Flexible retirement benefits, including a choice of the PERA Defined Benefit Plan or the PERA Defined Contribution Plan, plus optional 401K and 457 plans.

• Medical and Dental Health Insurance for employees and optional coverage for their dependents.

• Life Insurance for employees, and optional coverage for their dependents.

• Paid Time Off, including 11 paid holidays.

• Short- and long-term disability coverage.

• Tuition assistance program.

Description of Job

The Colorado Division of Insurance (DOI) regulates the insurance industry in Colorado. DOI helps consumers by answering their questions, investigating their complaints, and helping them to understand their insurance. The division regulates and monitors insurance companies in Colorado, as well as insurance agents, ensuring all are following the law.

The Life and Health Policy unit includes the operations and staff of three units, The Life and Health Consumer Services Section, the Market Regulation Section, the Prescription Drug Affordability section, and other policy areas including Primary Care, Behavioral Health, Reinsurance, and Program Management.

Position: SFA 4304

The Prescription Drug Affordability Director position is to direct the Prescription Drug Affordability (PDA) program created through SB 21-175, which requires the Division to implement a program to establish a Type 1 Rulemaking Board to conduct affordability reviews of high-cost prescription drugs and determine an Upper Payment Limit (UPL) that drug purchasers must stay under. This position determines how to best develop processes and content for Board members to review the affordability of high-cost prescription drugs in Colorado and establish UPLs for the highest-cost drugs. The position in collaboration with the Commissioner and Deputy Commissioner, leads efforts within the Division to evaluate the program and make recommendations on program improvements in subsequent years.

Duties include, but are not limited to:

• Designing the strategy for program implementation, including creating and defining program processes, procedures, guidelines, and reporting needed to successfully implement and manage the PDA program;

• Planning overall program timelines to ensure milestones and deliverables are met, including deliverables to the legislature;

• Determining necessary stakeholder communications and outreach on the PDA program;

• Collaborating with other states running drug affordability programs to share best practices and legal strategy as necessary;

• Managing all data needs and systems upgrades and modifications affecting the PDA program and ensuring completeness and accuracy of data and carrier reporting;

• Directing all internal and external communication efforts on PDA for the Division, as it relates to program implementation, legislative analysis, regulatory development, and compliance;

• Advising the Deputy Commissioners and the Commissioner on the latest data, trends, and analysis of drug affordability, compliance, and new program developments;

• Communicating and collaborating with other state agencies, community organizations, health experts, and national partners as needed to inform and advance the Division’s PDA program;

• Drafting talking points in consultation with the Assistant Commissioner to support the Commissioner and Deputy Commissioner in presenting the PDA program publicly;

• Supporting process improvement projects through the identification of opportunities and solutions for improvement and the implementation of such solutions;

• Analyzing objectives, identifying and proposing solutions and strategies to address the priorities of the Division, and influencing priorities for the entire Division.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

MINIMUM QUALIFICATIONS (MQs):

• A bachelor's degree in business, business administration, health care administration, public health, public administration, law, economics, statistics, or in a closely related field; AND

• Five (5) years of professional* experience working for a healthcare provider, a non-profit health advocacy organization, in the health insurance industry, in a health policy consulting environment, in pharmacy benefit management, as a prescription drug wholesaler, for a governmental regulatory entity, or in a similar field/industry directly related to the work assignment, conducting at least 2 of the following:

• I. Policy and data analysis: Experience in the development and analysis of public policy or healthcare, and/or health insurance policy, including identification of impacts, implementation issues, and regulatory requirements. This experience must also include presenting on such analysis to senior leadership;

• II. Operational management and leadership: Ensuring compliance with policies, laws, and regulations by planning/developing and/or ensuring the follow-through of work processes;

• III. Program management: Developing program policies, managing resources, and ensuring program compliance, monitoring and driving progress, reporting outcomes, and coordinating collaboration among different stakeholders and/or partners.

  Document this experience in your applicationIN DETAIL, as your experience will not be inferred or assumed. Part-time experience will be prorated.

