Green Mountain Care Board Chair Vacancy

How to Apply

***Do not apply to this posting here, your application will not be considered***

To apply:

Go to: https://humanresources.vermont.gov/GMCB-Search-2026 for full instructions and application.

For questions related to the application process, please contact Elizabeth.Marvin@vermont.gov

About the Green Mountain Care Board

The Green Mountain Care Board was created in 2011 by Vermont’s health care reform law (18 V.S.A. Chapter 220 pursuant to Act 48) to promote the general good of the state of Vermont by: (1) improving the health of the population; (2) reducing the per-capita rate of growth in expenditures for health services in Vermont across all payers while ensuring that access to care and quality of care are not compromised; (3) enhancing the patient and health care professional experience of care; (4) recruiting and retaining high-quality health care professionals; and (5) achieving administrative simplification in health care financing and delivery. The Board is an independent and transparent regulatory commission, conducting meetings in public subject to Vermont’s Open Meeting Law.
The Board consists of a Chair and four members. The Chair is responsible for leading the Board’s processes, including developing a collaborative environment and assuring thoughtful and informed deliberations. In addition to leading the Board processes, the Chair supervises the Board’s administrative staff and is a full-time employee. Per 18 V.S.A. § 9374 (a)(1), the Board Chair’s annual salary is equal to that of a Superior judge (currently $ 212,653) and Board members are 0.8 FTE (32 hours) employees with an annual salary that is two thirds of the Chair’s salary (currently $141,752). The Chair and board members serve for a term of 6 years and are entitled to standard benefits provided to exempt state employees. For the current opening for Chair, the successful candidate will fill the unexpired term of the current Chair, which ends on September 30, 2030.  
Board members may engage in outside employment or professional activities, provided those activities do not create a conflict of interest or interfere with the performance of their official duties. Service on the Green Mountain Care Board is the member's primary professional responsibility, and all Board obligations and statutory duties take precedence over outside work commitments.

Description

Summary of Board Responsibilities
The Green Mountain Care Board’s mission is to improve the health of Vermonters through a high- quality, accessible, affordable, and sustainable health care system. The Board regulates and evaluates significant segments of Vermont’s health care system.
The Board’s key oversight responsibilities include the final approval for insurance rate requests, hospital budgets, accountable care organization budget and certification, and capital projects requiring certificates of need. In addition, the Board is the steward of two major health care data sets, provides significant data analysis to support policy making.
A full list of the Board’s responsibilities can be viewed at: 18 V.S.A. § 9375 as well as the About GMCB and GMCB Regulatory Processes Summaries sections of the Board’s website.

Summary of Board Chair Responsibilities:

The Chair is appointed by the Governor to lead the Board, its staff, and to ensure the integrity of the Board. They direct all public meetings and ensure transparent decision-making as required under Vermont's open meeting law.  Candidates are expected to have significant knowledge of the Board’s regulatory processes and Vermont’s health care system.  Candidates should have excellent communication skills along with the ability to negotiate and mediate competing perspectives and priorities.  The Chair frequently represents the Board in discussions and negotiations with the federal government.  The Chair also directs the Green Mountain Care Board’s legislative agenda, recommends modifications to Vermont Statutes to the appropriate legislative committees, works closely with legislators and other Government agencies, and frequently testifies before the legislature on behalf of the Board. The Chair interacts regularly with local and national media and ultimately oversees the Board’s administrative functions and staff, which are directed by the GMCB Executive Director. The Board is the steward of Vermont’s All Payer Claims database and several other data resources, and the Chair is responsible for a broad set of data management concerns.

