Director, Health Policy And Practice Advocacy

Reporting Structure:

The Director, Health Policy and Practice Advocacy reports to the Senior Director, Advocacy.

Qualifications

Bachelor’s degree required, with 5-7 years of work experience in a healthcare environment. Advanced degree in health, public policy, or business preferred. A thorough understanding of physician reimbursement policies and healthcare policymaking essential. Work experience should include interactions with provider organizations or practices, and third-party payer relations. Excellent written, oral presentation, and interpersonal skills essential. Computer skills in word processing, spreadsheets, PowerPoint, and databases mandatory. Candidate must be organized, diplomatic, innovative, flexible, member focused, and a team player. Evening conference calls and some travel are required.

Key Responsibilities

• Work closely with the Executive Vice President/CEO, Boards of Directors, Board of Governors, Private Practice Study Group, members of the Physician Payment Policy Workgroup, the Academy’s CPT/RUC teams, AAO-HNS American Medical Association Delegation, and general membership, and collaborate with these groups to develop AAO-HNS policy and strategy.
• Work with the AMA, CMS, private payers, and other otolaryngology specialty societies to achieve common goals and leverage resources.
• Contribute to the success of the AAO-HNS/F advocacy programs by initiating proposals and developing solutions to health policy challenges facing the specialty and the overall practice of medicine.
• This position supports the Senior Director of Advocacy in the development and execution of department goals, and ensures the Academy maintains a leadership role in physician payment and socioeconomic issues impacting the ability of physicians to deliver otolaryngology-head and neck surgery services.
• Develop comment letters, practice management resources and grassroots messages to assist members in payer advocacy issues to optimize reimbursement for otolaryngology services.

Specific Duties

• Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either orally or in writing.
• Enhance and maintain mutually beneficial relationships with other specialty societies, third party payers, professionals and organizations as appropriate.
• Lead discussions related to Academy’s CPT/RUC activities and facilitate preparation of physician leader presentations, including CPT application submissions.
• Advocate for appropriate reimbursement and decreased administrative burdens for practicing otolaryngologist-head and neck surgeons.
• Participate on an internal team, either through formal assignment, or on an ad hoc basis.
• Serve as liaison to assigned Academy Committees, Workgroups, and Task Forces.
• Coordinate activities and projects impacting the practice of medicine with other Academy departments (e.g., Membership and Global Affairs, Communications, Research and Quality, Education, etc.) as applicable.
• Track medical policy review requests from private payers, assist in drafting official comment letters in response, and help facilitate meetings/calls with Academy leadership and commercial payers.
• Promote awareness of existing practice management resources through collaboration with our practice administrator colleagues.
• Develop new materials, resources and tools to further educate members on evolving private payer and reimbursement issues.
• Work to develop and execute the AAO-HNS/F’s Workforce and Socioeconomic Survey and other health policy surveys as needed.
• Represent the Academy at meetings of outside organizations on physician payment policy affecting the specialty, as part of the Advocacy team.