SUBSTITUTIONS:

• A combination of professional* work experience in the occupational field or specialized subject area of the work assigned to the job, which provided the same kind, amount, and level, or knowledge acquired in the required education, may be substituted on a year-for-year basis for the bachelor's degree;

• A master's or doctorate degree from an accredited college or university in business, public administration, public policy, education, communication, general studies, or a field of study related to the work assignment will be substituted for the bachelor's degree requirement. Partial credit toward the degree requirement will be given for completed college/university coursework that did not result in a degree

*Professional work involves exercising discretion, analytical skill, judgment, and personal accountability and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is: uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor's or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.

Preferred Qualifications:

• Demonstrated experience working in a regulatory environment;

• Experience overseeing policy development related to healthcare reform and/or prescription drug affordability under both state and federal laws, including drafting complex rules and regulations;

• Experience working in and knowledge of the pharmaceutical industry, including policies, supply chain knowledge, and experience assessing the value of pharmaceutical drugs;

• Board management experience (e.g. guiding a board’s policy decisions through recommendations and developing content for the board to guide decision-making);

• Demonstrated experience interacting with various stakeholders to provide guidance and recommendations and resolve concerns among stakeholders;

• Demonstrated experience leading teams, including distributing and assigning work, ensuring timeliness and accuracy of work performed;

• Experience promoting the efficient use of policy and regulatory levers to address barriers and create opportunities to advance healthcare transformation efforts;

• Formal** supervisory experience over professional-level staff, including reviewing and evaluating work produced by subordinates to provide feedback and coaching when appropriate.

**Formal supervisory experience requires accountability for the quality and quantity of work of at least 3 full-time employees of the organization; responsibility for making decisions that affect the pay, status and/or tenure of subordinates; and authority in the hiring, performance planning and evaluation and progressive discipline processes.

Required Competencies:The following knowledge, skills, abilities, and personal characteristics are required competencies and may be considered during the selection process (including examination and/or interview):

• Demonstrated written communication skills, including the ability to convey information to various stakeholders in a clear, accurate, and concise written manner;

• Demonstrated verbal communication skills, including the ability to convey information to audiences in a concise manner effectively;

• Demonstrated attention to detail;

• Demonstrated critical thinking and analytical skills, including having the ability to evaluate information to apply knowledge and to decide on the most appropriate course of action;

• Demonstrated prioritization skills, including planning, organizing tasks, and managing work assignments;

• Demonstrated complex problem-solving skills, including the ability to research issues, formulate solutions, and make recommendations based on findings;

• Demonstrated time management skills, including the ability to manage complex and time-sensitive timelines and meet deliverables;

• Demonstrated leadership skills, including the ability to oversee, manage the work of others, and resolve operational issues;

• Demonstrated organizational skills, including managing priorities, time, and meeting deadlines;

• Flexibility, including the ability to adapt to changes in work assignments and directing staff with work assignments;

• Demonstrated strategic planning skills, including the ability to manage competing priorities, initiatives, and resources, including budget;

• Demonstrated process improvement skills and the ability to identify opportunities and solutions for improvement, and the ability to implement those solutions;

• Demonstrated ability to multi-task effectively by managing competing and constantly changing priorities to meet tight deadlines;

• Demonstrated interpersonal and relationship management skills, including the ability to establish strong working relationships with various internal and external stakeholders and ensure effective collaboration;

• Demonstrated ability to understand and abide by workplace principles, practices and behaviors as internally identified and defined by the division and department;

• Demonstrated ability to read, understand, interpret, apply, and explain laws, rules, policies, and procedures;

• Sound judgment and the confidence to make decisions on a routine basis and make recommendations to senior leadership as needed;

• Demonstrated organizational skills, including the ability to track and monitor strict deadlines and prioritize workload;

• Demonstrated ability to maintain confidential, controversial, or sensitive information;

• Self-motivated, self-directed, reliable, and accountable;

• Self-starter, including the ability to work independently, learn new processes, utilize own knowledge and that of the supervisor, and complete work with minimal supervision;

• Demonstrated professional demeanor;

• Knowledge and understanding in the use of PC software applications including Microsoft Office (Access, Word, Excel, etc.), and Google Suite (Docs, Sheets, Slides, etc).