Principles

Candidates must be committed to the principles outlined in the law:

• The State of Vermont must ensure universal access to and coverage for high- quality, medically necessary health services for all Vermonters. Systemic barriers, such as cost, must not prevent people from accessing necessary health care. All Vermonters must receive affordable and appropriate health care at the appropriate time in the appropriate setting.
• Overall health care costs must be contained and growth in health care spending must balance the health needs of the population with the ability to pay for such care.
• The health care system must be transparent in design, efficient in operation, and accountable to the people it serves. The State must ensure public participation in the design, implementation, evaluation, and accountability mechanisms of the health care system.
• Primary care must be preserved and enhanced so that Vermonters have care available to them, preferably within their own communities. The health care system must ensure that Vermonters have access to appropriate mental health care that meets standards of quality, access, and affordability equivalent to other components of health care as part of an integrated, holistic system of care. Other aspects of Vermont's health care infrastructure, including the educational and research missions of the State's academic medical center and other postsecondary educational institutions, the nonprofit missions of the community hospitals, and the critical access designation of rural hospitals, must be supported in such a way that all Vermonters, including those in rural areas, have access to necessary health services and that these health services are sustainable.
• Every Vermonter should be able to choose his or her health care provider.
• Vermonters should be aware of the costs of health services. Costs should be transparent and easy to understand.
• Individuals have a personal responsibility to maintain their own health and to use health resources wisely, and all individuals should have a financial stake in the health services they receive.
• The health care system must recognize the primacy of the relationship between patients and their health care practitioners, respecting the professional judgment of health care practitioners and the informed decisions of patients.
• Vermont's health delivery system must seek continuous improvement of health care quality and safety and promote healthy lifestyles. The system therefore must be evaluated regularly for improvements in access, quality, and cost containment.
• Vermont's health care system must include mechanisms for containing all system costs and eliminating unnecessary expenditures, including by reducing administrative costs and by reducing costs that do not contribute to efficient, high-quality health services or improve health outcomes. Efforts to reduce overall health care costs should identify sources of excess cost growth.
• The financing of health care must be sufficient, fair, predictable, transparent, sustainable, and shared equitably.
• The system must consider the effects of payment reform on individuals and on health care professionals and suppliers. It must enable health care professionals to provide, on a solvent basis, effective and efficient health services that are in the public interest.
• Vermont's health care system must operate as a partnership between consumers, employers, health care professionals, hospitals, and the State and federal government.

Qualifications

Candidates will be evaluated based on the following criteria:
1.    Commitment to the above Principles.

2.    Knowledge of or expertise in health care policy, health care delivery, or health care financing, financial statements and budgets, and openness to alternative approaches to health care.

3.    Possession of desirable personal characteristics, including integrity, impartiality, empathy, experience, diligence, neutrality, administrative and communication skills, social consciousness, public service, and regard for the public good.

4.    Expertise, knowledge, and characteristics that will complement that of other Board members.

5.    Impartiality and the ability to remain free from undue influence by a personal, business, or professional relationship with any person subject to supervision or regulation by the Board.

6.    Demonstrated leadership experience.

7.    Understanding of Vermont statutes and application to GMCB regulatory responsibilities, ability to understand legal requirements, and comprehensive understanding of regulatory processes.

Position Parameters

Board members, including the Chair, may not serve as officers, directors, organizers, or employees of, consultants to, or attorneys for a person or entity subject to supervision or regulation by the Board.
However, health care practitioners that are non-administrative/ management employees of a hospital or other health care facility may serve on the Board so long as they recuse themselves from matters which involve their employer. Candidates need not resign these positions prior to accepting a Board member or Chair position. See 18 V.S.A. § 9374(c) of the Vermont Statutes Annotated for additional details.

Appointment Process

The Governor makes appointments to the Green Mountain Care Board from a list of qualified candidates submitted by the Green Mountain Care Board Nominating Committee. The Nominating Committee consists of nine members, appointed by the Speaker of the House, Senate President Pro Tempore, Committee on Committees, and Governor. An appointment by the Governor to the Green Mountain Care Board is subject to confirmation by the Senate. The application process is confidential by law.

Compensation

Per 18 V.S.A. § 9374 (a)(1), the Board Chair’s annual salary is equal to that of a Superior judge (currently $ 212,653) 

Equal Opportunity Statement