The Director of Health Policy is responsible for monitoring and influencing all reimbursement, and Medicare regulatory policy at the federal level that affect ophthalmologists in the United States. Develop and implement Academy strategy regarding regulatory and Medicare payment policy, CPT/ billing code valuation, other reimbursement issues as well as federal activities related to Medicare Physician quality performance and EHR issues at CMS and ONC. Supervise two health policy staff members.
Develop strategies and provide leadership as well as maintain knowledge base related to Medicare Policies and private plan payment policy including, drafting and filing comments.
Identify opportunities and advance the Academy’s agenda through the regulatory process.
Act as a Spokesperson on reimbursement and other health policy issues for the Academy.
Serve as primary staff for the Health Policy Committee.
Oversee the Carrier Advisory Committee, the Academy’s RUC, PEAC and CPT activities.
Supervising/conducting surveys to defend reimbursement values and develop practice expense recommendations.
Develop strategies and proposals for outside contracts with outside legal counsel and consultants and manage those contracts and activities.
Maintain trust and influence external policy staff, federal agency officials, consumer groups, consultants, medical societies, AMA, MedPAC and Academy members to promote the Academy’s agenda (improve payment and policy for ophthalmologists).
Direct Academy communications to members on Medicare and other payment issues through various mediums including: written communications; Academy print and electronic publications; etc. in order to demonstrate the effectiveness of the Academy’s efforts.
Oversees day-to-day operations of the department, providing supervision and guidance to staff (Manager, Quality and HIT Policy and Health Policy Specialist).
Assures responsible development and management of the department budgets
Substantial expertise in Medicare payment policy
Substantial supervision experience
Capability in spreadsheet analysis and development
Substantive understanding of CPT coding policy as well as AMA (RUC and PEAC) code valuation processes
Substantive knowledge of federal health care statutes and regulatory process
Knowledge of CMS Quality programs and initiatives as well as ONC EHR programs and regulations
Understanding of private insurance and other health plan activities to identify opportunities for interaction and other opportunities to influence their policies
Ability to develop and implement broad, long term programs and projects
Ability to successfully manage people to maintain a good working atmosphere and reduce turnover
Ability to effectively communicate with contacts inside and outside of the Academy.
Ability to effectively communicate with and be responsive to the needs of all Academy members
Ability to accomplish multiple priorities and meet short deadlines
Ability to travel and attend weekend meetings
About American Academy of Ophthalmology
The American Academy of Ophthalmology is the world’s largest association of eye physicians and surgeons. A global community of 32,000 medical doctors, we protect sight and empower lives by setting the standards for ophthalmic education and advocating for our patients and the public. We innovate to advance our profession and to ensure the delivery of the highest-quality eye care. For more information, visit www.aao.org.
We offer our employees competitive base salaries, discretionary year-end bonuses, comprehensive health benefits (medical, dental and vision), generous vacation days with additional gifts of time, in addition to 10 paid holidays per year.
For more information on benefits please go to: http://www.aao.org/jobs/benefits