Dir., Private Health Plans Reimbursement

Company: American Speech-Language-Hearing Association (ASHA
Location: Rockville
Posted on: September 12, 2020

Job Description:

ASHA | Rockville

Rockville, MD 20850, USA

Description  A. General Description:

This position is responsible for managing all special activities and projects related to private health plan coverage of and reimbursement for audiology and speech-language pathology services.

B. Responsibilities:

Collaborates on identifying, developing, executing, and evaluating coordinated advocacy strategies designed to advance ASHA’s Public Policy Agenda.

Conducts high-quality analyses and develops relevant health care policy recommendations with implications for the professions of audiology and speech-language pathology.

Prepares analyses, issue briefs, letters, testimony, regulatory comments, and other resources as needed that are designed to advance the relevant health care priorities within ASHA’s Public Policy Agenda.

Represents ASHA, ASHA members and consumers before private health plan policymakers in internal and external appeals and policy change requests.

Engages federal and state officials as a “Subject Matter Expert” as needed.

Identifies, develops, maintains, and leverages strategic relationships with relevant staff of external organizations, including coalitions, in accordance with relevant ASHA policies.

Collaborates on strategic communications, messaging, and grassroots materials that are designed to advance ASHA’s Public Policy Agenda. Develops articles and other products for online and print communications.

Provides technical assistance to ASHA’s membership, consumers, and other interested parties as needed.

C. Contacts:

The incumbent has contact with:

National Office staff such as HEAT, State Affairs Team, Federal team, Professional Practices Team, Marketing & Sales Team

Select Federal agencies and groups (e.g. National Center for Health Statistics, American Psychiatric Association, Social Security Administration)

Employer human resource and benefits managers

Health plan officials and State Insurance Commission representatives

ASHA leadership and members knowledgeable in third party reimbursement matters including the Health Care Economics Committee

General ASHA Membership in need of technical payment assistance.

D. Freedom to Act:

The Director of Health Care Policy, Private Health Plans Reimbursement, is a member of the Health Care and Education Policy Team within the Government Affairs and Public Policy Cluster. For the purposes of advancing the relevant health care priorities within the ASHA’s Public Policy Agenda, the Director has latitude to determine approaches and methodologies that ensure success in carrying out the position’s major duties, as well as the programs and procedures of the Cluster and Team. The Director consults with the Director of Health Care and Education Policy, and is guided by ASHA’s policies and priorities established by the Board of Directors and Facilitating Team as needed.

E. Education, Experience, Knowledge, Skills:

1. Knowledge typically acquired through:

Advanced degree in public policy, economics, political science, or a related field.

6 years of experience in billing or reimbursement policy in a health plan, association, corporation or government; experience with audiology and speech-language pathology services is preferred.

2. Scope and depth of technical skills/knowledge:

Demonstrated ability in strategic policy analysis and development activities.

Demonstrated ability to produce high-quality and impactful analyses, issue briefs, letters, testimony, regulatory comments, model legislative language, and related products.

Demonstrated ability to establish and maintain strategic relationships with health care policymakers and allied stakeholders.

Demonstrated understanding of private health plan coverage determination and appeals processes.

Working knowledge of health care policies that impact ASHA, especially private health plan coverage and reimbursement issues.

Working knowledge of communications sciences and disorders is desirable

3. Scope and depth of non-technical skills/knowledge:

Strong collaborative and facilitative leadership skills.

Excellent interpersonal skills.

Demonstrated ability to prioritize, organize, and execute multiple tasks simultaneously.

Demonstrated problem-solving skills and a creative approach to work.

Ability to work effectively under pressure with tight deadlines.

Demonstrated ability to achieve consensus when opposing viewpoints are presented.

F. National Office EEO Policy:

Our Commitment to Equal Employment Opportunities

It is the policy of the American Speech-Language-Hearing Association to provide equal opportunity to all employees without regard for race, sex, national origin, religion, marital status, disability, veteran's status, age, sexual orientation or LGBT status, genetic information, citizenship, or any other factor protected by applicable federal, state, or local laws and ASHA's Bylaws. This policy applies to recruiting, hiring, transfer, promotion, compensation and benefits, upward mobility, training and development, access to facilities, termination, and other personnel actions. Under the direction of the Chief Executive Officer, with a firm commitment from coaches at all levels within the organizational structure of the National Office, affirmative action will be taken to ensure the full utilization of members of racial/ethnic minority groups, women, persons with disabilities, and Vietnam and disabled veterans within our workforce.

This description is intended to provide an overview of the responsibilities and duties of the position. It is not all-inclusive. The incumbent in the position will be expected to perform other duties as required. The responsibilities may change over time. This description is provided for informational purposes only and does not form the basis of a contract.

Qualifications Education Preferred

Masters or better in Economics or related field.

Experience Required

6 years: Experience in billing or reimbursement policy in a health plan, association, corporation or government

Keywords: American Speech-Language-Hearing Association (ASHA, Rockville , Dir., Private Health Plans Reimbursement, Other , Rockville, Maryland