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EXECUTIVE DIRECTOR, UC SELF-FUNDED HEALTH PLANS
University of California Office of the President
EXECUTIVE DIRECTOR, UC SELF-FUNDED HEALTH PLANS
University of California Office of the President
 EXECUTIVE DIRECTOR, UC SELF-FUNDED HEALTH PLANS Location: Oakland Job ID: 86828 Job Posting For UCOP internal applicants, please login to the internal candidate gateway at: Jobs at UCOP UC OFFICE OF THE PRESIDENT At the University of California (UC), your contributions make a difference. A world leader producing Nobel and Pulitzer Prize recipients with over 150 years of groundbreaking research transforming the world. Choose a career where you can leverage your knowledge, skills and aspirations to inspire and support some of the greatest minds in the world, and those who will follow in their footsteps. Working at the University of California is being part of a unique institution, and a vibrant and diverse community. At the University of California, Office of the President, we propel our mission through impactful work locally, in government centers and systemwide. We are passionate people, serving the greater good. The University of California, one of the largest and most acclaimed institutions of higher learning in the world, is dedicated to excellence in teaching, research and public service. The University of California Office of the President is the headquarters to the 10 campuses, six academic medical centers and three national laboratories and enrolls premier students from California, the nation and the world. Learn more about the UC Office of the President Department Overview Systemwide Benefits Programs & Strategy manages and creates health benefits strategy and programs that enhance the well-being of our employees and their families. The Benefits Programs and Strategy unit is made up of three areas: Health and Welfare Benefits, Retirement Savings Programs, Benefits Information Systems. The unit is responsible for the development, design, maintenance and financials of the university-wide health and welfare programs and policies governing the faculty and staff plans; development of guidelines and practices to ensure that the programs are in compliance with university policies and applicable federal and state laws and regulations; management of the vendors administering the health and welfare and Retirement Savings programs assuring the quality of contracted services, compliance activities and reporting associated with the third party vendors. Also, all three areas in Benefits Programs and Strategy serve as consultants and subject matter experts to faculty, unions, senior management and campus/medical center HR. In addition, the unit provides business systems support for the administration of health and welfare programs and operations as well as retirement programs and operations. Benefits Programs and Strategy also manages UC Retirement At Your Service (UCRAYS), which is the retirement portal that serves faculty, staff and retirees. Position Summary The University of California is evolving its employee health benefits with the ever changing landscape of health care, due in part to the passage of the Affordable Care Act in 2014. UC has chosen to move from fully-insured to self-insured health benefits for its employees. UC is taking risk for all its health plans except Kaiser, covering about 200,000 employees, retirees, spouses and dependents. The members are enrolled in an ACO arrangement with an HMO, high deductible plans, PPO and companion Medicare plans. Members are encouraged through the plan designs to see UC providers. In return, the UC academic medical centers have offered significant discounts to the plans for their services. UC Health has pledged to provide innovation and population health management to meet these goals. The Executive Director provides leadership for these plans and is responsible for their success. In 2015, the University spent $1.3 billion in premiums to provide coverage for the services provided by the plans. The unit budget is $6.5 million. Employee health plans leverage our mutually beneficial relationship with our Medical Centers. Self-funding provides control and ability to impact the quality of care to employees and retirees; customize products to meet our needs and ultimately saves money, while keeping more of the dollars spent on services within the UC System. This role is responsible for the overall leadership and direction of all UC-self-insured employee and medical resident programs as performed by subordinate managers. The Executive Director sets the strategic direction through recommendations to an Executive Steering Committee and co-chairs the Joint Operating Committee with the Vice President of Human Resources. This role creates, develops and implements programs to meet changing demands and ensures protection and cost consideration of our plan members. The ideal candidate will provide overall leadership, direction, and support to UC Health staff and Executive Sponsors, to achieve its collective mission. The Executive Director ensures and fosters strong relationships with collaborative partners, increased visibility and financial strength of the self-insured plans within our organization. The Executive Director leads a team that has built a strong shared collaborative culture and practice among its staff and campus partners. Our organizational culture deeply values communication across the organization, inclusiveness, integrity, personal and professional growth, empowerment, creativity, initiative and collaboration. Please note this is a hybrid position. Key Responsibilities 20% Financial Operations and Sustainability - Provides fiscal oversight of the health plans, including contracts, budgets, and statements of financial position. Ensures sustainable financial health of the self-funded health plans. Oversees use of stop loss insurance to limit UC risk, if applicable. Manages organizational budget and financial statements in consultation with Office of the President staff, consultants and constituents. Provides regular and transparent communication to leadership, staff and campuses about organizational finances. Leads a budgetary process that includes ongoing assessment of budgetary goals and actual performance and adjusts as needed in collaboration with staff. Directs staff and consultants to prepare monthly/quarterly report cards for executive sponsors and Joint Operating Committee; leads Program Directors to ensure the best in class operations are in place and that overall monitoring of financial and regulatory requirements associated with self-insured plans are in place. 