Senior Policy Advisor for Medicaid

10 Apr, 2021


Senior Policy Advisor for Medicaid

America's Health Insurance Plans
Washington, DC

About the job




At the direction of the Senior Vice President for Federal Programs, this position provides policy and advocacy expertise on state and federal aspects of the Medicaid and CHIP programs in support of America’s Health Insurance Plans (AHIP) operating departments and member organizations. Responsibilities include playing a leading role in the development of AHIP’s Medicaid policy agenda; leading coordination between Federal and State advocacy efforts; closely monitoring and analyzing Federal legislative initiatives, health policy developments, and State and Federal agency policies; assisting in the preparation of concise analyses of key issues; maintaining close contact with our Medicaid health plan members and other Medicaid-focused groups; and pursuing other duties in support of AHIP’s advocacy efforts.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. Under the guidance of the Senior Vice President for Federal Programs, works closely with the Vice President for Medicaid Policy and other members of the team in the development and execution of AHIP’s Medicaid policy and advocacy agenda, including strategies that promote industry objectives and ensure that industry positions are properly presented and aligned.
  2. Collaborates with, and leads the Federal Program team’s support of and coordination with, AHIP’s State Affairs team on state Medicaid advocacy efforts. Monitors state Medicaid trends. Contributes policy expertise to state-level advocacy efforts on issues including Medicaid expansion, an extension of Medicaid managed care to new populations and programs, and state initiatives that affect the role of managed care in Medicaid programs.
  3. Closely monitors and contributes policy expertise to government relations efforts relating to Congress, U.S. Department of Health and Human Services (DHHS), Centers for Medicare & Medicaid Services (CMS), National Governors Association (NGA), National Association of Medicaid Directors (NAMD), Medicaid and CHIP Payment and Access Commission (MACPAC), ADvancing States, state Medicaid agencies, and other governmental agencies and commissions.
  4. Maintains close, ongoing contact with our Medicaid health plan members to ensure we are best serving their interests and executing on their priorities; and allow us to best respond to inquiries from the press and Congressional staff.
  5. Analyzes proposed legislation and health policy reports, producing concise written summaries and analyses, and evaluating and reporting on their impacts on the industry. Prepares drafts of written reports, memos, and policy briefs for AHIP members.
  6. Assists in the preparation of testimony, position statements, and talking points sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations, and statutes governing Medicaid, long-term services and supports (LTSS), and other waiver programs.
  7. Maintains current awareness of trends, positions, and issues promoted by other trade and advocacy organizations active on Medicaid-related issues.
  8. Analyzes and compares AHIP’s Medicaid policy and advocacy positions in relation to those of Medicaid stakeholders and advocates, identifying points of consistency and divergence.
  9. Develops and maintains an archive of legislative and regulatory analyses, policy briefs, reports, position statements, and other materials pertinent to AHIP’s Medicaid policy and advocacy work.
  10. Communicates concise and clear descriptions of key issues to AHIP member plans and staff. Responds to members’ questions on Medicaid issues and requests for related materials.
  11. Maintains ongoing and close contacts with other AHIP staff to share or obtain information.
  12. Keeps informed of the continuous and rapid changes in the health care sector and congressional and regulatory activities which may have an impact on health insurance plans, particularly Medicare, Medicaid, LTSS, and Medicare-Medicaid dual eligible health plans.
  13. Performs other tasks as required or assigned.

Required Education and Experience

  1. Master’s degree in public health, health administration, government or public policy, or other appropriate advanced degree required.
  2. Minimum five to six years experience performing analyses of legislation and research reports and writing concise and timely evaluations.
  3. Minimum five years’ experience providing Medicaid policy expertise in an advocacy organization or Medicaid health plan.


  1. Knowledge of the structure and functioning of the government in terms of its impact on health affairs and the health system.
  2. Experience in quantitative analysis of Medicaid or other Federal health programs.
  3. Knowledge of current health, Medicaid, and CHIP policy issues affecting AHIP and its member organizations, including prescription drugs, LTSS, maternal and child health, rate setting, and actuarial soundness, and value-based arrangements.
  4. Detailed knowledge of the federal regulatory environment governing Medicaid, CHIP, Medicaid managed care, and LTSS.
  5. Demonstrated good judgment, a well-developed sense of propriety, political acumen, the ability to think constructively, strong interpersonal skills.
  6. Ability to deal with complex and changing policy and political environment.
  7. Demonstrated capability of developing and maintaining access to reliable sources of information.
  8. Knowledge and understanding of managed care operations and care management.
  9. Extensive knowledge of the techniques and methods of conducting policy analysis.
  10. Strong leadership and organizational skills.

Supervisory Responsibility

This position has no supervisory responsibility.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. [This paragraph is a curious addition; I can understand the rationale for including but not all these physical criteria would necessarily apply to the successful performance of duties. May create more controversy than it avoids.]

Position Type/Expected Hours of Work

This is a full-time position. Standard days and hours of work are Monday through Friday, 8:30 a.m. – 5:30 p.m., however, this position may periodically require long hours and weekend work.

  1. This position can work remotely 75 – 100% of the time within a week
  2. This position requires face-to-face interaction at our DC office or other locations less than 25% of the time within a week.


Up to 25% of the time.

Disability Specifications

AHIP will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.

AHIP is an Equal Opportunity/Affirmative Action Employer

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Learn more here

Job posted: 2021-04-10