Lead federal and regulatory Medicaid and CHIP strategy for BCBSA. Develops policy positions and strategies to ensure BCBSA is able to effectively influence Medicaid and CHIP policy on a national level and assist Plans with local strategies. Position will be highly visible within BCBSA and externally to ensure the interests of BCBSA and Blue Plans are represented before the Administration, Congress, and related national forums/stakeholder committees and organizations.
Responsibilities include but are not limited to:
- Lead development of BCBSA national policy for Medicaid, as well as the development of positions on issues representing the interest of BCBSA and Plans. Communicates closely with Plans to assure political as well as substantive understanding of a multitude of state Medicaid issues and development of BCBSA consensus policy positions. Coordinate with other divisions within BCBSA to ensure a synchronized effort to assess current landscape, identify opportunities for engagement for BCBSA leadership, and implement a forward-thinking, comprehensive, coordinated, strategy.
- Serve as an advisor to provide executive-level counsel to BCBSA officers. Obtains approval of policy positions by BCBSA's Board-level Policy Committee (HPAC). Develops proactive policy positions and strategies and raise the visibility of BCBSA and BCBS Plan initiatives with key policymakers and other influential individuals and organizations (e.g., state organization, trade associations, provider and consumer organizations, think takes, policy forums, researchers).
- Oversees the development of written communications including legislative text, regulatory comments, policy issue papers, bill summaries and analyses, testimony, talking points, presentations, and external meetings synopses on assigned issue areas. Works closely with BCBSA senior executives, Plan executives, and Plan workgroups, to assure Plan business issues are represented in BCBSA positions.
- Represents BCBSA and Blue Plans before regulatory agencies, state organizations, and on federal advisory boards, commissions, and task forces.
Required Basic Qualifications:
- Master's Degree in public policy, health policy or related field, or equivalent experience
- A minimum of ten years' related experience in health care policy analysis/formulation, health care law, insurance regulations, and/or healthcare plan operations
- Demonstrated understanding of federal and state Medicaid and CHIP laws, regulations, and waivers
- Knowledge of the federal legislative and regulatory process and experience in communicating and writing comments to government agencies and/or other legislative bodies
- Experience with strategic planning to build internal consensus and determine how best to influence decision/policy makers through effective advocacy with other federal trade associations and coalitions
- Experience working on cross functional teams and managing projects across teams
- Management experience
Preferred Basic Qualifications:
- J.D., PhD in public policy, health policy or related field, or equivalent experience
- Extensive knowledge of state and federal requirements for Medicaid MCO contracting, including policy changes under COVID-19 waivers and federal and state reforms and proposals
- Knowledge of Medicaid MCO market competition
- Understanding of criteria and programs for dual Medicare-Medicaid enrollees
- Experience in setting and meeting objectives, while reacting within a growing and changing internal and external environment.