Conditions of Employment:Candidates who fail to meet the conditions of employment will be removed from consideration.

• The successful passing of a reference check and/or, if required, a background check.

• A reference check may include but is not limited to contacting previous and current supervisors to verify employment and discuss performance, a review of the personnel file, a review of the performance record, etc.

• The type of background check depends on the job duties of the position and can include a review of any criminal record, credit report, and/or driving record.

• This position requires the ability to travel up to 5% of the time.

• Effective September 20, 2021, employees will be required to attest to and verify whether or not they are fully vaccinated for COVID-19. Employees who have not been fully vaccinated may be required to submit to serial testing in the future. Upon hire, new employees will have three (3) business days to provide attestation to their status with proof of vaccination. Vaccinated employees must provide proof of vaccination.

• Note: Fully Vaccinated means two (2) weeks after a second dose in a two-dose series of the COVID-19 vaccine, such as the Pfizer or Moderna vaccine, or two (2) weeks after the single-dose vaccine, such as Johnson & Johnson’s Janssen vaccine, as defined by the most recent State of Colorado’s Public Health Order and current guidance issued by the Colorado Department of Public Health & Environment.

Supplemental Information

PLEASE READ - Required Application Materials

Interested individuals must submit the following online:

1. A completed State of Colorado Application(login to your current NeoGov account or create a NeoGov account to complete the online application). Note: Incomplete applications, including incomplete work history sections or "see résumé," "see attachment," or "see addendum" statements, will not be accepted in lieu of a completed application form.

2.A current email addresson your application, as all communication pertaining to this position will be conducted via email. Please set up your email to accept messages from info@governmentjobs.com and ‘@state.co.us’ addresses, and check your email often. Note: The department cannot guarantee the successful delivery of email, including incorrect filtering into junk mail folders.

3. A detailed cover letter, explaining how you meet the required competencies and how your accomplishments, qualifications, skills, areas of expertise, personal characteristics, etc. make you a good fit for this position; you may also attach additional documents that demonstrate this.

Comparative Analysis Process: Structured Application Review

Part of, if not the entire, comparative analysis process for this position will involve a review of the information you submit in your application materials; Therefore, it is paramount that in the experience portion of your application and cover letter, you describe the extent to which you possess the education, experience, and competencies outlined in the job announcement as well as the required and/or preferred qualifications/competencies. You are also encouraged to attach additional documents to that effect. Failure to include adequate information or follow instructions may affect your score and prevent you from competing in subsequent measures used to arrive at a top group of applicants.

Veterans’ Preference: Candidates who wish to assert Veterans’ Preference should attach a copy of their DD214 to their application. Failure to do so will result in being denied Veterans Preference.

PLEASE NOTE:Former State Personnel System employees who were disciplinarily terminated or resigned in lieu of termination must disclose this information on the application. Colorado Revised Statutes require that all state employees be hired and promoted through a competitive examination of merit and fitness. Failure to include the required information, failure to follow instructions, and/or failure to submit materials by the application deadline may result in your application not being considered for the position and may affect your score or inclusion in the final pool of qualified candidates.

The State of Colorado believes that equity, diversity, and inclusion drive our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.

ADAAA Accommodations: DORA is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or performing essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require a reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator, Rachael Alkayali, at dora_hr@state.co.usor call (303) 894-2441.

Appeal Rights:

If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.

An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form must be delivered to the State Personnel Board by email, US Mail, faxed or hand-delivered within ten (10) calendar days from your receipt of notice or acknowledgment of the department’s action.

For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board go to spb.colorado.gov or refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules.

The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits

Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.

01

DORA Q1: Please provide your Social Security Number. NOTE: This information will be kept strictly confidential and is only accessible to Human Resources Personnel.

02

DORA Q2: Are you a current or previous State of Colorado employee? Enter "yes" or "no" in the space provided. If "yes", enter 1) the State agency name, 2) dates of employment, and 3) your official classification title.

