Senior Policy Analyst
The Washington Health Benefit Exchange is a public-private partnership that operates the WAPlanfinder mobile app and Washington Healthplanfinder, the eligibility and enrollment portal used by one in four Washington residents to obtain health and dental coverage. Through Washington Healthplanfinder, individuals and families can compare and enroll in health insurance coverage and gain access to financial help and public programs like Washington Apple Health.
The mission of the Exchange, a state-based marketplace, is to radically improve how Washington residents secure health insurance through innovative and practical solutions, an easy-to-use customer experience, our values of integrity, respect, equity and transparency, and by providing undeniable value to the health care community.
The Exchange is also committed to identify and reach groups at risk for obstacles to access coverage, which includes supporting those who need assistance overcoming barriers to seek, find, and use their health insurance coverage. Specifically, the Exchange is embracing the following equity statement:
Equity is a fundamental pillar to the society we seek to build. The process of advancing toward equity will be disruptive and demands vigilance, dismantling deeply entrenched systems of privilege and oppression. We must focus our efforts on people and places where needs are greatest, especially communities of color, and go beyond remedying a particular inequity to address all determinants of health.
Our goal is that all Washingtonians have full and equal access to opportunities, power and resources to achieve their full potential.
The Senior Policy Analyst is responsible for the development and analysis of a broad range of policy issues for consideration by the Exchange Board, Executive Leadership Team, and Policy Team, including efforts to expand access to affordable health insurance to Washington residents. The Senior Policy Analyst will use independent judgment and often work with external stakeholders and in inter-departmental teams to prepare policy options and recommendations critical to advancing quality health coverage and improving Washington Healthplanfinder design. Based on research, data, discussion with state-based marketplaces and other stakeholders, and knowledge of the Affordable Care Act (ACA), the Senior Policy Analyst will analyze state and federal health policy issues and respond to policy related questions from internal and external audiences.
The Senior Policy Analyst will work closely with the Exchange’s carrier and agency partners and external stakeholders on issues related to the qualified health and dental plans (QHPs and QDPs) offered through the Exchange, performing analysis and offering insight regarding individual market dynamics and their impact on the Exchange and Washington consumers. The Senior Policy Analyst will engage in the full lifecycle of the QHP and QDP plan certification process, which will include analyzing plan benefits and rates, preparing plan certification materials for the Exchange Board, Board Committees, and Exchange Executive Team, and presenting findings and analysis to internal and external audiences. The Senior Policy Analyst will play a key role in the ongoing implementation of Cascade Care, working closely with agency partners and stakeholders on all aspects of the Cascade Care legislation, and will manage the Exchange’s standard plan program.
DUTIES AND RESPONSIBILITIES
• Serve as standard plan subject matter expert and liaison to agency partners, carriers, and other stakeholders.
• Facilitate the annual process of updating standard plans, including developing implementation timelines, leading stakeholder groups, managing contracted actuarial support, and presenting to stakeholders and the Exchange Board and Executive Team on recommended changes to the standard plan designs.
• Manage the annual plan certification process, including the annual publication of guidelines for carriers participating in the Exchange, review of carrier plan certification submissions, and presentation of plans to the Exchange Board for certification.
• Lead the Policy Team’s analysis of carriers’ plan certification materials, including analysis of plan designs, rates, and data elements used to understand market trends and consumer behavior and inform display of plan information in Washington Healthplanfinder.
• Serve as liaison between the Exchange and other state-based exchanges on a range of policy issues, including individual insurance marketplace and carrier issues.
• Support policy development and implementation for subsidized and unsubsidized individual market Exchange consumers, including issues related to affordability, benefit design, program eligibility, and premium rating.
• Interpret and advise the Exchange regarding the implementation of federal regulatory guidance.
• Research and develop policy options and recommendations that improve the value and performance of the Exchange’s marketplace for consumers.
• Analyze and communicate complex information effectively to diverse audiences, verbally and in writing.
• Draft policy papers, briefs, and reports on Exchange policy issues, incorporating Exchange data as appropriate.
• Bill analysis, legislative research, and tracking bills associated with the Exchange.
• Other duties as assigned.
• Master’s degree in a health policy-related field. Years of experience may substitute year for year for graduate-level education.
• Three years of progressively more responsibility in health coverage policy and program development, including appropriate use of policy analysis, regulation interpretation, research, and data to formulate and advise decision-making, issue resolution and policy development.
• Three years of strong and proven skills in managing multiple, diverse, complex projects; collaborating with peers; staying within scope, schedule, and resources; developing clear project plans; balancing multiple priorities; communicating progress in written or oral form to executives, policy makers, media, and key partners and stakeholders, including proactive identification, communication and contingency planning when project conflicts arise.
• Three years of experience with diverse stakeholder management, including facilitation of multiple stakeholders towards consensus or common understanding (if not agreement), preparing and making presentations, and otherwise engaging key partners and stakeholders.
• Experience in managing budgets, contracts, timelines, and projects, and coordination and motivation of diverse resources to quickly resolve critical health policy issues.
• Understanding of the ACA and health insurance plans and markets, with emphasis on the Washington individual market, and impacts on market dynamics of federal and state policy decisions.
• Communication. Excellent written, verbal and visual communication skills that translate and clarify policy analysis, issues and objectives into responsive analytic products. Identify needs of customer/audience and present and tailor messages in a clear, concise, unambiguous, engaging, and convincing manner, understandable by technical and non-technical audiences.
• Accountability. Enjoy focusing on results, be a highly creative, critical and strategic thinker, and foster a collaborative setting. Be able to work both independently and collaboratively, with a willingness to proactively own the success of projects. Be highly organized, with an ability to work on multiple simultaneous projects and meet tight deadlines and have flexibility and resourcefulness during times of uncertainty and stress.
• Experience working with a health insurance carrier or in the health insurance industry.
• Demonstrated knowledge of health insurance plan benefit design.
• Broad knowledge and understanding of the health care industry, including the commercial insurance market and other health delivery systems, and addressing or otherwise managing issues of access, affordability, and quality health care.
• Knowledge of or experience in health equity.
• Thorough knowledge and understanding of key components Affordable Care Act (ACA), and other applicable state or federal law, especially health insurance exchanges.
• Vast understanding of the federal and state rule-making process, interpretation of federal and state guidance and the ability to respond to regulation in a timely manner.
• Knowledge and experience in interpretation of state legislation and laws governing health care programs in the state.
This position will be open until we find a suitable number of candidates to review. If interested, please submit an application as soon as possible. The Exchange reserves the right to close the recruitment at any time.
The posted salary is the new hire range of consideration. Full salary ranges is from $70,686 – $102,106. Offer will depend on qualifications.
Core business hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. Travel requirements will be limited to local travel, however there may be occasions were an employee is required to travel and work irregular hours to attend meetings or trainings. Duties of this position require the use of standard office furniture and equipment (e.g. desk, filing cabinet, computer, printer, telephone, fax machine, copy machine, etc.).
The working conditions and physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
A criminal background screen will be conducted for candidates under final consideration, and if hired, every five years of employment where highly sensitive data is processed or maintained by the position. The result of this background screen must meet the Exchange’s eligibility standards.
The above statements are intended to describe the general nature and levels of work being performed. They are not intended to be construed as an exhaustive list of responsibilities, duties and skills of personnel so classified.
This is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.
The Washington Health Benefit Exchange is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, marital status, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Learn more here
Job posted: 2020-05-05