Responsibilities include but are not limited to:

• 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.

The posting range for this position is:

Required Education, Certifications and Experience:

Education:

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

Experience:

• Required 10+ Years experience in health care policy and analysis with an emphasis in managed care and/or health insurance

Knowledge Skills and Abilities:

• 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

Additional Preferred Experience:

• 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)

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