Job Title: Health Policy Manager
Posted by: CAQH on Jul 04, 2022
Location:
Washington , DCJob Description:
Specific Responsibilities
Identifies, tracks and monitors state and federal legislation and regulations of interest to CAQH. Monitors state and federal legislative, regulatory and agency activities of interest to CAQH, including study committees, work groups, task forces, RFIs and other forums that shape formulation of relevant public policy issues. Identifies and oversees research sources needed to support the monitoring of legislative and regulatory activities. Analyzes and summarizes health care regulatory developments of interest to CAQH and its members. Assesses the impact of proposed legislation and regulation on CAQH and develops recommendations and/or solutions for consideration. Maintains a library of relevant policy materials and resources of interest to CAQH. Develops and maintains a strong understanding of CAQH initiatives and the policy landscape in which CAQH operates. Collaborates with CAQH staff to develop a shared understanding of CAQH near and longer-term objectives potentially affected by legislative and regulatory developments. Contributes to the preparation of agendas and supporting material for CAQH internal and external committees and work groups as assigned. Leads discussions at same, as appropriate. Assists in developing and coordinating CAQH relationships with relevant state-based and national organizations, including trade associations and policy organizations. Supports education and outreach programming including webinars, conference presentations and other activities intended to promote thought leadership. Performs other duties as assigned.
Knowledge, skills and abilities
Working knowledge of state and federal legislative and regulatory processes. Working knowledge of health policy issues at the state and federal levels. Knowledge of health plan operations. Understanding of influence structures within trade associations and other relevant organizations. Understanding of political dynamics and their impact on policy. Ability to gain trust and earn the respect of colleagues and members. Ability to anticipate the policy needs of the organization and proactively address. Strong documentation skills and attention to detail. Excellent presentation, public speaking, and facilitation skills. Excellent written communication skills, including ability to write about complex policy issues clearly and concisely. Strong interpersonal skills. Advanced knowledge of Microsoft Office, PowerPoint, Excel, and Word.
Experience
5 - 8 years of health policy, legislative, regulatory, or industry experience, or any combination of education and experience that would provide an equivalent background. Experience working on healthcare administrative simplification, provider data, interoperability, digital health, or other health IT issues a plus.
Education
Bachelor's Degree required. Advanced degree with focus in health policy a plus.
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Employment Type
FULL_TIME
Hiring Organization
CAQH
Pay Rate:
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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.