Policy Development Director I (Hybrid)

Policy Development Director I

Chicago, IL (Hybrid)

The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health.

At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to perform at their best. Together, we advance meaningful change in health care and the communities we serve.

We encourage and support professional development for our employees, and we are dedicated to social responsibility. We invite you to learn more about us and we look forward to getting to know you.

We have an opportunity at our corporate offices in Chicago for a Policy Development Director I on our Administrative Simplification Initiatives team. This is a hybrid position reporting into our Chicago, IL office, requiring 3 days a week in the office.

As a Policy Development Director I, you will manage the AMA's advocacy initiatives to address
systemic, high-priority commercial health plan policies that intrude upon the
practice of medicine and burden physicians and their staff. You will collaborate with
Director II and appropriate Advocacy Group colleagues on the development and
implementation of strategy and advocacy, including legislative and regulatory
efforts, to constrain commercial insurer policies that adversely impact
physician practices.

RESPONSIBILITIES:

Direct Engagement and Advocacy

• Serve as lead subject matter expert on national, cross-specialty commercial health plan issues that adversely impact a majority of physician practices, such as automatic downcoding of evaluation and management services and CPT modifier 25 payment reductions.
• Manage AMA advocacy to represent physicians' interests on commercial insurer issues, including coordination with Advocacy Group colleagues on strategy development and federal and state legislative and regulatory efforts.
• Serve as the AMA's primary liaison with the Federation of Medicine and other relevant health care organizations on national commercial health insurer policies; lead coordination of advocacy efforts with these groups.
• Effectively advocate for physicians' interests in discussions with commercial health plan representatives.
• Represent the AMA at various national meetings, coalitions, and speaking engagements, as requested.

Policy Analysis

• Independently monitor the external landscape for developments related to adverse commercial health insurance policies, including health plan provider bulletins and communications, federal and state legislation, peer-reviewed literature, trade/mainstream press, Federation of Medicine complaints/communications, and social media.
• Conduct primary and secondary research to develop advocacy recommendations and written materials related to commercial health insurer policies.
• Independently write, edit, and oversee the development of policy reports, reviews, position statements, and social media posts.

Project Management

• Manage projects to develop educational and advocacy resources to support physician practices in addressing harmful commercial insurer policies.
• Identify and operationalize opportunities for publication and amplification of AMA resources.
• Manage and mentor new and junior staff on commercial health plan policies and how to effectively collaborate with the Federation of Medicine on these issues.

May include other responsibilities as assigned

REQUIREMENTS:

1. Master's degree or higher required, preferably in a health-related field.
2. 10+ years of experience in health policy working with physicians, professional associations, and/or commercial health insurance companies.
3. Expert knowledge of commercial health insurance policies and operations.
4. Exceptional interpersonal skills, including the ability to communicate persuasively to advance AMA policy goals, deliver effective presentations, and successfully interact with mid-to-senior-level management at commercial health plans.
5. Excellent writing and editing skills.
6. Demonstrated ability to think critically, analyze insurer policies, and rapidly develop successful advocacy strategies in a complex and rapidly changing environment, often under extreme time constraints.
7. Superior project management skills, including the ability to independently initiate, manage, and execute multiple policy projects in a fast-paced team environment under tight deadlines.
8. Some travel is required.