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DORA/Division of Insurance: Prescription Drug Affordability Director
State of Colorado Job Opportunities in Denver, Colorado
Date Posted 08/02/2021
Salary $6,792 - $9,420  USD Per Month
Employment Type Fulltime
Application Deadline Open until filled

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 workforce 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.

Description of Job

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

Position: SFA 4304

This position exists in order 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 to determine an Upper Payment Limit (UPL) that drug purchasers must stay under. The position determines how to best develop processes and content for board members to review in regard to the affordability of high-cost prescription drugs in Colorado, and establishes UPL's 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.

The position: creates and defines program processes, procedures, and reporting needed to successfully implement and manage the program; plans overall program timelines to ensure milestones and deliverables are met, including deliverables to the legislature; determines necessary stakeholder communications and outreach for the program; collaborates with other states running drug affordability programs to share best practices as necessary; and manages all data needs and systems upgrades and modifications affecting PDA program, including ensuring completeness and accuracy of data and carrier reporting.

The position oversees compliance and reporting with all statutory requirements of SB 21-175 – which includes leading data and reporting for the SMART Act compliance requirements and advising division leadership, including the Commissioner and Chief Deputy Commissioner, and the Governor’s office as needed, on key components for inclusion in the required reporting to the legislature. The position develops and oversees the rulemaking process related to UPL's. The UPL rulemaking process provides ample opportunity for the industry at large, providers, and consumers to make the case that a UPL would threaten access, and there is an opportunity to appeal decisions made by the Board.

The position also oversees the application and recruitment of the Affordability Board and advises the Commissioner and the Governor’s office on the applicant candidates. The Board is made up of five unpaid members with either expertise in healthcare economics or clinical medicine, and are charged with the express task of bringing transparency and accountability to the pharmaceutical supply chain. The Board will be advised by the position and a stakeholder council of industry experts, with robust opportunities for public comment.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights


  • Bachelor’s degree from an accredited college or university in business, business administration, business management, public policy, project management, public administration, public health, political science, healthcare administration, health economics, healthcare management, law, or in a field of study directly related to the work assignment; AND
  • Four (4) 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, for a governmental regulatory entity, or in a similar field/industry directly related to the work assignment, conducting ALL of the following:
    • Policy analysis: developing, leading and implementing a policy agenda including identifying, evaluating and proposing policies, legislation and regulations;
    • Program leadership: conducting stakeholder outreach and engagement related to healthcare and/or health insurance policy and legislation, including building and sustaining relationships with legislators, state agencies, healthcare industry representatives, and state and national interest groups and advocacy organizations.
    • Project management: managing projects and deliverables from initial planning phases through all the necessary steps for successful implementation – including gathering, compiling and analyzing data, statistics and other pertinent information to ensure strategic measures and deadlines are met in order to achieve targeted goals and initiatives.
  • 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.

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

  • 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 of 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 a field of study related to the work assignment may be substituted for two (2) years of professional* experience.
  • 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/Competencies:
  • Master’s or Doctorate degree in a field of study directly related to the work assignment;
  • Project management experience, including organizational skills and prioritization and delegating of tasks to other team members;
  • Stakeholder engagement and outreach experience;
  • 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 supply chain knowledge and experience assessing the value of pharmaceutical drugs;
  • Experience with board management (e.g. guiding a board’s policy decisions through recommendations and developing content for the board to guide decision-making);
  • Experience promoting the efficient use of policy and regulatory levers to address barriers and create opportunities to advance healthcare transformation efforts.

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 application of industry knowledge to address changes resulting from healthcare reform and marketplace advancements, along with the ability to research, analyze and consistently apply state and federal insurance laws, rules, regulations and policies, including interpreting them in order to explain them to various stakeholders;
  • Relationship management skills, to establish strong working relationships with stakeholders to ensure collaboration, data exchange, and joint development of performance improvement strategies;
  • Demonstrated understanding of the nation's healthcare programs, their interrelationships, and the social, political and economic forces that affect them;
  • Demonstrated ability to conduct research and gather pertinent information;
  • Demonstrated understanding of how to effectively function in state government, along with the ability to build consensus in a complex and high-pressured, politically-charged environment;
  • Flexibility and adaptability with regard to change management, including the ability to adhere to changes in work processes, adapt to changing priorities, and maintain a willingness to comply with and support organizational change(s);
  • Demonstrated ability to understand and abide by workplace principles, practices and behaviors as internally identified and defined by the division;
  • Ability to represent the department and the Division of Insurance in a positive, professional and objective manner, and support a positive workplace environment;
  • Ability to handle sensitive and/or highly confidential information in a professional and ethical manner, and in accordance with state and federal laws;
  • Strategic thinking, including the ability to identify emerging issues, anticipate trends, and provide recommendations on strategies to minimize risk impacts;
  • Demonstrated interpersonal skills and the ability to work effectively on collaborative, multi-disciplinary teams;
  • Demonstrated time management skills, including the ability to manage competing priorities and meet hard deadlines;
  • Oral communication skills, including the ability to verbally communicate effectively to a diverse audience;
  • Written communication skills, including the ability to complete reports in a clear, accurate, and concise manner;
  • Demonstrated attention to detail;
  • Professional demeanor;
  • Proficiency in the use of various PC software applications, including Microsoft Office (Word, Excel, etc.), and Google Suite.

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, including staying over weekends when required; and the ability to transport equipment, including, but not limited to, laptop computers, printers, manuals and supplies.

Supplemental Information

PLEASE READ - Required Application Materials

Interested individuals must submit the following online:

1. A completed State of Colorado Application (log-in 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 address on 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 DD-214 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 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 to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require 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.us or call (303) 894-2441.

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.
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