AHIP · 1 day ago
Senior Director, Delivery System and Payment Transformation
Washington, DC
Full-time
Onsite
Lead/Staff, Director/Executive
5+ years expAHIP is the industry-leading trade association of health insurance providers striving to make health care better and coverage more affordable for every American. The Senior Director, Delivery System and Payment Transformation leads activities related to health plan coding and billing, provider fee-for-service and alternative payment models, and collaborates with stakeholders to advance advocacy efforts in healthcare reform.
AssociationHealth Care
Responsibilities
Maintain tracking system of key market trends, catalog trends, and best practices pertaining to value-based care and payment
Prepare member-written educational materials, including regulatory summaries, issue briefs, slides, member memos, and newsletter articles
Track, prioritize, analyze implications, sequence activities, develop policy, solicit member feedback, and lead comment responses to proposed regulations or requests for information issued by CMS and other federal agencies and draft legislation by Congress or state legislative bodies
Communicate industry positions effectively through interactions with external organizations in various ways: one-on-one conference calls, multi-stakeholder meetings, and presentations
Develop and foster relationships with key contacts at member health insurance plans and other associations to advance member interests and identify opportunities for additional collaborations on initiatives of strategic interest to the AHIP membership
Support Clinical Innovations workgroups, including but not limited to Value-based Care and Coding by recruiting speakers, preparing materials for member calls and meetings, developing interactive, collaborative initiatives, articulating consensus on issues, and ensuring member engagement
Lead nominations of members for AHIP and other vacant seats associated with coding, billing and payment as well as support members once appointed
Serve as subject matter expert on the identified issues acting as a resource to internal and external partners, including responding to member and intra-divisional inquiries
Support interdepartmental priorities by providing content for time-sensitive press inquiries, policy statements on federal and state proposals, testimonies, etc
Performs other tasks as required or assigned
Qualification
Required
Bachelor's Degree and/or equivalent experience
Minimum of 5-7 years of experience analyzing and developing policy on health-related regulations and legislation
Strong understanding of and experience working with federal or state agencies and key external partners on issues of strategic interest
Experience writing comment letters, testimony, white papers, newsletters, advocacy, and consumer-facing materials
Experience presenting to large multi-stakeholder groups on complex health industry issues
Strong knowledge of regulations impacting healthcare providers
Significant knowledge of provider fee-for-service payments and value-based payment model design
Experience interpreting/summarizing/developing health policy at the Federal or State level
Excellent analytical skills
Ability to work with diverse stakeholders and think strategically
Strong understanding of financing and delivery of care in the U.S
Experience driving consensus across stakeholders
Strong time and project management skills to meet ongoing deadlines
Ability to work favorably as part of a team, understand and follow direction
Excellent oral and written communication skills
Ability to build collaborative relationships
Ability to influence others
Ability to identify and seek information
Analytical and conceptual thinking skills
Preferred
Knowledge of health plan operations is preferred
Working knowledge of health care coding preferred
Company
AHIP
AHIP is the national association whose members provide health care coverage, services, and solutions to hundreds of millions of Americans every day.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
John Mathewson
Chief Operating Officer
Kate Berry
Senior Vice President Clinical Affairs and Strategic Partnerships
Recent News
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