The American Academy of Ophthalmology is the world’s largest association of eye physicians and surgeons. A global community of 32,000 medical doctors, we protect sight and empower lives by setting the standards for ophthalmic education and advocating for our patients and the public. We innovate to advance our profession and to ensure the delivery of the highest-quality eye care.
We are looking for a health policy specialist. The health policy specialist works with the Director, Health Policy to provide regulatory and payment policy analysis and supports the work of the Academy and ophthalmology representatives ('Advisors') to the CPT and RUC committees and the RUC survey process. This individual contributes to members education, practice and outreach by coordinating interactions with Medicare and commercial payers on policy issues and Medicare Carrier Advisory Committee members.
Coordinates the logistics of RUC surveys and special projects related to payment policy, physician reimbursement and other health policy issues. Assists the Director with the AMA RUC surveys and CPT Attend RUC, PEAC and CPT meetings as needed. Facilitates and coordinates public reporting issues including Physician Compare website. Primary staff working with our physician leaders on ICD-10 submissions. Attend meetings/briefings related to payment and other health policy issues and provide summaries and overviews.
Researches, analyzes and maintains numerical and statistical data, including payment and utilization data, regarding ophthalmology services in the health care systems for purposes of policy advocacy. Works with the Director and Vice President to prepare calculations and other information based on available data. Respond to requests from specialties, State societies and State Affairs, practice management, and Clinical Education on utilization and payment policymatters Medicare program and other
Coordinates response to requests for review of third-party payer ophthalmic policies by researching issues and working with Health Policy Committee and Clinical Education Department on drafting final response. Coordinates the Academy's Carrier Advisor Committee initiates and manages relationships with ophthalmology i.e., CAC representatives as well as participates with AMA and other related payment policy list-serves/coalitions.
Initially prepares materials, articles and issue summaries and/or works with Academy communications staff on newsletters, Committee and Board meetings, and reviews, updates and posts information on webpage in coordination with the Director. Supports the development of educational and communications information for the Academy and specialty memberships regarding relevant policies and procedures; assists with member education activities around these
Respond to member inquiries, research specific reimbursement issues and other health policy issues, and provide requested data and analysis. Generalizable solutions will be written up for dissemination to appropriate Academy members.
Coordinates with administrative staff in DC and San Francisco to organize and prepare for the annual Health Policy Committee meeting and the periodic Carrier Advisory Committee meetings. Work with Director and Quality/HIT Manager to finalize agenda and prepare meeting materials. Assist with any organizational support for educational sessions at the Mid-Year Forum and provide materials for the Academy and specialty society meetings.
Two or more years of health care payment policy work experience in a health association, government agency, or the private sector dealing with Medicare, health care payment policy or health policy issues, preferred.
Knowledge of and experience with of Medicare payment and other policiesand systems
Understanding of the regulatory processes and familiarity with legislative process
Familiarity with RUC survey process and CPT process
Qualitative and quantitative skills and experience with Excel and Access database software
Strong writing skills
Mathematical and spreadsheet aptitude necessary (i.e. updating fee schedules and other paymentcalculations)
MS-Office Suite: Word, Excel and other database programs, PowerPoint and Outlook
Medicare Utilization Databases
AMA RUC and or Code Manager Database
Knowledge of website terminology and basic web formatting
Ability to analyze regulatory publications and coherently distill the changes to educate practice management staff andmembers
Understanding of the federal regulatory process
Understand the legislative process that initiates regulatory activities
Critical thinkingskills and ability to multi-task
Ability to converse intelligently and relay information appropriately to members, outside representatives and supervisory staff
Ability to communicate ophthalmology's positions and network without side agencies that significantly affect ophthalmicpolicy
B.A. or B.S., in a related field preferred
To apply please send resume and cover letter:
Internal Number: HPS2
About American Academy of Ophthalmology
The American Academy of Ophthalmology is the world’s largest association of eye physicians and surgeons. A global community of 32,000 medical doctors, we protect sight and empower lives by setting the standards for ophthalmic education and advocating for our patients and the public. We innovate to advance our profession and to ensure the delivery of the highest-quality eye care. For more information, visit www.aao.org.
We offer our employees competitive base salaries, discretionary year-end bonuses, comprehensive health benefits (medical, dental and vision), generous vacation days with additional gifts of time, in addition to 10 paid holidays per year.
For more information on benefits please go to: http://www.aao.org/jobs/benefits