20% Strategy - Oversees staff who monitor contracted network and is decision maker about tiering and discounts, in consultation with the Executive Steering Committee. Spearheads short-, medium- and long-term strategies for UC Care, Blue & Gold and other self-insured plans. Key relationship holder and figurehead representing the self-funded plans with campuses, specifically ones with medical centers; reports on operations of self-funded and risk bearing plans to medical center leadership; integrates with the campus Medical Directors to ensure medical management and utilization practices are in place; helps navigate working across the 10 campus and 5 medical center system; travels to each campus and medical center as needed and builds relationship with campus partners. Develops plan benefit design and programs that encourage employee members to use UC providers. 20% Leadership and Management - Co-leads monthly Joint Operating Committee meetings under the shared governance structure with Human Resources. Reports and makes recommendations to cross-functional Executive Steering Committee on plan operations. Provides expert consultative services to the Faculty Health & Welfare Healthcare Task Force and Academic Council meetings by presenting on plan operations and other items as requested. Drives and ensures ongoing program quality, consistent program evaluation, and advocates for adequate financial and personnel capacity to sustain programmatic work. Provides guidance, counsel and support to staff in developing, sustaining and refining programmatic work. Actively nurtures a work environment and organizational culture of empowerment, collaboration, personal and professional growth, direct and transparent communication, self-care and mutual support. Manages a staff of 5-9 people and additional consultants. Maintains consistent and transparent systems of staff evaluation and feedback. Drives and ensures effective systems to track results, outcomes and successes used for both internal and external communications. Supports growth that matches the organizational and programmatic strategic planning goals and ensures regular evaluation of progress toward these goals. Leads the administrative team in advancing the organization's financial and organizational goals. Facilitates cross collaboration and integration between programs to further the mission and vision of the University. Regularly interacts with senior management across the system. 20% Plan Administration - Leads staff in RFP process for plan administrators, manages staff during implementation of new administrators. Sets policy and is the ultimate point person for plan administrator partners for problem resolution. Negotiates rates with UC providers. Creates and oversees implementation of new plans as needed. 15% Rate Setting, Determination of Benefits and Employee Contribution Strategy - Leads annual process to set rates for self-funded plans, including interacting with Human Resources, consultants and other key stakeholders. Primary decision-maker on covered benefits, changes in network. Key contributor to determination of employee contribution methodology. 5% Clinical Programs and Population Health Management - In conjunction with the Chief Medical Officer of Self-Funded Plans, create innovative programs to improve employee health and control cost, such as wellness, behavioral health and integrated medicine. Represents UC Health in negotiations with health plans relative to the success of ACO arrangements with UC providers. Makes and implements pharmacy plan benefit changes upon recommendations from the Chief Medical Officer, PBM and other pharmacy managers as necessary. Experience Preferred Qualifications
Skills and Abilities Preferred Qualifications
Education Required Qualifications
Travel Requirements 10% Job Title Health Plan Administration Manager 3 Job Code 006861 Salary Grade Grade 30 Payscale: $290,000 - $325,000 The University of California, Office of the President, is required to provide a reasonable estimate of the compensation range for this role. This range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. It is not typical for an individual to be offered a salary at or near the top of the range for a position. Salary offers are determined based on final candidate qualifications and experience. The full salary range shows the growth potential for this position and the pay scale is the budgeted salary or hourly range that the University reasonably expects to pay for this position. Benefits: For information on the comprehensive benefits package offered by the University visit: Benefits of Belonging ADDITIONAL INFORMATION HOW TO APPLY Please be prepared to attach a cover letter and resume with your application. APPLICATION REVIEW DATE The first review date for this job is July 2, 2026. If needed, add: The position will be open until filled. CONDITIONS OF EMPLOYMENT Background Check Process: Successful completion of a background check is required for this critical position. Background check process at UCOP Smoke Free Work Environment: The University of California, Office of the President, is smoke & tobacco-free as of January 1, 2014. UC Smoke & Tobacco Free Policy As a condition of employment, you will be required to comply with the University of California Policy on Vaccination Programs, as may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. As a condition of employment, the finalist will be required to disclose if they are subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct, are currently being investigated for misconduct, left a position during an investigation for alleged misconduct, or have filed an appeal with a previous employer.
EEO STATEMENT The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. The University of California, Office of the President, strives to make this job board accessible to any and all users. If you have comments regarding the accessibility of our website or need assistance completing the application process, please contact us at: Accessibility or email the Human Resource Department at: epost@ucop.edu. To apply, visit https://careerspub.universityofcalifornia.edu/psc/ucop/EMPLOYEE/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&JobOpeningId=86828&PostingSeq=1&SiteId=19〈uageCd=ENG&FOCUS=Applicant Copyright 2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-cbf4db48272a6445801d413a7b9fb139
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Internal Number: 7231607
About University of California Office of the President
The Office of the President is the systemwide headquarters of the University of California, managing its fiscal and business operations and supporting the academic and research missions across its campuses, labs and medical centers.
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