• Serve as subject matter expert on Medicare coverage and payment matters, including Medicare Administrative Contractor (MAC) policies, local and national coverage determinations, clinical laboratory fee schedule, physician fee schedule, and Medicare Advantage topics; periodically engages on Medicaid policy.
• Drive consensus building with member companies through consistent processes including ACLA’s annual agenda setting to develop policy, advance ACLA positions, and resolve member concerns.
• Communicate key updates and manage review of regulations, comment development, and submission on key regulations affecting laboratories.
• Work closely with members on the impact of regulatory and other programmatic issues to understand their views and establish ACLA positioning.
• Serve as ACLA staff lead for the Billing and Reimbursement Committee and support the work of the State Issues Forum and other focused ad hoc work groups as needed.
• Partner and develop strong relationships with internal and external stakeholders on policy development and advocacy reimbursement policy priorities.
• Provide support on other issues raised in the course of the association’s business (e.g., Medicaid, regulatory policy, public health preparedness).

Association Processes

• In collaboration with ACLA reimbursement policy and government affairs colleagues and ACLA’s external policy and advocacy consultants, co-lead the reimbursement pillar of the association’s annual agenda setting process that includes the development of consensus association policies, positions, and advocacy strategies through collaborative engagement with ACLA member policy committees, culminating in consideration and approval by the ACLA Board.
• Advise and support the ACLA President’s strategic engagement with the ACLA Board, membership, and external stakeholders.
• Draft appropriate communication for the organization and its leadership based upon the association’s policy and advocacy agenda.
• Solve issues in a timely and appropriate manner with minimal management oversight and attention to resources.
•  Maintain compliance with policies, procedures, and mission statement.

10+ years of government relations experience, preferably at the senior level, in one or more of the following sectors: public health, healthcare institution or association management.

2 years of project team leadership experience.

Advanced working knowledge of Medicare payment and coverage policies; experience engaging with states and private payers.

Excellent interpersonal and member service skills. Ability to collaborate with executives and member representatives across diverse functional groups.

Ability to analyze and understand health policy trends from the perspective of multiple stakeholders and translate related business implications.

Ability to work strategically to:

• analyze, interpret, and communicate reimbursement policies and proposals and their implications to ACLA members and external stakeholders.
• simplify and clearly present technical and complex subjects verbally and in writing.
• plan for interactive member working group sessions through engagement with working group chairs, agenda and meeting materials development, identification of next steps, and tactical execution.
• engage with external public and private sector stakeholders seeking consensus around ACLA policy priorities.