The Senior Policy Advisor will act as a subject matter expert on health care issues impacting the individual and small group markets. Will apply a nuanced understanding of health insurance and health care policy issues to support AHIP and its member organizations to develop policy positions. Coordinates and oversees activities related to health care regulations and legislation impacting the individual and small group markets.
Manages issues as assigned related to the individual and small group health insurance market, health insurance exchanges—including policy and strategy related to the Affordable Care Act risk adjustment and RADV—and other cross-cutting policy issues. Activities include developing and implementing policy and positioning recommendations, legislative and regulatory analysis, and serving as a resource for member health plans. Facilitates AHIP member committees and workgroups as assigned.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with ADA Act.
Tracks, researches and prepares materials on federal legislation, regulations, policies, and sub-regulatory guidance impacting commercial market health insurers.
Presents AHIP member views to government officials and external groups.
Develops policy alternatives through discussion papers, white papers, and related policy analysis.
Prepares written communications including discussion documents and memos to gather member input, develop consensus positions, and write comment letters, policy briefs, and talking points in support of AHIP’s policy and operations positions.
Facilitates member committees and workgroups.
Directs research projects and surveys.
Other job duties:
May perform other duties in addition to those outlined in this job description.
Knowledge of federal legislation and regulations impacting commercial health insurance
Independent judgment and exceptional organizational and analytical skills
Excellent oral and verbal communication skills
Ability to handle multiple responsibilities simultaneously
Ability to work well with staff across AHIP departments on inter-related issues
This position has no supervisory responsibility
This job operates in a professional office environment. This role routinely uses standard office equipment including Microsoft Office products and video conference technology (Teams, Zoom, WebEx).
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Expected Hours of Work
This is a full-time position. Standard days and hours of work are Monday through Friday, 8:30 a.m. – 5:30 p.m., however may require long hours and weekend work.
This position can work remotely 75 – 100% of the time within a week
This position may require face-to-face interaction at our DC office or other locations less than 25% of the time within a week
This position is expected to travel less than 10% of the time, including overnight domestic travel. Anticipated travel will be by car, air, and/or train
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Required Education and Experience:
Master of Public Health, Public Administration, Health Services Administration, Public Policy, Business Administration, or related field preferred and/or equivalent experience.
Seven years or more of experience in health care policy or health insurance issues. Prior experience or expertise in issues related to the individual market and Affordable Care Act strongly preferred.
Experience working for a health insurance plan and/or federal or state agencies strongly preferred.
Experience analyzing and developing policy on healthcare-related regulations and legislation.
Experience writing comment letters, testimony, white papers, newsletters, advocacy materials, and consumer-facing materials.
Experience presenting to large multi-stakeholder groups on complex health industry issues.
Experience working in a collaborative environment.
Strong knowledge of regulations affecting health insurance plans.
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About America's Health Insurance Plans
AHIP serves as a strong, unified voice for an industry that is leading the way in transforming health care. Tens of thousands of industry professionals rely on AHIP to provide first-class advocacy, education, and information on our changing health care system, covering topics such as delivery and payment reform, high-cost drugs, Medicare Advantage (MA), Medicaid, and provider networks.