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Posted by: CAQH on Jul 04, 2022


Location:

Washington , DC

Job Description:

Under the direction of the SVP, the Director of Public Affairs is responsible for managing the CAQH state and federal government relations activities. These activities include monitoring state and federal legislative and regulatory activity, assessing the impact of legislation and regulations on CAQH initiatives, engaging internal staff and member organizations on appropriate response, and establishing and maintaining relationships with state and federal governmental and industry organizations to advance CAQH interests.

Specific Responsibilities
Monitor state and federal legislation, regulation, and activity of interest to CAQH, including study committees, work groups, task forces, RFIs and other forums that shape formulation of relevant public policy issues. Identify and analyze research sources to monitor and summarize state and federal legislative and regulatory activity. Assess the impact of proposed and enacted state and federal legislation and regulation on CAQH initiatives and engage internal staff and member organizations on appropriate responses, tactical plans, and specific requirements. Develop and maintain a strong understanding of CAQH initiatives and the policy landscape in which CAQH operates. Build relationships with CAQH member plan government/public affairs staff to engage, communicate and coordinate on relevant issues. Engage with CAQH staff and member plans to develop a working understanding of near and longer-term objectives potentially affected by state and federal legislative and regulatory developments. Contribute to and lead CAQH internal and external committees and work groups to drive member and stakeholder alignment on public policy issues to advance CAQH mission. Establish and maintain relationships with relevant state and federal governmental and industry organizations, including trade associations and policy organizations. Identify opportunities to position and represent CAQH as a knowledgeable resource in the public policy arena to promote CAQH mission. Perform other duties as assigned.

Knowledge, skills and abilities
Advanced knowledge of state and federal legislative and regulatory processes. Detailed knowledge of health policy issues at state and federal levels. Working knowledge of health plan operations. Ability to anticipate the policy needs of the organization and proactively address. Excellent presentation, public speaking, and facilitation skills, including ability to effectively communicate with internal and external stakeholders at a senior/executive leadership level. Excellent written communication skills, including ability summarize complex policy issues clearly and concisely. Must demonstrate good judgment, political acumen, and strong interpersonal skills.

Experience
Eight years of health policy, public affairs, legislative, regulatory, or relevant industry experience. Prior health plan experience preferred. Experience working on healthcare administrative simplification, provider data, interoperability, digital health, or other health IT issues preferred.

Education
Bachelor's Degree required. Advanced degree with focus in health policy preferred.

PDF version
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Employment Type
FULL_TIME

Hiring Organization
CAQH

Pay Rate:

Unspecified

HR. Website URL:

https://www.caqh.org/about/careers

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About CAQH

For more than 20 years, CAQH has created shared initiatives to streamline healthcare administration. Today, CAQH technology-enabled solutions, operating rules and research help nearly 1,000 health plans, 1.6 million providers, government entities and vendors connect, exchange information and operate more efficiently. Solutions CAQH technology-enabled solutions eliminate redundant and inefficient administrative processes between health plans and providers for credentialing, directory maintenance, coordination of benefits and other essential business functions. Operating Rules CAQH Committee on Operating Rules for Information Exchange (CORE) brings the healthcare industry together make sharing business information more automated, predictable and consistent. CAQH CORE Certification is the industry’s trusted seal of approval to distinguish organizations that meet the highest standards for electronic data exchange. Research CAQH Explorations researches opportunities to reduce the burden of manual processes in healthcare administration. Each year, the CAQH Index measures the industry’s progress toward a more automated and efficient healthcare system. Mission Statement To accelerate the transformation of business processes in healthcare through collaboration, innovation and a commitment to ensuring value across stakeholders. Vision CAQH is the leader in creating shared solutions to streamline the business of healthcare.

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