03

DORA Q3: If you are a current or former State of Colorado classified employee, have you ever been disciplinary terminated, resigned in lieu of termination, or deemed to have resigned without notice (Board Rule 7-6, Automatic Resignation)? NOTE: Current and former State Personnel System employees who were disciplinary terminated, resigned in lieu of termination, or who were deemed to have resigned without notice (Board Rule 7-6, Automatic Resignation) must disclose this information on the application. Failure to disclose this information and/or falsification of application materials may result in being removed from consideration for this position.

• N/A - I am not a current or former State of Colorado classified employee.

• YES, I have been disciplinary terminated, resigned in lieu of termination, or deemed to have resigned without notice (Board Rule 7-6, Automatic Resignation).

• NO, I have NEVER been disciplinary terminated, resigned in lieu of termination, or deemed to have resigned without notice (Board Rule 7-6, Automatic Resignation).

  04

  DORA Q4: Current or Former Classified Employees: Are you a transfer, non-disciplinary (voluntary) demotion, or reinstatement applicant?

• Yes

• No

• N/A - I am not a current or former State of Colorado classified employee.

  05

  DORA Q5: VETERAN'S PREFERENCE NOTE: If you are not eligible for/seeking Veteran's Preference, please skip down to the bottom and select option "N/A". REQUIRED DOCUMENTATION: Candidates who wish to assert Veterans' Preference should attach a copy of their DD214 reflecting dates of service, type of discharge, and, if appropriate, a campaign badge or service medal. If information regarding a campaign badge or service medal is necessary to award preference points and is not reflected on the DD214, other documents reflecting the grade or medal must be provided. Other types of documentation may be required for ten point preference. *Note 1: For a complete list of service dates and campaigns used in awarding preference points visit: http://www.opm.gov/veterans/html/vgmedal2.htm Note 2: Medal holders and Gulf War veterans who originally enlisted after September 7, 1980, or entered active duty on or after October 14, 1982, without having previously completed 24 months of continuous active duty; must have served continuously for 24 months or the full period called or ordered to active duty. *Note 3: Effective October 1, 1980, military retirees at or above the rank of major or equivalent, are not entitled to preference unless they qualify as disabled veterans. Reservists who are retired from the Reserves but are not receiving retirement pay are not considered "retired military" for purposes of veterans' preference. REMINDER: Proof of eligibility must be provided before points are allowed. Please attach documentation to your application. If you have not done so, please go back and do so now. Veteran's Preference points WILL NOT be applied without the appropriate documentation. PLEASE CHECK ALL THAT APPLY:

• N/A - I am not eligible for/seeking Veteran's Preference.

• A) I was honorably separated (this means an honorable or general discharge) and I served on active duty (excluding active duty for training) in the Armed Forces: During any war declared by Congress

• B) I was honorably separated (this means an honorable or general discharge) and I served on active duty (excluding active duty for training) in the Armed Forces: During the period April 28, 1952, through July 1, 1955;

• C) I was honorably separated (this means an honorable or general discharge) and I served on active duty (excluding active duty for training) in the Armed Forces: For more than 180 consecutive days, any part of which occurred after January 31, 1955, and before October 15, 1976;

• D) I was honorably separated (this means an honorable or general discharge) and I served on active duty (excluding active duty for training) in the Armed Forces: During the Gulf War period beginning August 2, 1990, and ending January 2, 1992;

• E) I was honorably separated (this means an honorable or general discharge) and I served on active duty (excluding active duty for training) in the Armed Forces: For more than 180 consecutive days, any part of which occurred during the period beginning September 11, 2001, and ending on the date prescribed by Presidential proclamation or by law as the last day of Operation Iraqi Freedom; or,

• F) I was honorably separated (this means an honorable or general discharge) and I served on active duty (excluding active duty for training) in the Armed Forces: In a campaign or expedition for which a campaign medal has been authorized*, such as El Salvador, Lebanon, Granada, Panama, Southwest Asia, Somalia, and Haiti.

• G) I have served on active duty in the Armed Forces at any time and have a present service connected disability or are receiving compensation, disability retirement benefits, or pension from the military or the Department of Veterans Affairs; or

• H) I am a Purple Heart recipient;

• I) I am the spouse of a veteran unable to work because of a service-connected disability;

• J) I am the unmarried widow/widower of certain deceased veterans; and

• K) I am the mother of a veteran who died in service or who is permanently and totally disabled.

