Managing Director, Legislative and Regulatory Policy

20 Nov, 2019


Managing Director, Legislative and Regulatory Policy

Blue Cross Blue Shield Association
Washington, DC


Lead policy development and advocacy for commercial markets (i.e. individual, small group, large group and self-insured plans) related to insurance reforms, including rating practices and rate review, essential health benefits, and exchange related functions (other than exchange operations) to ensure BCBSA is able to effectively influence the commercial health insurance landscape. Position will be highly visible within BCBSA and externally to ensure the interests of BCBSA, Blues Plans and when aligned, industry and other stakeholders, are represented before the Administration, Congress, and related national forums/stakeholders and organizations. Position also assists with State policy development related to commercial markets.


Responsibilities include but are not limited to:


  • Leads team in the review of legislation, legislative proposals, and regulations to identify and evaluate strategic and business issues for Plans related to commercial markets in the areas of insurance reforms including rating practices and rate review, essential health benefits and exchange related functions (other than exchange operations). Review includes identifying the financial, enrollment and operational impact for Plans and the industry as well as impact on premiums and the number of uninsured.  Position also assists with State policy development related to commercial markets. Policy analysis must be comprehensive, including taking into consideration the impact on other market segments, issue areas within OPR, and other areas of BCBSA including Strategic Services and National Programs. Leads the research of laws, regulations, legislation, the market environment, and detailed quantitative analysis to support the policy development process and the creation of effective policy and advocacy documents. Responsibilities include leading plan work groups in policy development, active participation in OPR and cross-divisional workgroups, along with workgroups lead by Strategic Services, the National Labor Office and Actuarial workgroups.
  • Oversees the development of written communications including legislative text, regulatory comments, policy issue papers, bill summaries and analyses, testimony, talking points, presentations, and external meetings synopses on assigned issue areas. Works closely with BCBSA senior executives, Plan executives, Plan workgroup to assure Plan business issues are represented in BCBSA positions.
  • Leads the analysis within OPR of regulatory and financial filings related to the commercial market including CMS data, NAIC data, SEC data, MLR data and rate filings to identify trends in the market and the opportunities and threats this presents. Communicates the results with other areas of OPR, BCBSA and Plans as appropriate. This includes informing the lobbyist and consultants and working closely with Public Affairs to obtain favorable media coverage when possible and minimize negative coverage. This includes translating the data into advocacy materials geared to the appropriate audience (media, Hill, interest groups, administration, etc.) Gathers, edits, and assembles information for all policy documents and other communications by soliciting/surveying and collaborating with OPR staff members, researchers, interest groups, plan members, or other sources of relevant information.
  • In coordination with OPR senior management, represents OPR in Washington with other trades (AHIP, PCMA, ABC, EBRI, NAIC, AAA, etc.), companies not represented by trades (UNH, CVS/AET and CIGNA) and interest groups for assigned issue areas to educate and advocate for BCBSA’s position on policy issues. Assist our Third Party and State functions by providing technical support on assigned policy issues as needed.
  • Educates lobbying, other Association staff and Plan staff as necessary. Supports Administration outreach efforts by identifying opportunities to leverage BCBSA positions or business interests.


Required Basic Qualifications:


  • Bachelor’s Degree in Political Science, Policy, Business or related field required
  • Minimum of five years of policy-related experience and/or equivalent experience in health care delivery
  • Extensive knowledge of managed care and insurance reform issues, operations and policy, as well as knowledge of the federal legislative and regulatory process
  • Prior experience in communicating and writing comments to Congress, government agencies and/or other legislative bodies
  • Experience structuring research policy studies/surveys and formulate policy alternatives
  • Experience in setting and meeting objectives, while reacting within a growing and changing internal and external environment


Preferred Basic Qualifications:


  • Masters or JD Preferred



Equal Opportunity Employer

Blue Cross Blue Shield Association is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, gender identity, disability, veteran status, genetic information or any other legally protected characteristics

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Job posted: 2019-11-20