Legislative and Regulatory Policy Director (Medicaid)

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

4d•$169,800 - $246,225•Hybrid

About The Position

The Legislative and Regulatory Policy Director develops and leads strategies to influence legislation, regulations, and key stakeholders, with a focus on Medicaid. The role identifies business issues, evaluates their impacts, and prepares policy and advocacy materials. It engages with Hill and Administration officials to advance BCBSA positions and collaborates with senior staff to support third-party engagement and BCBSA Board priorities. The Director represents the department in internal and external stakeholder groups and oversees strategies to showcase Blue Plan innovations and advance policies on priority and emerging issues. The position directs legislative and regulatory projects, assesses legislation and regulations for their strategic and business implications for Plans, builds relationships with policymakers and external organizations, and communicates policy strategies and their effects to Plans and stakeholders.

Requirements

Bachelor's degree in a related field or equivalent work experience.
At least 10 years of experience in health care policy and analysis, with an emphasis on managed care and/or health insurance.
Extensive knowledge of managed care and insurance reform issues, operations, and policy, and of federal legislative and regulatory processes.
Strategic thinking and communication skills to influence and impact policy.
Strong facilitation, presentation, organizational, verbal, and written skills, with the ability to work independently.
Analytical, planning, and project management skills, including the ability to prioritize and shift among multiple issues and projects while maintaining quality.
Experience in Medicare policy and analysis, health insurance policy, and legislative and regulatory policy development.
Deep expertise in Medicare Advantage, including payment policies and risk adjustment, supplemental benefits, dual-eligible populations, and broader Medicare payment and policy issues.
Legislative and regulatory development skills, sound judgment, and rigorous analytical methodologies.
Experience drafting and submitting comments to Congress, federal agencies, and other legislative bodies; writing issue and policy briefs and talking points; and developing legislative and regulatory analyses and slide presentations.
Ability to translate complex legislative and regulatory developments into actionable strategies aligned with organizational priorities.
Experience working across departments such as advocacy, public affairs, and communications to ensure cohesive policy messaging and execution.
Ability to communicate complex policy issues clearly and persuasively.
Ability to identify emerging issues and mobilize internal resources effectively.
Ability to navigate dynamic environments, set and achieve objectives as circumstances evolve, 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.
Proficiency with Microsoft Office Suite, including PowerPoint, Excel, and Word.

Nice To Haves

Master's degree in Political Science, Public Health, Public Policy, or a related field, or equivalent work experience.
AI literacy and understanding of generative AI tools, including appropriate business applications and limitations.

Responsibilities

Direct and coordinate regulatory and legislative projects, including policy analysis and development of comments and educational materials.
Represent BCBSA in meetings with policymakers and influential organizations.
Anticipate and identify key business and policy issues, and review legislation, regulations, and guidance to evaluate strategic and business issues for Plans.
Build and maintain relationships with BCBSA representatives, policymakers, and external organizations.
Lead engagement with third-party stakeholders and serve as a liaison with regulatory representatives.
Provide policy input and support to internal and external stakeholders, ensuring initiatives align with policy positions.
Develop issue-specific strategies and build consensus among Plans.
Communicate policy implications and effects to Plans and promote Plan initiatives to stakeholders.
Represent the department in internal and external stakeholder groups and oversee strategies to showcase Blue Plan innovations and advance policies on priority and emerging issues.