Manager, Reimbursement Policy & Regulatory Affairs

The Manager, Reimbursement Policy & Regulatory Affairs is responsible for managing various payment projects under the Health Policy department. This manager also monitors federal legislative and regulatory policies related to health care quality and health information technology (HIT). This position is the liaison to the IRIS Registry and advocates for the policy priorities of the IRIS Registry. Responsibilities: Manage reimbursement projects such as drug and device pass through payment policy, innovative payment arrangements, and ASC/APC payment policy, for the Health Policy Department, providing summaries, drafting factsheets, letters and other advocacy materials Monitor federal developments related to quality and HIT policy impacting the IRIS Registry and members’ success in the QPP/MIPS program. Serve as the Academy representative on relevant workgroups related to quality, measurement, MIPS, APM and HIT policy. Coordinate advocacy strategies and coordination with other specialty societies for the priority policy issues of the IRIS Registry. Coordinate member communications related to quality/QPP with AAOE and IRIS Registry and Communications Division and participate in biweekly IRIS Registry Communications/Marketing meetings. Preparation of summary information for Washington Report Express and other advocacy publications and maintenance of current MIPS-related information on the website. Present MIPS, HIT and quality policy issues at meetings and webinars for members, administrators and policymakers. Coordinate policy developments with internal departments (Health Policy, Quality and Data Science, and AAOE), participate in regular CMS meetings and Qualified Clinical Data Registry meetings and Registry Coalition meetings, and communicate to CMS and Policy Institutes related to the Medicare Quality Payment Program for the IRIS Registry and the Academy Requirements: Understanding of the Federal regulatory process Understanding of quality care and performance measurement landscape as it relates to provider reimbursement Previous experience in non-profit health association and clinical data registry experience preferred Experience with clinical data registry implementation and ongoing data policy issues Knowledge of the Medicare QPP and MIPS program Familiarity with HOPD and ASC payment programs Strong writing skills as well as spreadsheet aptitude necessary (i.e. updating fee schedules and other payment calculations), MS Word, Excel, PowerPoint and knowledge of website terminology and basic web formatting. Ability to analyze regulatory publications and accurately communicate the changes and impact to internal leaders and membership. Ability to schedule and manage tasks effectively with organizational and multitasking skills Conflict resolution and problem-solving skills Strong commitment to teamwork BA or BS degree or equivalent is required. Travel is required (i.e. to the annual meeting, approx. 5-7 days). Attendance at quality and payment related meetings outside the office (i.e. CMS in Baltimore) Remote – with manager approval, this position is eligible 3 days a week. Current COVID vaccination required