Senior Director, Policy and Regulatory Affairs

You are eager to be a catalyst for positive change in health policy and regulatory matters, at a strategic level. You enjoy advocating for medical specialties, collaborating with federal regulatory agencies, analyzing strategic health policy issues, and creating educational content on health insurance payment matters. You are keen to help shape policies that can impact millions.

If this sounds like you, please read on!

The Senior Director, Policy and Regulatory Affairs leads all regulatory health policy initiatives and activities on behalf of the Association and the Academy. Provides staff support to AAOS (American Academy of Orthopaedic Surgeons) activities in physician payment policy development and review including representation in medical specialty society meetings as well as other stakeholder meetings. Participates in communication and liaison with federal regulatory agencies. Manages AAOS involvement in the AMA/Specialty Society Relative Value Update Committee (RUC) the AMA (American Medical Association) CPT Editorial Process and the American College of Surgeons Surgical Quality Alliance (SQA). Supervises staff liaison activities to AAOS Coding, Coverage & Reimbursement Committee, Health Care Systems Committee, and supports advocacy for Clinical Quality and Value and Registry teams. Works closely with BOS (Board of Specialty), BOC (Board of Councilors) and orthopaedic specialty societies to analyze and advise on regulatory and health policy issues of strategic importance. Advises government relations on legislative and regulatory matters related to physician payment policy and health policy. Helps produce and manage content for AAOS educational products and programs on public and private health insurance payment issues, member communication and advocacy.

• Leads all regulatory health policy initiatives and activities on behalf of the Association and the Academy.
• Interprets information and trends relating to Medicare (and other payer) payment policy for procedural and diagnostic coding, quality reporting measures, and alternative physician payment models (e.g., ACOs, bundled payments, etc.).
• Supervises regulatory health policy team
• Drafts articles for the AAOS Now, AAOS Advocacy Now, AAOS Headline News and other communications to the fellowship including Academy position/advisory statements.
• Drafts official AAOS comments to the US Department of Health and Human Services (HHS) including the Centers for Medicare and Medicaid Services (CMS, Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Prevention and Control (CDC) and other agencies.
• Establishes and maintains relationships with government officials, third party carrier representatives, and other medical society leaders and staff
• Advises AAOS position on several policy issues of importance to AAOS members such as prior authorization, surprise medical billing, device regulations and specific procedure codes.
• Attends and participates in meetings with government officials, third party carrier representatives and other medical society leaders and staff as needed

Exemplifies the following essential values of the Academy:

• Teamwork: Effective collaboration and team-focus to solve complex problems and drive innovation.
• Empowerment: The authority, information, and skills to make decisions and drive results.
• Accountability: Ownership of process and results that drive decisions and ensure implementation.
• Mindset of Growth/Continuous Learning: Focused on and invested in self and staff development to become more adaptable, making the Academy more agile, innovative, and sustainable.

Travel:

• Up to 15 days per year

Qualifications:

Required:

• Master's degree.
• At least 3 years' experience managing a medical association’s coding and RUC activities.
• Experience staffing medical association committees
• Extensive knowledge of procedural and diagnostic coding and the Medicare resource-based physician payment system.
• Excellent analytical, communication (written and oral), organization, management, and interpersonal skills.
• Proficiency in common business computer applications (Word, Excel Power Point, Internet).
• Ability to work independently on multiple tasks with competing deadlines.

Desired:

• Graduate (PhD) or Law degree
• Supervisory experience.
• Understanding of survey research techniques.

Join us in shaping AAOS’ success! If this resonates with you, apply today by sharing the following:

• Clearly communicate why you are the ideal candidate for this role, providing specific examples and experiences as proof points.

• Resumes must be accompanied by a cover letter with salary expectations to be considered.

Please note:

This hybrid position is based in Washington, DC and is open to applicants who are able to commute weekly to this office.

Applicants must already be authorized to work in the United States on a full-time basis. We are unable to sponsor or take over sponsorship of work visas.