AddressJob Title: Manager, Insured Services Delivery (Health)
Job Requisition ID: 37143
Ministry: Health
Location: Edmonton
Full or Part-Time: Full Time
Hours of Work: 36.25 hours per week
Regular/Temporary: Regular
Scope: Open Competition
Closing Date: January 31, 2023
Classification: Management Manager Zone 2
About Us
The Government of Alberta is committed to a diverse and inclusive public service that reflects the population we serve to best meet the needs of Albertans. Consider joining a team where diversity, inclusion and innovation are valued and supported. For more information on diversity and inclusion, please visit:
The Ministry of Health sets policy and direction to improve health outcomes for all Albertans, support the well-being and independence of Albertans, and achieve a high-quality, appropriate, accountable and sustainable health system.
To learn more about Alberta Health and what we have to offer, follow this link:
The Provider Compensation and Strategic Partnerships Branch's role within the Health Workforce Planning and Accountability Division of Alberta Health supports and implements compensation models for providers who deliver publicly insured services under the Alberta Health Care Insurance plan. This branch is comprised of three units: Insured Services and Compensation Design, Alternative Compensation Delivery, and Budget and Analytics. Each unit has a specific focus of activities to support the branch's mandate.
The Insured Services and Compensation Design Unit maintains and updates the Schedule of Benefits for services delivered by Physicians, Optometrists, Podiatrists, Podiatric surgeons, and Oral and Maxillofacial Surgeons. The unit has two specialized teams, one responsible for the Schedule of Medical Benefits (SOMB) and the other for Allied Health Benefits (including Oral Surgery, Podiatry, Podiatric Surgery, and Optometry Schedules of Benefits). The unit is a leader within Alberta Health for system-level strategic and policy direction related to physician and allied compensation.
Role
Reporting to the Director of Insured Services and Compensation Design, the Insured Services Manager is the business lead for the fee-for-service compensation framework for physicians. As the leader, the Manager is responsible for evaluating the model, researching new options, consulting with stakeholders, and developing strategies to manage the Physician Services Budget.
This specialized role requires supervisory skills and knowledge about the fee-for-service physician compensation model. In addition, the broader strategic goal is to ensure the schedules under the Alberta Health Care Insurance Plan have a standard, transparent pricing mechanism, with a focus on fairness and equity among and between different types of physicians, with a clear taxonomy system for the coding structure of the SOMB and the descriptions for listed physician services. Success will rely on consultation with external and internal stakeholders.
Moreover, the position manages strategic and operational policy development and/or revision for physician fee-for-service compensation. Strategic and operational advice is provided to Branch, Division, and Ministry leadership based on the incumbent's evaluation of outcomes, proposals, and strategies to determine the feasibility and impacts on a variety of areas, including Alberta Health Care Insurance Plan (AHCIP) claims processing, new system capabilities, and on external stakeholders. This advice enables decision-making regarding the continued enhancement and innovation of the healthcare system. Policy advice, guidance, and data analysis under the direction of the Manager also inform current and future physician negotiations.
Furthermore, the Manager supports internal, external, and interprovincial advisory committees and working groups on physician compensation.
Qualifications
A University degree in a related field (preferably in Public Policy, Public Health Sciences, Social/Policy Sciences, Public Administration, Health Care or Health Care Administration, or a related discipline), and a minimum of four (4) years of progressively responsible in business or economics, public administration, health care, policy management, and negotiations.
Required experience includes:
- Strong, broad knowledge of the health care system and provider compensation strategies in Alberta together with knowledge of funding models and options used in Alberta and other jurisdictions
- Extensive knowledge and broad understanding of government and Alberta Health (AH) objectives, goals and strategies.
- An understanding of the structure of the health system and the roles and relationships of the key stakeholders.
- A broad knowledge of economics, accounting, statistics and finance and the ability to apply them to physician compensation.
- An understanding of the rules and regulations governing the payment of physicians and allied health care providers in Alberta.
- Knowledge of and ability to apply, the principles and concepts of economics, qualitative and quantitative research and analysis techniques
- Strong financial management skills are also required for management of substantial budgets.
- Broad knowledge regarding Alberta's health system, policy, legislation, and funding of health services
- Knowledge of the Canada Health Act, the Alberta Health Care Insurance Act, and associated regulations.
- Experience in the health care system and/or health research and/or the medical device or pharmaceutical industry
- General knowledge concerning the history and evolution of the health system in Alberta including Alberta Health's relationships with key stakeholders.
- Project management training
- Master's Degree
- Negotiating experience
Equivalency
Directly related education or experience considered on the basis of:
- 1 year of education for 1 year of experience; or
- 1 year of experience for 1 year of education
Competencies are behaviors that are essential to reach our goals in serving Albertans. We encourage you to have an in depth understanding of the competencies that are required for this opportunity and to be prepared to demonstrate them during the recruitment process.
This link will assist you with understanding competencies:
Overall, you encompass and demonstrate the following behavioral competencies:
- Creative Problem Solving.
- Systems Thinking.
- Drive for Results
- Develop Networks
- Agility
- Build Collaborative Environments
$3,100.80 to $4,172.77 bi-weekly ($80,930 - $108,909 / year)
Notes
Hours of Work:
- 36.25 hours per week (full time)
- ATB Place North, Edmonton. This position requires working from the office with an option to qualify for a hybrid work arrangement (in accordance with GOA policy).
- Top candidates will be required to undergo security screening.
- This position maybe used to fill future vacancies across the Government of Alberta, at equal or lower classification and salary.
What we offer:
- Comprehensive benefits plan:
- Pension plans:
- Public Service Pension Plan (PSPP) -
- Management Employees Pension Plan (MEPP) -
- Leadership and mentorship programs
- Professional learning and development
- Positive workplace culture and work-life balance
- Opportunity to participate in flexible work arrangements such as working from home up to two days per week and modified work schedule agreements
- Research Alberta Public Service Careers tool -
How To Apply
Click on the “Apply Now” button.
Candidates are required to apply for a job online. Please visit to learn more about and other tips for the Government of Alberta's online application system.
If you are not currently an employee with the Government of Alberta, the first step in applying for a job is creating your candidate profile within our online application system, to access the main log in page where you are able to 'Create an account', reset your password ('Forgot your password') or 'Sign In' should you already have an account.
Existing employees should access the Career tile in 1GX to submit their application in order to be recognized as an internal applicant.
Once you have created your candidate profile, visit the Alberta Public Service job site to apply for jobs at
Applicants are advised to provide information that clearly and concisely demonstrates how their qualifications meet the advertised requirements, including education, experience and relevant examples of required competencies.
Resources for applicants:
It is recommended that applicants who have obtained educational credentials from outside of Canada and have not had them previously assessed, obtain an evaluation of their credentials from the International Qualifications Assessment Service (IQAS) . Applicants are encouraged to include the assessment certificate from IQAS or any other educational assessment service as part of their application.
Closing Statement
This competition may be used to fill future vacancies, across the Government of Alberta, at the same or lower classification level.
We thank all applicants for their interest. All applications will be reviewed to determine which candidates' qualifications most closely match the advertised requirements. Only individuals selected for interviews will be contacted.
If you require any further information on this job posting or a copy of the role profile, and/or require a disability related accommodation during the recruitment process, please contact Jagreet Uppal at .
If this competition is closed as per the closing date noted above, please continue to check for a listing of current career opportunities with the Government of Alberta.
