Working under the direction of Senior Vice President, Private Market Innovations, Director, Clinical Affairs is responsible for working on efforts in the Clinical Affairs and Strategic Planning Department focused on performance measurement, health plan standards, as well as specific policy and regulatory issues including pertaining to quality, measurement, and payment. This position requires strong analytical and oral and written communication skills; ability to work with diverse stakeholders and think strategically; demonstrated experience in working with stakeholders to achieve consensus is preferable.
Work with supervisor and Clinical Affairs and Strategic Planning staff on issues relating to quality (e.g. performance measurement, health plan standards, patient safety):
Track and monitor performance measure projects, identify key measurement/health plan standards issues, prioritize activities, and track deadlines;
Analyze current performance measurement projects/reports from key organizations such as the National Quality Forum, CMS, AMA PCPI, and NCQA including implications for health plans and develop draft comments;
Solicit member feedback on quality related issues, analyze and synthesize feedback and prepare comment letters for submission to relevant organizations.
Help manage work of Core Quality Measures Collaborative including interactions with stakeholders, preparing and synthesizing meeting materials and workgroup discussions, tracking and analyzing implications of changing measurement and reporting landscape
Lead tracking, identifying, and analyzing key regulatory and policy changes especially pertaining to health care quality, performance measurement and payment:
Conduct back ground research on origin of relevant policies, regulations, and/or published research findings;
Analyze and synthesize information to produce letters, recommendations, and draft action plans; and
Translate results into a wide range of high quality products used for responding to media inquiries, commenting through the federal rule-making process, constructing issue briefs, etc.
Attend meetings and interact with staff at health plans, NQF, and NCQA and other relevant organizations actively engaged in health care quality.
Represent AHIP at external meetings such as NCQA CPM
Lead tracking and communicating of health plan efforts to improve quality of care for their populations and role of quality measures in payment and delivery system reform
Other tasks and duties as assigned.
Excellent analytical and oral and written communication skills.
Proficiency with Microsoft Office applications.
Ability to work independently and use good judgment with regard to policies and priority deadlines.
Three to Five years of experience in healthcare quality
Three to five years of experience in health policy analysis.
Demonstrated experience in working with stakeholders to achieve consensus is preferable.
Master’s degree in Health Policy Management or related field
Physical Work Activities & Conditions:
Continuous sitting for prolonged periods more than 2 consecutive hours in an 8-hour day.
Keyboard use of greater or equal to 50% of the workday.
Percent of Travel: 10%.
The purpose of a job description is to describe the overall function and general responsibilities of a job. Job descriptions are used in hiring and training and to provide employees with a better understanding of employer expectations. Actual job functions and duties will vary as job responsibilities and business needs require.
Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, age, disability, religion, sex, sexual orientation, gender identity, national origin, or status as a protected veteran
Interested candidates must send resume, references and a cover letter that includes salary requirements to: firstname.lastname@example.org or mail to:
America's Health Insurance Plans (AHIP)
ATTN: HR Dept/CADCA
601 Pennsylvania Avenue, NW
South Building, Suite 500
Washington, DC 20004
Additional Salary Information: Salary is commensurate with experience
America’s Health Insurance Plans (AHIP) is the national trade association representing the health insurance community. AHIP’s members provide health and supplemental benefits through employer-sponsored coverage, the individual insurance market, and public programs such as Medicare and Medicaid. AHIP advocates for public policies that expand access to affordable health care coverage to all Americans through a competitive marketplace that fosters choice, quality, and innovation.