Managerial, planning, and development work for the Division of Health Care Administration in the Department of Banking, Insurance, Securities, and Health Care Administration. Work involves administration of the state's managed care quality assurance and consumer protection oversight system. Duties include continued implementation of quality assurance standards for managed care plans and a consumer assistance program that assists Vermonters experiencing problems with the health care system.
Supervision is exercised over professional and clerical staff.
Work is performed under the general direction of the Deputy Commissioner for Health Care Administration, but with significant latitude for independent initiative. Develops quality assurance standards. Conducts annual reviews, periodic evaluations and focuses periodic evaluations of managed care plans and makes recommendations to the Deputy Commissioner regarding enforcement actions against non- compliant plans. Collects, monitors, analyzes, and maintains reports on plans and coordinates these activities with the Data System Administrator. Develops a consumer assistance program.