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Director of Government Relations

2 months ago

Chicago, Illinois, United States Blue Cross and Blue Shield Association Full time
Job Summary

We are seeking a highly experienced and skilled Strategic Policy Director to lead our efforts in influencing federal policies and regulations that align with the Blue Cross and Blue Shield Association's (BCBSA) mission and goals.

Key Responsibilities
  • Develop and lead BCBSA's strategy for influencing federal policies and regulations that further the BCBS mission and drive solutions to better support the more than 115 million Americans that BCBS Plans cover.
  • Oversee the development of BCBSA's public policy for assigned portfolios and contribute to policy development in additional key areas.
  • Lead the identification and analysis of key legislative initiatives and regulations, identifying policy issues and evaluating their impact on Plan business.
  • Work closely with BCBSA leadership to develop strategy around regulatory and legislative priorities for engagement with the White House, Administration, Congress, and other key stakeholders in Washington.
Responsibilities
  • Anticipate and identify key business issues related to assigned portfolio and develop policy approaches and positions for consideration by Policy & Advocacy Leadership.
  • Direct and partner with staff to review legislation and regulations, legislative proposals, and Administration guidance to identify and evaluate strategic and business issues for Plans.
  • Work closely with BCBSA senior executives, Plan executives, and Plan workgroups to assure Plan business issues are represented in BCBSA positions.
  • Direct and partner with staff to manage projects within assigned regulatory and legislative areas (both federal and state), including the identification of key business issues, policy and legislative or regulatory analysis, development of comments or other persuasive materials, and development of educational materials for Plans.
  • Represent BCBSA in meetings with Administration officials, policymakers, and other organizations.
  • Provide policy input and support to State Services on NAIC and other state-related initiatives to assure consistency regarding state and federal policy positions.
  • Formulate strategies on an issue-by-issue basis, assuring positions represent consensus of Plans. Present these strategies to senior BCBSA leadership. Communicate and interpret the implications and effects to Plans. Maintain a thorough and comprehensive understanding of Plan business interests/practices to effectively assess the effect of legislation on them.
  • Lead workgroup and related calls on focus areas. Identify and communicate key regulatory and legislative activities to internal audiences, BCBS Plans, and external audiences.
  • Collaborate with 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.
Requirements
  • Bachelor's Degree in public policy, health policy, or related field, or equivalent experience.
  • Minimum 10 years experience in communicating and writing comments to Congress, government agencies, and/or other legislative bodies.
  • Experience working on one or more of the following health policy areas:
    • Medicaid and/or Medicare issues which may include dual eligibles, quality, Stars, prior authorization.
    • Health equity, which may include social determinants of health, standardizing health equity data or maternal health equity.
    • Health insurance contracts and payment structures in Medicare/Medicaid and/or commercial lines of business (LOBs).
    • Prescription drug issues (Rx reform, pharmacy benefit manager, opioid use disorder, cell & gene therapies).
    • Pharmacy benefits for commercial, Medicare, and Medicaid LOBs.
    • Improving affordability of health care, and value-based care programs including relevant regulation, legislation, and/or law.
    • Health IT which may include AI, cybersecurity, technical and market issues related to data operations, standards development, application programming interfaces, data privacy and security issues, and third-party application capabilities.
  • Extensive experience developing and drafting policy and legal analysis with focus on above programs and/or issue areas.
  • Prior experience working for Congress, the Administration, or third-party stakeholders focused on above programs and/or issue areas.
  • Experience working with public officials or in government.
  • Extensive knowledge of managed care and insurance reform issues, operations, and policy, as well as knowledge of the federal legislative and regulatory process.
  • Ability to structure research policy studies and formulate policy alternatives.
  • Ability to draw upon extensive knowledge and relationships to identify and analyze issues and develop appropriate policy strategies and responses, demonstrating excellent judgment and analytical methodologies.
  • Sophisticated/strategic thinking to determine how best to influence decision/policy makers.
  • Superior ability in setting and meeting objectives, while reacting within a growing and changing internal and external environment.
  • Superior facilitation, presentation, organizational, and verbal and written skills, with the demonstrated ability to work independently.
  • Superior analytical, planning, and project management skills, as well as the ability to prioritize and shift multiple issues and projects without compromising quality results.