Specialist, Health Policy and Payment

Title: Specialist, Health Policy and Payment

Department/Unit: Health Policy and Payment/Public Affairs

FLSA Status: Full-time, Exempt

Location: This position is located onsite at the APTA headquarters in Alexandria, VA

About APTA

Do you want to contribute to an organization dedicated to improving societal health? Would you like to collaborate with colleagues who are passionate about making a difference? Are you excited to work in a new state-of-the-art building designed to encourage movement, participation, and employee health?

Then you want to work for APTA!

APTA is the trusted leader for the physical therapy profession, representing more than 100,000 physical therapists, physical therapist assistants, and physical therapy students. Our approximately 150 employees support the association’s mission to build a community that advances the profession of physical therapy to improve the health of society. Learn more in our Association Profile.

Located in Alexandria, Virginia, APTA has outstanding employee benefits, including flexible work schedules, generous retirement contributions, and travel subsidies for employees who choose public and active transportation.

Summary

This position will support the association's advocacy and initiatives related to commercial and Medicare payment, coding and billing, federal regulation and policy, and health plan policies and procedures affecting physical therapist practice. The position serves as a key contributor to APTA’s payment strategy, supporting efforts involving commercial insurers, traditional Medicare and Medicare Advantage, CPT coding Relative Value Scale Update Committee (RUC) processes, payment valuation, value-based care, administrative burden reduction, quality initiatives, and health information technology.  Assists with monitoring payer and regulatory developments, analyzing payment and coverage policies; developing member resources and educational materials; advocacy efforts with health plans, federal agencies, and other industry players. Works collaboratively to improve payment and reduce burden impacting the physical therapy profession.

Essential Functions

• Support APTA advocacy with commercial payers, federal agencies, members, coalitions, and other industry players;
• Monitor, analyze and develop communication on commercial payer policies, Medicare payment policies, and other reimbursement developments affecting physical therapy practice for members and other constituents;
• Create content and resources for company website and other communications and presentations to educate and inform members and other audiences on efforts to support the association’s health payment priorities;
• Collaborate with Government Affairs, Communications, and other APTA departments and external teams on issues impacting the physical therapy profession;
• Support outreach and communication with insurance companies, federal agencies, member leaders, coalitions, and other external; Participate in some evening virtual meetings.

Staff Expectations

• Upholds and fosters APTA Staff Values
• Complies with all APTA policies and procedures
• Performs other duties as assigned to foster achievement of association priorities

Qualifications

• Bachelor's degree preferred, advanced degree a plus.
• 5+ years’ experience with and understanding of health care policy and advocacy.
• Knowledge of commercial insurance reimbursement, health plan policy development and payer priorities and operations with working knowledge of coding and billing principles, CPT coding and processes, and reimbursement methodologies.
• Experience in monitoring and analyzing payer policies, federal regulations and guidance documents including regarding the Medicare physician fee schedule, Medicare Advantage and in formulating and advancing public policy, a plus if specific to physical therapy.
• Demonstrated project management capabilities.
• Excellent and effective written and verbal communication skills and the ability to communicate complicated issues clearly and effectively to a broad range of stakeholders and audience sizes.
• Knowledge of value-based care, alternative payment models, and payment reform initiatives a plus.
• Must be a highly organized and detail-oriented self-starter with strong analytical and problem-solving skills, experienced in handling a variety of multiple projects with proven abilities in prioritizing deadlines and seeing projects to completion.
• Ability to manage multiple priorities, work independently and collaboratively on a team and with external players to be responsive to members including responses to subject matter inquiries .
• Must be proficient in MS Office, advanced Excel a plus; web-based applications.

Travel Requirements

Up to 10%, local and national

Salary 

The base salary range for this role is $75,000 - $80,000 per year. Your placement within this range will depend on your experience, specialized skills and training. 

How To Apply

Please send resume and cover letter, including salary requirements, when applying.

Principals only; no agencies; no phone calls, please. Candidates selected to participate in an interview will be contacted by Human Resources.

The American Physical Therapy Association is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, ethnic or national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, sexual orientation, gender identity, disability, or military status or any other characteristic protected by law.

APTA participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information, please visit e-verify.uscis.gov.

APTA is committed to a diverse and inclusive workforce and invites and welcomes applicants with diversity of experience, mindset, and skills to add value to APTA and our staff community.