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:
• Possession of a medical license is strongly desired but not required.
• Demonstrated experience developing and implementing managed care policies.
• Demonstrated knowledge of and experience leading managed care operations, including the clinical aspects of managed care.
• Demonstrated experience with dual eligibility.
• Demonstrated knowledge of policies governing MCP compliance standards.
• Demonstrated knowledge of health care delivery models, clinical workflows, and standards of care.
• Demonstrated ability to collaborate and communicate effectively across high levels of government, external organizations, clinicians, providers, industry associations, and members.
• Demonstrated knowledge of state and federal laws, rules, and regulations governing the state’s Medi-Cal program as well as health care compliance standards and practices.
• Demonstrated experience in the planning, development, and evaluation of health care auditing, compliance, and/or surveying processes.
• Demonstrated ability to develop and implement changes to policy consistent with applicable laws, rules, and regulations.
• Strong leadership, interpersonal, and problem-solving skills.
• Demonstrated experience leading multidisciplinary teams to achieve a common goal.
• Demonstrated experience leading change and transformation efforts within and outside the organization, utilizing excellent communication and change management strategies.
• Demonstrated knowledge of change management best practices and principles and experience applying them.
• Demonstrated ability to analyze complex issues and develop effective courses of action to solve them.
• Demonstrated ability to make planned and impromptu presentations before a group of individuals on diverse, complex, and highly sensitive issues.