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Manager Healthcare Regulatory Policy Analysis

Manager Healthcare Regulatory Policy Analysis

DaVita IncNashville, TN, US
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Healthcare Regulatory Policy Manager

The Healthcare Regulatory Policy Manager is responsible for coordinating and managing various policy projects within the ROPS Government Payor Alliance team.

The Government Payor Alliance (GPA) Team optimizes revenue and patient advocacy through public policy monitoring, data analysis, and issue resolution. GPA supports internal teams to problem solve, identify potential legal and compliance risk, and manage initiatives across Revenue Operations (ROPS) and the Village through key relationships with external partners. The successful candidate for this role will have a driven attitude, motivated by the achievement of making a direct impact on the projects that they lead, and will flourish in a highly dynamic, cross-functional team environment.

The Healthcare Regulatory Policy Manager will help guide business decisions to meet new levels of growth and performance. Successful candidates will demonstrate a track record of top performance and desire to help improve our overall health care system.

Job Duties :

  • Monitoring federal policy developments relevant to ROPS; conduct legislative / regulatory research; develop advocacy priorities and positions
  • Synthesize complex government programs / regulations into business terms to assist with policy recommendations to Federal Government Affairs
  • Support ROPS efforts with specific offices within HHS including CMS, CMMI, ESRD PPS team, CCIIO, MA and Technology and Coding team
  • Attend meetings / briefings relevant to kidney care policy issues and provide summaries and overviews as needed
  • Build financial models to support legislative and regulatory advocacy
  • Serve as Liaison with Compliance, Medical Records, and other teams, partner as assigned to communicate new information as relevant, to identify areas of opportunity for process improvement, and to develop partnerships as needed to ensure accurate and timely Government Billing and follow up
  • Project Management where you will take ownership and assist managing various projects. You will oversee the workflow, ensuring projects are executed efficiently, while collaborating with cross-functional teams to coordinate timelines and deliverables. Your role will involve developing comprehensive project plans, tracking progress, and documenting decisions to ensure alignment across all stakeholders. By maintaining a high level of organization and communication, you will help drive successful project outcomes while ensuring that projects are delivered with the highest quality standards.
  • In-depth knowledge of state and federal policy.

Job-related knowledge :

  • Understanding of the Federal regulatory processes and familiarity with the legislative process
  • Knowledge of and experience with Medicare payment, Medicare Advantage, and other healthcare policies and systems
  • Ability to analyze legislative and regulatory publications and coherently distill the output
  • Job-related skills :

  • Strong writing skills
  • MS-Office Suite : Word, Excel and other database programs, PowerPoint and Outlook
  • Ability to analyze regulatory publications
  • Intellectual, creative, and / or communication abilities :

  • Critical thinking skills
  • Ability to schedule and manage tasks effectively
  • Written and verbal communication skills
  • Strong commitment to teamwork
  • Organizational and multitasking skills
  • BA or BS degree or equivalent is required. Previous health care payment policy work experience in a health association, governmental agency, or the private sector dealing with Medicare, health care payment policy, or other health policy issues, required. Experience in kidney care policy preferred.

    More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

  • Comprehensive benefits : Medical, dental, vision, 401(k) match, paid time off, PTO cash out
  • Support for you and your family : Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity / paternity leave and more
  • Professional development programs : DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
  • At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

    This position will be open for a minimum of three days. Salary / Wage Range $68,000.00 - $115,000.00 / year If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.

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    Manager Regulatory • Nashville, TN, US

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