Director of Reimbursement Policy

30 Oct, 2022

Jobs

Director of Reimbursement Policy

American Clinical Laboratory Association
Washington, D.C.

DIRECTOR, REIMBURSEMENT POLICY
REPORTS TO: SVP Policy & Strategy
LOCATION: Washington, D.C.
POSITION SUMMARY
The Director of Reimbursement Policy will serve a key role in the association’s work to
develop and advance reimbursement policies that support the patient and public health
mission of ACLA member laboratories. The role involves researching, analyzing, and
commenting on reimbursement issues such as those before the Centers for Medicare &
Medicaid Services, and its contractors, as well as other federal and state government
agencies and commercial health plans.
The Director will develop and maintain strong relationships with member reimbursement
experts and assist in the management of association reimbursement working groups.
This position works closely with ACLA leadership, ACLA senior staff, and association
consultants in engaging with external public and private sector stakeholders to execute
on the association’s priorities.
ESSENTIAL RESPONSIBILITIES
• Serves as versatile subject matter expert on Medicare coverage and payment
matters including Medicare Administrative Contractors (MACs), local and national
coverage determinations, clinical laboratory fee schedule, physician fee schedule,
and Medicare Advantage topics.
• Drives consensus building with member companies through consistent processes
including ACLA’s annual agenda setting to develop policy, advance ACLA
positions, and resolve member concerns.
• Communicates key updates and manages review of regulations and comment
development (e.g., securing member input, drafting comment letters) and
submission on key regulations affecting laboratories.
• Works closely with members on the impact of regulatory and other programmatic
issues to understand their views and establish ACLA positioning.
• Serves as ACLA staff lead for the Billing and Reimbursement Committee and
other focused ad hoc work groups as needed.
• Partners and develops strong relationships with internal and external stakeholders
on policy development and advocacy reimbursement policy, CLIA, and other
ACLA priorities.
• Provides support on other issues raised in the course of the association’s business
(e.g., Medicaid, regulatory policy, public health preparedness).
SKILLS AND QUALIFICATIONS:
• Ability to:
o analyze, interpret, and communicate reimbursement policies and proposals
and their implications to ACLA members and external stakeholders.
o simplify and clearly present technical and complex subjects verbally and in
writing.
o plan for interactive member working group sessions through engagement
with working group chairs, agenda and meeting materials development,
identification of next steps, and tactical execution.
o engage with external public and private sector stakeholders seeking
consensus around ACLA policy priorities.
• Excellent written and oral communication skills.
• Solid computer skills in all Microsoft Office programs.
• Ability to work independently and collaboratively, and to prioritize multiple
projects.
PROFESSIONAL EXPERIENCE, EDUCATION, AND OTHER QUALIFICATIONS
• Bachelor’s degree required
• 5-7 years of related policy experience such as analyzing and influencing
reimbursement and regulatory issues within industry, consulting, or an association
environment.
• Knowledge of pathology and/or the clinical laboratory industry preferred.
• Some knowledge of government process is required. While not a lobbying
position, it will include attendance at periodic meetings on Capitol Hill and with
the executive branch.
WORKING CONDITIONS
• Hybrid office and work-from-home model.
• Position may involve occasional travel.
APPLICATION PROCESS:
To apply:
Please submit a CV, cover letter and two writing samples via e-mail to ACLA Human
Resources at info@acla.com. Please include Director, Reimbursement Policy along with
your first initial and last name in the subject line of your e-mail message.
ACLA does not discriminate on the basis of race, color, religion, national origin, citizenship
status, sex (including pregnancy, childbirth, related medical conditions, and a woman’s right to
breastfeed), disability (physical or mental), age (18 and older), genetic information, sexual
orientation, gender identity or expression, matriculation, family responsibilities, personal
appearance, political affiliation, marital status, veteran or military status, tobacco use, credit
information, or any other characteristic protected by federal, state, or local law.
ACLA values diversity, inclusion and equity within our organization and the promotion of
these values across the healthcare industry. We encourage different perspectives, identities,
and backgrounds, regardless of job function to create a more resilient organization.
ACLA provides equal employment opportunities (EEO) to all employees and applicants for
employment without regard to race, color, religion, sex, national origin, age, disability or
genetics. This policy applies to all terms and conditions of employment, including recruiting,
hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence,
compensation and training.
ACLA expressly prohibits any form of workplace harassment based on race, color, religion,
gender, sexual orientation, gender identity or expression, national origin, age, genetic
information, disability, or veteran status.

Job posted: 2022-10-30