Legislative and Regulatory Policy Director-Medicare

Blue Cross Blue Shield Association; Washington; Hybrid; USD 157,000 - 221,000; Full time

Benefits offered by this job

Annual bonus

Health insurance

401(k) matching

Paid time off

Job summary

Blue Cross Blue Shield Association is seeking an experienced Policy Director to lead strategies influencing legislation and regulations in health policy. You will engage with Hill and Administration officials, develop educational materials, and represent the department in stakeholder groups to advance BCBS Association priorities.

The role emphasizes expertise in Medicare policy, managed care, and insurance reform, with strong analytical, communication, and leadership skills.

Qualifications

• Bachelor’s Degree in related field or equivalent work experience
• Master’s Degree in Political Science, Public Health, Public Policy or related field preferred or equivalent experience
• 10+ years experience in health care policy and analysis with emphasis in managed care/insurance

Responsibilities

• Manage regulatory and legislative projects, including policy analysis and comments for policymakers
• Identify and evaluate key business and policy issues across regulations and guidance
• Develop and maintain relationships with policymakers and external organizations
• Provide policy input and support to internal and external stakeholders
• Formulate strategies and communicate implications to Plans and stakeholders

Skills

Strategic thinking

Policy communication

Facilitation

Oral & written communication

Analytical skills

Project management

Education

Bachelor’s Degree

Master’s Degree (preferred)

Tools

PowerPoint

Excel

Word

Job description

Job Description Summary:

Responsible for developing and leading strategies to influence legislation, regulations, and key stakeholders. Manages identification of business issues, evaluates impacts, and prepares policy and advocacy materials. Engages with Hill and Administration officials to advance BCBSA positions and collaborates with senior staff to ensure third-party engagement. Identifies opportunities to advance BCBSA Board priorities. Represents the department in internal and external stakeholder groups, overseeing strategies to showcase Blue Plan innovations and advance policies on priority and emerging issues.

Responsibilities include but are not limited to:

• Manage Regulatory and Legislative Projects: Direct and coordinate projects within regulatory and legislative areas, including policy analysis, development of comments, and educational materials. Represent BCBSA in meetings with policymakers and influential organizations.
• Identify and Evaluate Business and Policy Issues: Anticipate and identify key business and policy issues. Review legislation, regulations, and guidance, ensuring strategic and business issues for Plans are evaluated.
• Develop and Maintain Key Relationships: Build and maintain relationships with BCBSA representatives, policymakers, and external organizations. Play a leadership role with third-party stakeholders and serve as liaison with regulatory representatives.
• Provide Policy Input and Support: Offer policy input and support to internal and external stakeholders on initiatives, ensuring alignment with policy positions.
• Formulate and Communicate Strategies: Develop strategies on an issue-by-issue basis, ensuring consensus among Plans. Communicate implications and effects to Plans and promote Plan initiatives to stakeholders.

The posting range for this position is:

157,375.72 - 220,807.77

Required Education, Certifications and Experience:

Education:

• Required Bachelor’s Degree in related field; or equivalent work experience
• Preferred Master’s Degree in Political Science, Public Health, Public Policy or related field; or equivalent work experience

Experience:

• Required 10+ Years experience in health care policy and analysis with an emphasis in managed care and/or health insurance

Knowledge Skills and Abilities:

• Extensive knowledge of managed care and insurance reform issues, operations and policy, as well as knowledge of the federal legislative and regulatory processes.
• Strategic thinking and communication to influence and impact policy.
• Superior facilitation, presentation, organizational and verbal and written skills, with the demonstrated ability to work independently
• Analytical, planning and project management skills, as well as the ability to prioritize and shift multiple issues and projects without compromising quality results

Additional Preferred Experience:

• Minimum 10 years of experience in Medicare policy and analysis, health insurance policy, and legislative and regulatory policy development
• Deep expertise in Medicare Advantage, including Medicare Advantage payment policies and risk adjustment, supplemental benefits and dual-eligible populations, as well as broader Medicare payment and policy issues
• Strong legislative and regulatory development skills, applying sound judgment and rigorous analytical methodologies
• Highly skilled and experienced with drafting and submitting comments to Congress, federal agencies, and other legislative bodies, writing issue
• and policy briefs, talking points, and developing detailed legislative and regulatory analyses and slide presentations
• Ability to translate complex regulatory and legislative developments into actionable strategies aligned with organizational priorities
• Experience working across departments (e.g., advocacy, public affairs, communications) to ensure cohesive policy messaging and execution
• Ability to communicate complex policy issues clearly and persuasively
• Skilled in identifying emerging issues and mobilizing internal resources to respond effectively
• Proven ability to navigate dynamic environments, set and achieve objectives in evolving internal and external landscapes, and
• adapt to shifting priorities while maintaining focus on long-term goals
• Experience presenting and representing an organization in public forums, panels, and stakeholder convenings
• Highly skilled in the Microsoft Office Suite (PowerPoint, Excel, Word)

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The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.