The posting
Job Description
The Payer and Care Delivery Policy team in the Advocacy Division of the ACC aims to position ACC members for success in a value-based payment environment. The PCDP team has four primary functions:
- Provide value-based payment surveillance and policy expertise to facilitate member participation in alternative payment models to anticipate and communicate opportunities and potential threats associated with payment reform initiatives
- Performance measure advocacy including tracking/influencing activities of quality organizations such as Battelle’s Partnership for Quality Measurement to keep ACC-stewarded measures in the Quality Payment Program (CMS) and as the preferred measures for private payers, as appropriate, through initiatives such as Core Quality Measure Collaborative
- Manage private payer relationships and lead ACC strategic direction in this area
- Manage the activities of the Population Health Management Work Group and Partners in Quality Subcommittee to advance ACC strategic plan goals
Responsibilities
- Develop and maximize health plan relationships to facilitate collaborative problem-solving and conflict resolution.
- Lead the coordination of the College’s response to specific member or payer requests including but not limited to coverage, reimbursement, prior authorization, and access.
- Solicit and review private-payer cardiovascular medical policies; track and assess acceptance of ACC feedback into health plan medical policy. Organize strategy to address controversial policies.
- Develop policy engagement and advocacy opportunities for Medicare Advantage and CV-related pharmacy benefit plans.
- Collaborate with CV subspecialty societies and state chapter leadership on reimbursement and policy issues to unify the voice of the cardiovascular community when feasible.
- Develop relevant content and materials to inform and influence leadership, members, or external audiences regarding current or emerging topics germane to the strategic or business objectives of the department or division.
- Assist member committees including Health Affairs Committee, Population Health Management WG and Partners in Quality Subcommittee.
- Facilitate communication and collaboration within and across the College to align efforts.
- Participate as member of cross-functional team to support department activities.
- Other responsibilities as assigned
Qualifications
- Bachelor’s degree or equivalent experience in relevant field (public policy, health policy, etc.).
- At least 5 years progressive project management experience in physician reimbursement or provider relations. Advanced degree may be substituted for work experience.
- Substantial knowledge of managed care operations and policy and payment reform in public and private payer systems.
- Ability to work on multiple complex assignments independently and as part of a team.
- Ability to provide expertise and guidance for work teams as appropriate.
- Excellent organizational skills and attention to detail.
- Excellent time management skills and ability to work well under strict deadlines.
- Excellent oral and written communication skills.
- Desire and ability to learn new skills.
- Ability to travel (5-10%)
Desired:
Experience working for, or with, a medical association.
Experience with private payer, Medicare and regulatory issues affecting cardiovascular practice.
Familiarity with physician payment, value base care initiatives, and physician and patient quality measurement.
About Us
At the American College of Cardiology, we bring our hearts to work.
We are a 500-person organization dedicated and committed to our mission to transform cardiovascular care and improve heart health for all for more than 75 years. When you join our team, you become part of a culture that envisions a world where science, innovation and knowledge optimize cardiovascular care and outcomes.
Every day, we are committed to supporting our more than 60,000 members and their patients around the globe and in doing so, ensure our staff have a positive environment of teamwork, collaboration, professionalism and excellence. To learn more about why ACC has been recognized as a great place to work, please visit our site, www.acc.org/jobs.
What We Offer:
ACC values all members of our College family, including ACC staff. As the foundation of the organization, ACC staff enjoy world-class benefits and a culture of work-life balance. Our benefit offerings include insurance (medical, dental, vision, basic life, and short- and long-term disability, and supplemental options), generous paid time off (pre-loaded vacation and sick, 12 holidays and an organizational shut-down during the last week of the year, parental leave, 2 community service days, and half-day summer Fridays), tuition assistance and a very competitive 10% retirement contribution after a year of service, and much more! You can visit our careers site for an overview of our full offerings. Please note that these offerings may change at any time.
ACC believes in fair and equitable pay. Multiple factors are taken into consideration when we determine what salary to offer a selected candidate. These factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, as well as internal equity, market, and business considerations. Our salary ranges differ based on the cost of labor in the local market where the job will be performed.
The salary ranges for will vary based on the local labor market; ACC’s Recruitment Team will be able to provide more information to candidates during initial discussions.
EEOC:
ACC is proud to be an equal opportunity and affirmative action employer. We celebrate diversity and are committed to creating an inclusive environment for all candidates and employees. All employment is decided on the basis of qualifications, merit and business need. Equal Opportunity Employer, including individuals with disabilities and veterans. ACC is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability, you may contact Katie Sarreal, HR Business Partner at [email protected] or (202)375-6351.
