Policy & Implementation Specialist

Serco; Washington (District of Columbia); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Paid time off

Tuition reimbursement

Employee Assistance Program

Job summary

Serco is seeking a motivated and results driven Policy & Implementation Specialist to shape and drive strategic policy and operations initiatives for ACA Marketplace coverage programs. The role supports millions of people applying for healthcare coverage through the Marketplace and collaborates with Serco leadership, IT and operations teams, and CMS executives.

The candidate should bring ACA knowledge, policy expertise in health insurance markets, and experience with eligibility and

Qualifications

• Bachelor’s degree in relevant field required (public health, health administration, government, or law).
• Minimum eight years' project management experience for complex government programs.
• Eight years’ ACA Health Insurance Marketplace policy expertise in government or advocacy organizations.
• Knowledge of Marketplace eligibility and enrollment policies and private health insurance.
• Willingness to travel up to 10% of the time.

Responsibilities

• Advise on health policy and market trends affecting ACA Marketplace eligibility and enrollment.
• Monitor CMS guidance, regulations, and legislation.
• Research and report market and coverage trends.
• Collaborate with CMS, Serco leadership, and operations teams.
• Develop operational plans, performance analytics, and project schedules.
• Deliver executive briefings to CMS and Serco leadership.
• Support business development by pursuing opportunities.

Skills

ACA policy knowledge

Policy implementation

Project management

Stakeholder engagement

Education

Bachelor's degree in relevant field

Tools

Microsoft Office

Excel

Documentation drafting

Job description

Position Description & Qualifications

Serco is seeking a motivated and results driven Policy & Implementation Specialist to shape and drive strategic policy and operations initiatives. The candidate would join our talented and fast-paced team supporting millions of people applying for healthcare coverage via the Affordable Care Act (ACA) Health Insurance Marketplace (Marketplace). This dynamic position will provide thought leadership and management to implement policy and program changes for processes and systems that review, adjudicate, and assist consumer applications. As such, the candidate in this role will closely collaborate with Serco Leadership; Service Delivery, IT Solutions and Delivery; and Operations teams; and CMS Executives.

The candidate in this position ideally brings the unique combination of ACA knowledge, subject matter expertise in health insurance markets trends, and federal and state health insurance policies and programs (such as the ACA Marketplaces, Medicaid/CHIP and Medicare), as well as technical understanding of eligibility and enrollment processes to coordinate and optimize multiple aspects of verification operations.

Responsibilities

Advise on health and insurance policies, program changes, and market trends that would impact CMS programs, especially the ACA Marketplace eligibility and enrollment operations.

• Monitor health policy-related guidance, regulations, and legislation
• Research, analyze and report on market and insurance coverage trends
• Stay abreast of CMS programs and latest analysis, research, evaluations, and reports from government, industry, think tanks, and advocacy organizations
• Use research and monitoring to proactively identify potential changes that may impact consumers applying for health insurance through the Marketplace, provide analysis and recommendations as appropriate

Serve as an ACA policy expert integrating knowledge of Marketplace eligibility and enrollment policy into the Marketplace verification process and operations.

• Support leadership and teams (business, operations, and systems teams) on eligibility requirements as policy changes or processes are improved or enhanced
• Incorporate policy changes and operationalize new or revised guidance
• Manage and/or coordinate priority projects that crosscut multiple teams and product lines to analyze business, functional, and technical requirements; draft operational plans and documentation; develop performance analytics; and track and meet deliverable schedules

Perform liaison role delivering executive level communication and consultation.

• Deliver strategic written and oral briefings to CMS and Serco Leadership with clear and concise descriptions on policy and/or program changes including options, requirements, and potential impacts
• Communicate key policy changes to CMS and Serco teams through storytelling in detailed, well-written memos, briefs, analysis, evaluations, reports and presentations
• Develop and maintain effective and efficient working relationships with the Client, interfacing with government SMEs and Serco teams

Contribute to business development efforts to accelerate growth.

• Identify and pursue potential business opportunities that align with Serco’s objectives and capabilities
• Provide policy, implementation, and innovation expertise in drafting responses to sources sought, request for proposals, and other business development requirements

Performs Other Tasks As Required Or Assigned

To be successful in this role, you must have:

Bachelor’s degree in relevant field, e.g. public health, health administration, government, or law or other appropriate degree required.

• Minimum eight year's project management experience for complex government program
• Minimum eight years’ experience providing ACA Health Insurance Marketplace policy expertise in government or advocacy organization; OR Minimum five years of experience performing legislative, regulatory and program analyses and/or research on government health programs (such as Marketplace, Medicaid, CHIP, and Medicare) and/or private health insurance
• Demonstrated knowledge of the Marketplace eligibility and enrollment policies and processes, or other federal health programs (such as Medicaid, Children’s Health Insurance Program or Medicare) and private health insurance industry
• Ability to travel up to 10% of the time

Desired Skills

• Expertise in Affordable Care Act legislative, regulatory and sub-regulatory guidance
• Well-versed on the Marketplace eligibility and enrollment processes and the operations that support verifications
• Knowledge of other federal health programs (such as Medicaid, Children’s Health Insurance Program and Medicare) and private health insurance industry
• Understanding of ACA and Marketplace policy issues affecting consumer coverage
• Demonstrated capabilities in qualitative and quantitative research and analysis, especially related to CMS programs
• Ability to navigate with complex and changing policy and political environment
• Strong leadership and organizational skills
• Exceptional interpersonal and Client management skills
• Strong verbal and written communications skills

Company Overview

Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco’s 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.

Pay Transparency

Our Total Rewards package includes competitive pay, performance-based incentives, and benefits that promote well-being and work-life balance—so you can thrive both professionally and personally. Eligible employees also gain access to a wide range of benefits from comprehensive health coverage and health savings accounts to retirement plans, life and disability insurance, and time-off programs that support work-life balance. Program availability may vary based on factors such as contract type, location, hire date, and applicable collective bargaining agreements.

Salary range: The range for this position can be found at the top of this posting. This range is provided as a general guideline and represents a good faith estimate across all experience levels. Actual base salary will be determined by a variety of factors, including but not limited to, the scope of the role, relevant experience, job-related knowledge, education and training, key skills, and geographic market considerations. For roles available in multiple states, the range may vary to reflect differences in local labor markets. In addition to base salary, eligible positions may include other forms of compensation such as annual bonuses or long-term incentive opportunities.

Benefits – Comprehensible benefits for full-time employees (part-time employees receive a limited package tailored to their role):

• Medical, dental, and vision insurance
• Robust vacation and sick leave benefits, and flexible work arrangements where permitted by role or contract
• 401(k) plan that includes employer matching funds
• Tuition reimbursement program
• Life insurance and disability coverage
• Optional coverages that can be purchased, including pet insurance, home and auto insurance, additional life and accident insurance, critical illness insurance, group legal, ID theft protection
• Birth, adoption, parental leave benefits
• Employee Assistance Plan

To review all Serco benefits please visit: https://careers.serco-na.com/us/en/about-us.

Serco complies with all applicable state and local leave laws, including providing time off under the Colorado Healthy Families and Workplaces Act for eligible Colorado residents, in alignment with our policies and benefit plans. The application window for this position is for no more than 60 days. We encourage candidates to apply promptly after the posting date, as the position may close earlier if filled or if the application volume exceeds expectations. Please submit applications exclusively through Serco’s external (or internal) career site. If an applicant has any concerns with job posting compliance, please send an email to: [e-mail].