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Policy Director

HEALTHSPERIEN, LLC

Job Description

Job Description

Position Description:

The Policy Director supports a wide range of strategic activities for our firm’s health care clients, with an emphasis on providing regulatory, policy, and strategic advice. The ideal candidate will balance strategy, subject matter expertise, and client and team management. They will have a deep expertise in Medicare Part A and B policy-related issues, including provider reimbursement issues, the Quality Payment Program, value-based payment, alternative payment models, and knowledge of CMS Innovation Center models. 

 

The candidate will also have the ability to lead the analysis of regulatory and legislative policies, complex and evolving trends in health care, and synthesize and clearly communicate findings (written and verbally) as well as connect their relevance to fundamental client priorities in a fast-paced environment. The candidate must have excellent writing and communication skills and the ability to present complex information to internal and external audiences with varying backgrounds and in a variety of formats, ranging from PowerPoint presentations and short summaries to detailed memos and white papers.

 

Additionally, it will be important for the Director to work cohesively with the team, stay organized in the face of shifting priorities, and work independently under tight deadlines. Clients include some of the top health plans, provider organizations, industry coalitions and associations, Fortune 100 companies, and U.S. and international health care innovators. The position is based in our Washington, D.C. office.

 

Responsibilities:
  • Autonomously lead and manage a team of Policy Analysts to support development of products for clients on various aspects of health care policy, market and economic trends, regulations, legislation, and operations.
  • Serve as a subject matter expert in aspects of Medicare and Medicaid policy, prescription drugs, and/or alternative payment model design. 
  • Deliver strategic and tactical policy and implementation recommendations to clients.
  • Track federal rulemaking, official administrative actions, and legislative proposals.
  • Develop summaries of important legislation and regulation for clients, produce related discussion guides, and draft of comment letters.
  • Conduct background research and data analysis to support development of health policy and strategic business materials for clients or for business development purposes.
  • Monitor and analyze evolving health care issues and related reports.
  • Research and support development of client-facing materials, including drafting and editing written materials, such as formal papers, memos, PowerPoints, and comment letters.

 

Qualifications:
  • Bachelor’s degree required (relevant Master’s degree or J.D. preferred). Additional 3-5 years of experience in health care policy required. Management experience strongly preferred.
  • Broad understanding of the dynamics of health care policy and the sector’s trends; health care industry experience and/or relevant coursework.
  • Understanding of how health care is financed and delivered in the U.S. including working knowledge of Medicare Advantage, Medicare FFS, Medicaid, and commercial health plans. Competency in mental and behavioral health policy issues preferred. 
  • Interest in advancing constructive, creative improvements to the health care system.
  • Strong research and analytic skills with attention to detail and familiarity with health care publications and data sources.
  • Excellent writing and communication skills and the ability to present complex information to internal and external audiences with varying backgrounds and in a variety of formats, ranging from PowerPoint presentations and short summaries to detailed memos and white papers.
  • Ability to use initiative and time management to prioritize work and deliver results.
  • Excellent organizational skills with the ability to multi-task and prioritize with tight deadlines.
  • Professional, positive, client-facing demeanor and presence including the ability to handle confidential information.
  • Strong interpersonal and relationship-building skills.
  • Desire to work in a fast-paced, dynamic environment, and to meet the needs of multiple clients as they arise.

 

How to Apply:

Please send resume and cover letter, including salary requirements, to View email address on us.fitly.work, and indicate “Policy Director” in the subject line. Applicants not providing salary requirements will not be considered.

 

About Healthsperien:

Healthsperien, LLC is a Washington, D.C.-based policy and health care consulting firm focused on strategic, regulatory, legislative and implementation issues. With our D.C. team, we operate at the intersection of public policy, business, analytics, and strategic relationships and coalition engagement. We bring a “system” perspective to our work and specialize in payment and delivery models, regulatory issues facing Medicare, Medicaid and commercial payers, and emerging trends in value-based payment. 

 

The firm is led by Founder Tom Koutsoumpas, who has decades of experience as a leader in the health care field and is a national expert on health system transformation with a special emphasis on advanced illness and hospice. Managing Partners Andrew MacPherson and Ray Quintero, Senior Partner & President HealthsperienX Jeanne De Sa, and Partner Edward Garcia round out the leadership team with substantive health care industry, government, association and policy experience and expertise on a wide variety of issues. Our broader team includes 30 additional talented individuals with varied and complementary backgrounds in law, public policy, business, economics, public health, operations, and strategic communication. Together, we believe in the importance of innovation in shaping a future health care system that addresses the goals of improved access, lower costs, and high-quality care.

 

Healthsperien works with an array of Fortune 500, community-based, and national, not-for-profit organizations. Our clients include health plans and care providers, stakeholder coalitions, organizations focused on payment and delivery reform, and others interested in more effective use of technology and data and analytics. Clients look to us for tailored and integrated offerings that include:

 

  • Building and managing coalitions, partnerships, and alliances , convening expert meetings, and leading and sustaining legislative and regulatory advocacy and communications efforts for a range of industry and non-profit organizations, specifically employer purchasers, health plans and providers
  • Designing and developing alternative payment models and other approaches to improving care delivery and advancing value-based payment and quality measurement in the private sector and in government programs, such as those run by the Center for Medicare & Medicaid Innovation 
  • Developing regulatory insights and strategy based on our deep knowledge in a range of subject areas in public policy and the health care sector, including Medicare, Medicaid and employer-based and individual health insurance markets
  • Providing expertise in economic and policy analysis , health services research, clinical analytics, risk adjustment, and actuarial models to enhance perspectives about the health care sector and inform business strategy and advocacy

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