  06

  DORA Q6: Part of the required application materials includes a detailed cover letter, explaining how you meet the required competencies and how your accomplishments, qualifications, skills, areas of expertise, personal characteristics, etc. make you a good fit for this position; you may also attach additional documents that demonstrate this. Q: Have you included this cover letter as an attachment to your application? (If not, you may go back and do so now). Yes, I have attached the required cover letter explaining how I meet the required competencies and how my accomplishments, qualifications, skills, areas of expertise, personal characteristics, etc. make me a good fit for this position; I may also attach additional documents that demonstrate this. No, I have not attached the required cover letter to my application. Note: I understand that failure to include this information and follow instructions may prevent me from competing in subsequent measures used to arrive at a top group of applicants.

• Yes

• No

  07

  DORA Q7: Do you currently possess a bachelor's degree in business, business administration, health care administration, public health, public administration, law, economics, statistics, or a field of study directly related to the work assignment? If so, please list the type of degree below.

  08

  DORA Q8: Please explain in detail how you meet the following minimum qualifications: Five (5) years of professional* experience working for a healthcare provider, a non-profit health advocacy organization, in the health insurance industry, in a health policy consulting environment, in pharmacy benefit management, as a prescription drug wholesaler, for a governmental regulatory entity, or in a similar field/industry directly related to the work assignment, conducting at least two (2) of the following:

• I. Policy and data analysis: Experience in the development and analysis of public policy or healthcare, and/or health insurance policy, including identification of impacts, implementation issues, and regulatory requirements. This experience must also include presenting such analysis to senior leadership;

• II. Operational management and leadership: Ensuring compliance with policies, laws, and regulations by planning/developing and/or ensuring the follow-through of work processes;

• III. Program management: Developing program policies, managing resources, and ensuring program compliance, monitoring and driving progress, reporting outcomes, and coordinating collaboration among different stakeholders and/or partners.

  09

  DORA Q9: Please explain in detail how you meet the following preferred qualifications: Demonstrated experience working in a regulatory environment.

  10

  DORA Q10: Please explain in detail how you meet the following preferred qualifications: Experience overseeing policy development related to healthcare reform and/or prescription drug affordability under both state and federal laws, including drafting complex rules and regulations.

  11

  DORA Q11: Please explain in detail how you meet the following preferred qualifications: Experience working in and knowledge of the pharmaceutical industry, including policies, supply chain knowledge, and experience assessing the value of pharmaceutical drugs.

  12

  DORA Q12: Please explain in detail how you meet the following preferred qualifications: Board management experience (e.g. guiding a board's policy decisions through recommendations and developing content for the board to guide decision-making).

  13

  DORA Q13: Please explain in detail how you meet the following preferred qualifications: Demonstrated experience interacting with various stakeholders to provide guidance and recommendations and resolve concerns among stakeholders.

  14

  DORA Q14: Please explain in detail how you meet the following preferred qualifications: Demonstrated experience leading teams, including distributing and assigning work, ensuring timeliness and accuracy of work performed.

  15

  DORA Q15: Please explain in detail how you meet the following preferred qualifications: Experience promoting the efficient use of policy and regulatory levers to address barriers and create opportunities to advance healthcare transformation efforts.

  16

  DORA Q16: Please explain in detail how you meet the following preferred qualifications: Formal** supervisory experience over professional-level staff, including reviewing and evaluating work produced by subordinates to provide feedback and coaching when appropriate.

  17

  DORA Q17: Eventually this position may work in an office environment full-time, but currently because of the pandemic and our emergency procedures, this position works both from home and on-site throughout the week (as needed or required by the division/department). Would you be able to do this?

  18

  DORA Q18: The salary range posted for this position is (Ex. $91,272 - $118,644 annually ($7,606 - $9,887/monthly); while appointments are typically made at or near the range minimum, the salary will be set based on the qualifications of the candidate appointed and relevant factors. Please share your salary expectations below.

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