The American Academy of Pediatrics (AAP), the nation’s leading advocacy organization for children’s healthcare, has a new position for a Senior Director to develop strategies for AAP to proactively promote optimal child health care financing, including Medicaid and private payer initiatives, as well as, oversee the AAP’s coding, valuation, medical liability, and risk management initiatives.
Analyzing child health financing data and identify trends to determine strategies to support current and future child health financing in a changing healthcare delivery and financing system.
Understand alternative payment models (APM’s) as they relate to pediatrics that support the delivery of care for children in various healthcare systems.
Develop strategies for pediatricians to transition to various alternative payment models (APM’s) payment models such as quality & value payments and population-based payment.
Collaborate with key areas across the AAP to further define pediatric value-based care and payment to promote to employers, private payers, and Medicaid, including Medicaid Managed Care.
Provide timely information to members on emerging trends in the health insurance market, including emerging and innovative payment methodologies.
Work with staff to develop and promote advocacy and educational materials, strategies, and training programs to increase the interaction between the AAP and its members and major national and regional health plans. Collaborate with key staff to promote advocacy on state and federal levels as it pertains to Medicaid, including Medicaid managed care.
Develop AAP policy positions related to federal legislation and regulation and other federal and state agency rulings on health insurance financing, payment, and administrative practices in collaboration with key AAP stakeholders.
Maintain awareness of current literature and development on issues related to state and federal health insurance legislation and regulations.
Develop ongoing relationships with individuals from other professional medical and non-medical associations, government and regulatory offices, payer, and employer communities for the purpose of addressing various payment models.
Oversee the preparation of testimony, reports and resource materials on health care financing and payer strategy initiatives for AAP leadership, committees, sections, councils, task forces, and chapters, as well as external organizations.
Ensure effective support of assigned committees, councils, sections, and task forces. Provide guidance to the Committee on Child Health Financing (COCHF), the Committee on Coding and Nomenclature and the Committee on Medical Liability and Risk Management in the development of AAP policy via new and revised policy statements and technical reports.
Develop and oversee assigned budgets.
Assist SVP in identifying and preparing proposals for funding programs.
Supervise and lead assigned staff.
Qualified candidates will possess:
A Bachelor’s degree in public health, health policy, business, or related field required (Master’s degree preferred).
7+ years related experience managing health care financing and physician payment initiatives required, preferably related to pediatric health care.
Experience with health plans, hospital or medical office administration, federal advocacy related to national health care services, managed care organizations, Medicaid, and physician contracting essential. Experience working within a medical association preferred.
Excellent analytical, negotiation, organizational and communication skills required, with the ability to manage multiple priorities simultaneously, take initiative, collaborate with various internal and external constituents, and lead staff.
Must have deep understanding of health insurance and managed care industry, and knowledge of coding and medical liability.
Proficiency with MS Office and running database queries required.
Some travel and weekend work required.
To learn more about the organization, see a full job description, and/or apply for the position, please visit https://www.aap.org/employment.
The AAP offers an excellent work environment, competitive salary, and a comprehensive benefits package. As a reaffirmation to our employee-focused culture, since 2005 the AAP has been named one of the 101 Best and Brightest Companies to Work for in the Chicagoland area. Additionally, we are an Equal Opportunity Employer of Minorities, Females, Individuals with Disabilities, and Veterans that values the strength diversity brings to our workplace.
Reasonable Accommodation: Individuals with a disability in need of a reasonable accommodation regarding the job application process may call 847-434-7012. Please note, only those inquiries concerning a request for reasonable accommodation will receive a response. ?
The American Academy of Pediatrics (AAP) is a membership organization of 66,000 pediatricians and approximately 475 staff committed to the optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. The AAP promotes pediatrics and advances child health priorities by developing policy, conducting research, building coalitions, raising public ...awareness, funding community-based projects, and supporting training and professional education for our membership. Mission: The mission of the American Academy of Pediatrics (AAP) is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. To accomplish this mission, the AAP shall support the professional needs of its members.