Director of Procurement and Plan Operations (00151430) at Georgia Department of Community Health, GA
Georgia Department of Community Health, GA · Atlanta, United States Of America · Hybrid
- Senior
- Office in Atlanta
About the Department
The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and Healthcare Facility Regulation, impacting one in four Georgians.
Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s three program divisions. DCH employees are based in Atlanta, Cordele and across the state.
DCH is committed to providing superior Customer Service and Communication, embracing Teamwork and fostering Accountability to ensure that our internal and external customers and stakeholders feel included, respected, engaged and secure.
The Department of Community Health is seeking qualified candidates for the position of Procurement and Plan Operations Director, with the State Health Benefit Plan Division (SHBP). This is a hybrid position that requires in-office and remote work with the approval of the supervisor. The days and frequency in the office can change at any time during employment based on the business needs of the organization. This is a full-time, unclassified position categorized under the Fair Labor Standards Act (FLSA) as non-exempt.
Job Summary:
The Director of Procurement and Plan Operations leads and oversees procurement, compliance, and operational functions for the State Health Benefit Plan (SHBP). This role is responsible for developing, recommending, and implementing policies, procedures, and strategic initiatives related to SHBP operations and health plan procurement. The Director manages subordinate managers and staff, provides guidance on agency policies affecting SHBP, and delivers leadership across multiple units and departments to ensure alignment and operational excellence.
Position Duties
Provides oversight and strategic direction for all SHBP projects related to procurement activities, including new vendor implementations (e.g., pharmacy, wellness, third-party administrators) and changes with existing vendors and programs. Ensures alignment with agency goals and objectives.
Oversees the development and ongoing management of programs and projects consistent with the agency's strategic initiatives.
Leads the design and execution of compliance and monitoring activities for new programs, including Performance Assessment Reports (PARs), Performance Guarantees (PGs), call calibrations, audits, Service Organization Control (SOC) reports, and readiness reviews. Ensures adherence to applicable rules, regulations, and agency policies.
Directs the preparation and submission of Contract Action Reports (CARs), amendments, and renewal documents. Coordinates with internal departments, such as Legal, to ensure accuracy and compliance.
Oversees SHBP data analysis and reporting functions, ensuring accurate and actionable insights for program and policy evaluation.
Manages the tracking and analysis of financial data, including expenses and vendor invoices, ensuring accuracy, accountability, and budget alignment.
Leads the development and reporting of Key Performance Indicators (KPIs). Collaborates with DCH Performance Management to identify, define, and measure metrics aligned with strategic goals.
Oversees the review and evaluation of monthly, quarterly, and annual performance guarantees. Coordinates with both new and existing vendors to ensure proper documentation, agreement on goals, and compliance with contractual obligations.
Guides the development and implementation of SHBP strategic goals, policies, and operational guidelines. Participates in the formulation, revision, and interpretation of policies and procedures to align with agency objectives.
Represents the department on committees, workgroups, and external stakeholder meetings as needed.
Participates in the planning, coordination, and execution of long-term departmental and divisional goals and objectives.
Provides leadership and direction to staff within the Health Plan Procurement and Operations unit. Responsible for hiring, training, evaluating, and when necessary, disciplining or separating employees to ensure team effectiveness and performance.
Performs other related duties as assigned.
Minimum Qualifications
Other Qualifications
EARN MORE THAN A SALARY! In addition to a competitive salary, the Georgia Department of Community Health offers a generous benefits package, which includes employee retirement plan; paid holidays annually; vacation and sick leave; health, dental, vision, legal, disability, accidental death and dismemberment, health and childcare spending account.
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification.
THIS POSITION IS SUBJECT TO CLOSE AT ANY TIME ONCE A SATISFACTORY APPLICANT POOL HAS BEEN IDENTIFIED. APPLICATIONS WITHOUT WORK EXPERIENCE LISTED WILL NOT BE CONSIDERED. CURRENT GEORGIA STATE GOVERNMENT EMPLOYEES WILL BE SUBJECT TO STATE PERSONNEL BOARD (SPB) RULE PROVISIONS. THE POSITION MAY BE FILLED AT A LOWER OR HIGHER POSITION LEVEL.
This position is unclassified and employment is at-will. Candidates for this position are subject to a background history, reference check, and credit check.
For more information about this job contact: http://dch.georgia.gov
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