At the direction of the Senior Vice President, Federal Programs, carries out, coordinates and supervises activities of AHIP’s Federal Programs Department relating to the Medicare Part D prescription drug program, including policy development and implementation; evaluation of federal agency regulations, guidance, and action; advocacy on federal programs issues; and member support. In addition to Medicare Part D, responsibilities will also include drug pricing, payment and related pharmaceutical issues affecting Medicare Advantage, Medicaid, and other federal health programs and commercial coverage as assigned.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Carries out and coordinates development of strategy for AHIP's advocacy efforts relating to federal regulatory agencies, with a particular focus on the Centers for Medicare & Medicaid Services (CMS).
Closely monitors federal programs activities relevant to AHIP members.
Carries out and coordinates AHIP’s advocacy efforts on federal regulatory activities and closely monitor agency actions and proposed actions that may affect AHIP’s member plans.
Develops and maintains contacts with government officials working in federal agencies and other stakeholders, and represents AHIP on issues relating to members’ federal program participation in contacts with federal agencies and others.
Performs analyses of proposed regulations and guidance to assess the effect on member plans and develops strategy and policy positions based upon this analysis.
Develops and coordinates development of comment letters, testimony, position statements, and talking points that are sent to the appropriate legislative and regulatory bodies.
Prepares and oversees preparation of written reports, memos and bulletins that are sent to AHIP member plans.
Coordinates research projects, internally or with an external firm, to advocate for healthcare and drug related policies supported by AHIP members.
Works with communications team in responding to press inquiries.
Help advocate and develop pharmacy related policies for commercial and Medicaid markets.
Performs other duties, as assigned, including work around pharmacy quality, value frameworks, minority health, pharmacy issues, and pharmaceutical cost and development.
This position has no supervisory responsibility.
This job operates in a professional office environment. This role routinely uses standard office equipment.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Position Type/Expected Hours of Work
This is a full-time position with standard days and hours of work. However, may require long hours and weekend work.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Extensive knowledge of federal health programs and issues, and understanding of health plan structure and operations relevant to federal programs participation.
Knowledge of current policy issues affecting AHIP and its member organizations.
Demonstrated knowledge of the federal regulatory process.
Knowledge of the Medicare Part D program required; knowledge of drug pricing issues in Medicare Advantage and Medicaid preferred.
Ability to interact, liaison, and collaborate effectively with other external healthcare organizations.
Ability to conduct analyses of, develop positions on, and execute strategies with respect to regulatory issues relating to federal programs.
Ability to handle multiple responsibilities simultaneously and coordinate staff in a highly energized environment.
Demonstrated good judgment, a well-developed sense of propriety, political acumen, and the ability to think constructively.
Strong interpersonal skills and an ability to deal with complex and changing regulatory developments and activities.
Strong organizational, written, and communication skills.
Required Education and Experience
Masters Degree in Public Health or similar advanced degree
Ten years of experience in the healthcare industry.
Five years of experience in advocacy activities related to federal programs and with federal processes for development and implementation of regulations and other guidance.
Experience with the Medicare Part D program.
Internal Number: 8
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