Position Summary: The Vice President of Reimbursement Policy provides advocacy and support for financial and reimbursement issues affecting HASC hospitals and health systems. The position requires a working knowledge of current hospital finance issues, health policy, and financial modeling techniques. This includes experience with commercial plans, government funded programs and other health care coverage policy issues affecting HASC hospitals and health systems. The position is responsible for representing HASC with local Medi-Cal managed care plans, agencies and other stakeholders where government-funded health care programs and policy issues and/or related technical knowledge is appropriate; soliciting feedback from HASC members for representation and advocacy purposes; developing meaningful and understandable information that supports HASC’s advocacy and educational efforts; supporting CHA in its efforts to improve reimbursement for CA hospitals; and supporting CHA in the formulation of Medi-Cal legislative and regulatory positions related to eligibility, enrollment, scope of coverage and financing.
Essential Duties and Responsibilities:
Provides leadership on regional administrative and regulatory issues related to government funded programs. Serves as the primary contact in areas of assigned responsibility for information and/or referral on all relevant ordinances and regulations.
Represents HASC before the membership and other groups as appropriate.
Formulates policy positions on local government funded healthcare programs related to eligibility, enrollment, financing and other issues, along with simulations of the impacts.
Manages and staffs health care coverage policy and reimbursement workgroups including CFO committee and Contracting Committee. Represents HASC on other committees where requested. This includes attending meetings, making presentations, representing HASC’s members or soliciting feedback from HASC’s members for representation.
Serves as a liaison between technical consultants and HASC, or provides direct technical support. Assesses member needs.
Serves as a liaison on reporting methods used for health care coverage policy analysis including OSHPD, etc.
Provides HASC perspective on proposed state and Federal changes in government funded health care programs policies and procedures.
Responsible for following written style guidelines for HASC News articles and proofreading articles prior to their submission.
Partners with issue managers and Association staff to understand information needs and work proactively to analyze and communicate findings and trends, translating technical information into easily understandable advocacy messages.
Manages HASC’s committees, workgroups, or ad-hoc meetings relating to hospital finance.
Represents HASC with agencies where hospital finance and/or technical knowledge is necessary.
Arranges educational programs health policy issues related to finance to provide guidance to members.
Works with a variety of data sources and internal and external stakeholders to design, research, locate, validate, aggregate, and synthesize complex data into meaningful and useable information that will support HASC’s policy and advocacy work.
Maintains effective relationships with staff and key stakeholders.
Develops and maintains relationships with CHA, Hospital Council and HASDIC staff.
Supports CHA efforts to maintain and improve reimbursement for HASC region hospitals and California as a whole.
Required Education, Experience and Skills:
Bachelor degree from accredited college or university required, Master’s degree preferred.
Minimum of 10 years of hands-on experience in a managed care, provider or policy environment including significant experience in policy analysis, health care financing, and the legislative/regulatory process
Advanced computer skills, including fluency with MS Office (Word, Excel, PowerPoint, Access and Outlook)
Ability to organize, plan, and be effective at managing multiple priorities in a fast-paced and constantly changing environment
Ability and willingness to collaborate and be a team member in the HASC-Regional Associations model
Excellent communication, public speaking, and interpersonal skills
Ability to work independently, using initiative and excellent judgment
Ability to work effectively with a wide variety of individuals and organizations
Ability and willingness to work irregular hours, including some weekends and overnight travel
Other Requirements: This position requires frequent local travel and occasional long-distance travel. If incumbent uses his or her own vehicle for transportation, they must have a valid driver license and carry auto insurance in the amounts and type required by law.
The successful candidate will be required to reside in the area.
Note: The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.
Working in partnership with the California Hospital Association (CHA), we provide leadership at the local, state and federal levels on legislation, budget concerns and regulatory issues. We work with county boards of supervisors, chambers of commerce, local departments of health and other agencies to assure the hospital’s voice is heard.
THREE UNIQUE ORGANIZATIONS
We serve our members throug...h three unique organizations:
HASC - a historically strong hospital trade association that serves the political, economic and educational needs of hospitals.
AllHealth – a HASC subsidiary providing specialized fee-for-service products to help hospitals improve operations.
National Health Foundation (NHF) – a not-for-profit applied research organization affiliated with HASC and dedicated to improving health care delivery and access.
Our mission is to lead, represent and serve hospitals and their related organizations, working collaboratively with our members and other stakeholders to improve health and health care in the communities we serve.
Our vision is for all member hospitals to consistently and uniformly provide safe, high-quality, cost-effective and culturally appropriate person-centered health care services.