JOB DESCRIPTION

Summary/Objective

The Senior Policy Advisor will act as a subject matter expert on health care issues impacting the individual and small group markets. Will apply a nuanced understanding of health insurance and health care policy issues to support AHIP and its member organizations to develop policy positions. Coordinates and oversees activities related to health care regulations and legislation impacting the individual and small group markets. 

Manages issues as assigned related to the individual and small group health insurance market, health insurance exchanges—including policy and strategy related to the Affordable Care Act risk adjustment and RADV—and other cross-cutting policy issues. Activities include developing and implementing policy and positioning recommendations, legislative and regulatory analysis, and serving as a resource for member health plans. Facilitates AHIP member committees and workgroups as assigned.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with ADA Act.

• Tracks, researches and prepares materials on federal legislation, regulations, policies, and sub-regulatory guidance impacting commercial market health insurers.
• Presents AHIP member views to government officials and external groups.
• Develops policy alternatives through discussion papers, white papers, and related policy analysis.
• Prepares written communications including discussion documents and memos to gather member input, develop consensus positions, and write comment letters, policy briefs, and talking points in support of AHIP’s policy and operations positions.
• Facilitates member committees and workgroups.
• Directs research projects and surveys.

Other job duties:

• May perform other duties in addition to those outlined in this job description.

Competencies

1. Knowledge of federal legislation and regulations impacting commercial health insurance
2. Inter-personal skills
3. Data Analysis
4. Ethical Practice
5. Independent judgment and exceptional organizational and analytical skills
6. Excellent oral and verbal communication skills
7. Ability to handle multiple responsibilities simultaneously
8. Ability to work well with staff across AHIP departments on inter-related issues

Supervisory Responsibility

This position has no supervisory responsibility

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment including Microsoft Office products and video conference technology (Teams, Zoom, WebEx).

Physical Demands

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 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.

Expected Hours of Work

This is a full-time position.  Standard days and hours of work are Monday through Friday, 8:30 a.m. – 5:30 p.m., however may require long hours and weekend work.

1. This position can work remotely 75 – 100% of the time within a week
2. This position may require face-to-face interaction at our DC office or other locations less than 25% of the time within a week

Travel

This position is expected to travel less than 10% of the time, including overnight domestic travel. Anticipated travel will be by car, air, and/or train

Other Duties

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.