Executive Director, Legislative and Regulatory Policy

Posted 2025-03-14
Remote, USA Full-time Immediate Start

About the position

The Executive Director of Legislative and Regulatory Policy at the Blue Cross Blue Shield Association (BCBSA) is a senior leadership role focused on advancing the organization's legislative and regulatory policy solutions, particularly in the areas of Medicare, Medicaid, Duals, and the Children's Health Insurance Program (CHIP). This position is pivotal in shaping the market positioning of BCBSA and has a direct impact on the health coverage of tens of millions of Americans. The Executive Director will serve as a critical policy voice on pressing issues, advocating for government programs with lawmakers, regulators, BCBS companies, coalitions, industry partners, and the media. In this role, the Executive Director will lead the development of consensus positions among member plans and create a wide range of advocacy materials. The position requires a strategic mindset to collaboratively drive policy and positioning efforts that engage, inform, and persuade decision-makers in Congress and the Administration. Key examples of focus areas include Medicaid redeterminations, Medicaid managed care, Medicare Advantage rate notices, CMMI demonstrations, and aligning private-sector initiatives with public programs. The Executive Director will also be responsible for developing policy by coordinating with senior leaders across member plans and various teams to ensure holistic policy alignment and comprehensive solutions. This includes lobbying, communications, research, marketing, legal, and business teams. Additionally, the role involves leading the development and management of impactful materials and resources that demonstrate BCBSA's commitment to public programs and advance policy objectives. This includes large-scale research, actuarial modeling, cost estimates, case studies, bill summaries, legal opinions, and testimony to Congress and state officials. As a leading voice with Administration officials, the Executive Director will work closely with the lobbying team to improve federal rules and regulations affecting Medicare, Medicaid, Duals, and CHIP. The position also requires strong communication skills to engage with BCBS companies nationwide, building strategic alignment and educating stakeholders on complex policy issues. Maintaining a robust professional network is essential for advancing policies and collaborating with industry partners and influential third-party stakeholders. The Executive Director will also serve as a liaison with regulatory representatives from other health sector associations.

Responsibilities
? Set strategy for legislative and regulatory policy on Medicare, Medicaid, Duals, and CHIP.
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? Develop consensus positions among BCBS companies on federal legislation and regulations.
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? Lead the development and management of impactful materials and resources for public programs.
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? Advocate with Administration officials to improve federal rules and regulations affecting Medicare, Medicaid, Duals, and CHIP.
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? Engage with BCBS companies to build strategic alignment and educate on complex policy issues.
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? Maintain a strong professional network to advance policies and collaborate with industry partners.

Requirements
? Bachelor's Degree in Political Science, Public Health, Public Administration or related field (required).
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? Master's Degree in public policy, health policy or related field (preferred).
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? 8-10 years of experience working with federal legislation, regulation, and government programs.
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? 3-5 years of experience in staff management and development.
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? Extensive experience with government programs (Medicare and/or Medicaid/CHIP) and healthcare insurance issues.
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? Experience developing consensus positions and advocacy strategies.
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? Experience leading cross-functional teams on policy development and research projects.

Nice-to-haves
? Experience working with a health plan is strongly preferred.

Benefits

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