Legislative and Regulatory Policy Director

Blue Cross Blue Shield Association•Oklahoma City, OK

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 policy and advocacy materials. Engages with Hill and Administration officials to advance BCBSA positions and collaborates with senior staff to ensure third-party engagement. Identifies opportunities to advance BCBSA Board priorities. Represents the department in internal and external stakeholder groups, overseeing strategies to showcase Blue Plan innovations and advance policies on priority and emerging issues. 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. Identify and Evaluate Business and Policy Issues: Anticipate and identify key business and policy issues. Review legislation, regulations, and guidance, ensuring strategic and business issues for Plans are evaluated. 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. Provide Policy Input and Support: Offer policy input and support to internal and external stakeholders on initiatives, ensuring alignment with 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 related field; or equivalent work experience
10+ Years experience in health care policy and analysis with an emphasis in managed care and/or health insurance
Extensive knowledge of managed care and insurance reform issues, operations and policy, as well as knowledge of the federal legislative and regulatory processes.
Strategic thinking and communication to influence and impact policy.
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 of experience in Medicare policy and analysis, health insurance policy, and legislative and regulatory policy development
Deep expertise in Medicare Advantage, including Medicare Advantage payment policies and risk adjustment, supplemental benefits and dual-eligible populations, as well as broader Medicare payment and policy issues
Strong legislative and regulatory development skills, applying sound judgment and rigorous analytical methodologies
Highly skilled and experienced with drafting and submitting comments to Congress, federal agencies, and other legislative bodies, writing issue and policy briefs, talking points, and developing detailed legislative and regulatory analyses and slide presentations
Ability to translate complex regulatory and legislative developments into actionable strategies aligned with organizational priorities
Experience working across departments (e.g., advocacy, public affairs, communications) to ensure cohesive policy messaging and execution
Ability to communicate complex policy issues clearly and persuasively
Skilled in identifying emerging issues and mobilizing internal resources to respond effectively
Proven ability to navigate dynamic environments, set and achieve objectives in evolving internal and external landscapes, and adapt to shifting priorities while maintaining focus on long-term goals
Experience presenting and representing an organization in public forums, panels, and stakeholder convenings
Highly skilled in the Microsoft Office Suite (PowerPoint, Excel, Word)

Nice To Haves

Master's Degree in Political Science, Public Health, Public Policy or related field; or equivalent work experience

Responsibilities

Develop and lead strategies to influence legislation, regulations, and key stakeholders.
Manage identification of business issues, evaluate impacts, and prepare policy and advocacy materials.
Engage with Hill and Administration officials to advance BCBSA positions.
Collaborate with senior staff to ensure third-party engagement.
Identify opportunities to advance BCBSA Board priorities.
Represent the department in internal and external stakeholder groups.
Oversee strategies to showcase Blue Plan innovations and advance policies on priority and emerging issues.
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.
Anticipate and identify key business and policy issues.
Review legislation, regulations, and guidance, ensuring strategic and business issues for Plans are evaluated.
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.
Offer policy input and support to internal and external stakeholders on initiatives, ensuring alignment with 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.