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Blue Cross Blue Shield Association · 2 days ago

Legislative and Regulatory Senior Policy Program Manager (Medicare Advantage)

District of Columbia, United States

Full-time

Onsite

Senior Level

$112K/yr - $161K/yr

7+ years exp

Blue Cross Blue Shield Association is seeking a Legislative and Regulatory Senior Policy Program Manager to develop policy recommendations that support the organization's mission. The role involves analyzing regulatory and legislative initiatives, leading workgroups, and collaborating with stakeholders to advance strategic goals related to Medicare Advantage and other health policy issues.

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Responsibilities

Leads the development of effective, consensus-based policy recommendations to promote BCBSA and BCBS Plan objectives at both state and federal levels. Manages the review of legislation and regulations to identify and provide feedback to policymakers and staff on strategic and business considerations. Develops advocacy documents to support these activities, including key messaging, one-pagers, and briefing materials. Provides policy support for coalitions, third-party inquiries and internal business partners on select focus areas. Brings forward new ideas and strategic thinking to promote BCBSA priorities and objectives

Leads projects within assigned regulatory and legislative focus areas, including the identification of key business issues, legislative or regulatory analysis. Develops comment letters and resources for policymakers and educational materials for BCBS Plans. Produces bill summaries, policy analysis and memos on key issues and BCBSA positions for use by Plans. Leads BCBSA and Plan meetings to inform staff of key issues and actions taken by P&A staff. Responsible for researching and developing responses to Plan inquiries

Leads workgroup and related calls on focus areas. Identifies and communicates key regulatory and legislative activities to internal audiences, BCBS Plans and other external audiences. Collaborates with peers and others on BCBSA's business/operations team to support synchronized efforts to assess current landscape, identify opportunities for engagement for BCBSA leadership, and assist with implementing a forward-thinking, comprehensive, coordinated, strategy for assigned programs and/or issues

Keeps up to date on legislative and regulatory positions and priorities, strategies, federal policymaking activities, external stakeholder positioning, and health care issues generally in order to maintain an understanding of key issues and strategies. May provide policy support to State Affairs team and work with state-based organizations (SBOs). Takes on various health policy projects as assigned

Collaborates with BCBS Plan representatives, Policy and Advocacy staff and broader BCBSA staff. Engages with external stakeholders including federal policymakers and third-party representatives as appropriate

Ensures senior management, senior leadership team and BCBS Plan representatives are informed as to pertinent legislative and regulatory developments

Qualification

Medicare Advantage knowledgePolicy analysisLegislative process understandingHealth care systems knowledgeHealth policy writingPlanningHuman relations skillsCommunication skillsOrganizational skillsStrategic thinkingInterpersonal skillsTime management

Required

Required Bachelor's Degree in Political Science, Public or Health Policy, Business or Public Administration; or equivalent work experience

7+ Years equivalent work experience Required

Advanced knowledge of health care systems and understanding of legislative and policymaking process

Strong communications skills; the ability to communicate effectively and persuasively, both orally and in writing

Strong planning and organizational skills

Strong human relations skills; and the ability to work with others in obtaining feedback/input, accomplishing goals, and meeting deadlines

Sophisticated/strategic thinking to determine how best to influence decision/policy makers

Comprehensive understanding of health policy issues and the legislative process, as well as experience with policy writing

Excellent interpersonal skills; demonstrated ability to develop and maintain relationships and influence outcomes

Excellent verbal and written communication skills, with the ability to identify issues and develop appropriate advocacy recommendations

Demonstrated ability to manage time and competing priorities

Preferred

Preferred Master's Degree in Health Policy, Public Policy, Health Administration, Public Heath or relevant subject

Experience working on one or more of the following Medicare Advantage policy areas: Stars program, Quality Bonus Payments, Medicare Advantage prescription drug plans, fraud, waste and abuse in Medicare, prior authorization processes and utilization management in Medicare, and telehealth policies

Additional experience with Health insurance contracts and payment structures specific to Medicare Value-based care models and affordability initiatives in Medicare

Prior experience working for a health insurer, Congress, the Administration, or third-party stakeholders focused on Medicare programs is highly desirable

Experience working with public officials or in government is also valued