Job Description

Job Title: Director, Health Policy
Job ID: 726688
Status: Full-Time
Regular/Temporary: Management
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: Health Policy
Location: 600 Grant St, Pittsburgh PA 15219

Description

Are you someone with strong communication skills that has an understanding of managed care and insurance market terminology? Do you have at least three years of health or public policy experience in health or insurance industry? Are you experienced reading and evaluating federal and State regulatory proposals and requirements? If so, UPMC may have the perfect fit for you!

UPMC is actively seeking a full time Director, Health Policy to support the UPMC Health Plan. This will be a Monday through Friday daylight role located in downtown Pittsburgh, Pa.

The Director, Health Policy will be asked to support the Health Policy and Government Relations Departments in developing and effectively communicating company-positions relative to myriad legal, health and public policy-related issues with a primary focus on Commercial insurance products.


Responsibilities:

  • Assist UPMC's Commercial Products business unit, as well as other business units and members of Senior Management, in evaluating, understanding, and developing strategic plans, communications, or other responses to changes in relevant law, regulation, guidance, or market conditions.
  • Build and strengthen relationships with state and federal legislative and administrative staff. Engage with other health policy professionals at other insurers and plans.
  • Develop and disseminate issue briefs/white papers/formal comment letters on various health- and public-policy related issues.
  • In coordination with internal subject matter experts, evaluate the likely efficacy and contextual impact of internally proposed policy positions while ensuring overall alignment of public policy messaging with the mission, values, and business objectives of the UPMC Insurance Services Division and/or UPMC�s integrated delivery and finance system, as applicable.
  • In coordination with the Government Relations department, represent the UPMC Insurance Services Division in communications to federal and state legislators, regulators, and other key stakeholders.
  • Maintain a complete and thorough understanding of, among other relevant laws, regulations and guidance, the Employee Retirement Income Security Act, the Patient Protection and Affordable Care Act, the Health Insurance Portability and Accountability Act, and state insurance laws.
  • Maintain a working understanding of a wide range of insurance-specific and -related areas including, but not limited to, Medicare, Medicaid, CHIP, Pennsylvania HealthChoices, health maintenance organizations, preferred provider organizations, Workers Compensation, employee assistance programs, and prescription drug coverage.
  • Monitor legal, political, and regulatory trends or developments on key issues and brief other UPMC personnel as directed.
  • Perform special project and research assignments for the Senior Director or VP of Health Policy as requested.
  • Proactively identify and analyze emerging market trends, regulatory proposals, or other changes in the competitive, legal, or regulatory landscape that may impact UPMC�s current or future business, with a primary focus on issues with potential impact for UPMC's Commercial insurance products, strategies, and related operations.
  • Provide contextual direction and advisory insights for UPMC leadership and SME development, management and evaluation of health and public policy advocacy and policy activities and initiatives.
  • Research and develop high quality policy-related materials, including talking points, fact sheets, presentations, testimony, formal comment letters, issue briefs, white papers and background documents.

 

Qualifications

  • Bachelor Degree in Health or Public Policy (or equivalent) plus three years health- or public- policy experience in health or insurance industry required.
  • Masters Degree and/ or Juris Doctorate strongly preferred
  • Familiarity with managed care and insurance market terminology
  • Experience reading and evaluating federal and State regulatory proposals and requirements
  • Must demonstrate strong organizational, analytic and writing skills
  • Effective communication skills, problem-solving ability and conflict resolution skills a must
  • Capacity to work on multiple projects simultaneously, frequently under tight deadlines
  • Demonstrated ability to function as a collaborative member of a multidisciplinary team
  • Proven experience in legislative and regulatory advocacy, health- or public-policy development and practice and policy research
  • Competency in MS Office applications (e.g., Word, Excel, PowerPoint, Outlook)

    Licensure, Certifications, and Clearances:


UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $0 to $0

Union Position: No

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.



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