Director, Legislative and Regulatory Policy

Blue Cross Blue Shield Association•US DC G St NW, DC

About The Position

Responsible for developing and leading strategies to influence legislation, regulations, and key stakeholders. Manages identification of business issues, evaluates impacts, and prepares advocacy materials. Engages with Administration officials to advance BCBSA positions and collaborates with senior staff to ensure third-party engagement. Identifies collaboration opportunities to advance BCBSA Board priorities. Represents the department in internal and external groups, overseeing strategies to showcase Blue Plan innovations and advance policies on priority and emerging issues. Lead Discussions and Research: Lead discussions on key issues in Plan workgroup calls, coordinate with BCBSA divisions and consultants, and implement research agendas for issue areas. Identify and Evaluate Business and Policy Issues: Anticipate and identify key business and policy issues. Oversee staff and consultants to review legislation, regulations, and guidance, ensuring strategic and business issues for Plans are evaluated. Manage Regulatory and Legislative Projects: Direct and coordinate projects within regulatory and legislative areas, including policy analysis, development of comments, and educational materials. Represent BCBSA in meetings with policymakers and influential organizations. Develop and Maintain Key Relationships: Build and maintain relationships with BCBSA representatives, policymakers, and external organizations. Play a leadership role with third-party stakeholders and serve as liaison with regulatory representatives. Manage staff to foster a positive work environment and ensure appropriate training and development. Provide Policy Input and Support: Offer policy input and support to State Affairs on NAIC and state-related initiatives, ensuring alignment with federal policy positions. Formulate and Communicate Strategies: Develop strategies on an issue-by-issue basis, ensuring consensus among Plans. Communicate implications and effects to Plans and promote Plan initiatives to stakeholders.

Requirements

Bachelor's Degree in Political Science, Public Health, Public Administration or related field; or equivalent work experience
10+ Years experience in health care policy analysis/formulation, health care law, state insurance regulations and/or healthcare plan operations, with experience in public health policy
Extensive knowledge of managed care and insurance reform issues, operations and policy, as well as knowledge of the federal legislative and regulatory process.
Extensive knowledge of commercial health insurance markets and ERISA rules affecting group health plans
Sophisticated/strategic thinking to determine how best to influence decision/policy makers
Superior facilitation, presentation, organizational and verbal and written skills, with the demonstrated ability to work independently
Analytical, planning and project management skills, as well as the ability to prioritize and shift multiple issues and projects without compromising quality results
Minimum 10 years’ experience in health care policy analysis/formulation, health care law, state insurance regulations and/or healthcare plan operations, with experience in public health policy.
Experience in communicating and writing comments to Congress, government agencies and/or other legislative bodies
Experience with structuring research policy studies and formulating policy alternatives
Experience drawing upon extensive knowledge and relationships to identify and analyze issues and develop appropriate policy strategies and responses, demonstrating excellent judgment and analytical methodologies
Experience in setting and meeting objectives, while reacting within a growing and changing internal and external environment
Experience with a BCBS Plan, other health insurer, state Department of insurance, the Centers for Medicare and Medicaid Services or prior experience with the Department of Labor working on group health plan issues.

Nice To Haves

Master's Degree in public policy, health policy or related field.
Membership in American Academy of Actuaries

Responsibilities

Develop and lead strategies to influence legislation, regulations, and key stakeholders.
Manage identification of business issues, evaluate impacts, and prepare advocacy materials.
Engage with Administration officials to advance BCBSA positions.
Collaborate with senior staff to ensure third-party engagement.
Identify collaboration opportunities to advance BCBSA Board priorities.
Represent the department in internal and external groups, overseeing strategies to showcase Blue Plan innovations and advance policies on priority and emerging issues.
Lead discussions on key issues in Plan workgroup calls.
Coordinate with BCBSA divisions and consultants.
Implement research agendas for issue areas.
Anticipate and identify key business and policy issues.
Oversee staff and consultants to review legislation, regulations, and guidance, ensuring strategic and business issues for Plans are evaluated.
Direct and coordinate projects within regulatory and legislative areas, including policy analysis, development of comments, and educational materials.
Represent BCBSA in meetings with policymakers and influential organizations.
Build and maintain relationships with BCBSA representatives, policymakers, and external organizations.
Play a leadership role with third-party stakeholders and serve as liaison with regulatory representatives.
Manage staff to foster a positive work environment and ensure appropriate training and development.
Offer policy input and support to State Affairs on NAIC and state-related initiatives, ensuring alignment with federal policy positions.
Develop strategies on an issue-by-issue basis, ensuring consensus among Plans.
Communicate implications and effects to Plans and promote Plan initiatives to stakeholders.