Director II, HS Program (Hybrid)

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.

We continuously work to embed equity in our internal practices and are committed to increasing the diversity of our staff across all levels of the organization. We intentionally work to create the right conditions to enable our employees to feel that they can be their authentic selves and fully participate in the life of the enterprise.

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 Director II, HS Program on our Health Solutions team. This is a hybrid position reporting into our Chicago, IL office, requiring 2 days a week in the office.

As a Director II, HS Program, you will be responsible for the overseeing and management of policy and initiatives
related to standards development for HIPAA administrative simplification
electronic standards, the National Uniform Claim Committee (NUCC), health
information exchange, and administrative burden reduction. This responsibility
includes management and participation with a breadth of organizations and
committees that are impactful to AMA Advocacy and CPT (Current Procedural
Terminology). This role is also responsible for evaluating opportunities for
CPT product protection, expansion, and strategy as they relate to policy,
program, and standards. This role collaborates closely with AMA Advocacy via
Federal Affairs and Health Policy leaders and teams.

RESPONSIBILITIES:

Interoperability Policy, Standards Strategy, & Standards Development

• Manages and provides staff support for key AMA advocacy and policy work, as guided by Health Solutions, Advocacy, and the House of Delegates.
• Leads health solutions CPT product collaboration with AMA policy and federal affairs.
• Defines interoperability policy and standards strategy and roadmap.
• Actively contributes to CPT product strategy and evaluation of opportunities for Health Solutions related to policy, program, and standards considerations.
• Provides oversight of standards, discovery, documentation and support for initiatives and ongoing surveillance across policy and standards.
• Monitors and participates in work by standard setting organizations on the development and adoption of electronic administrative standards under HIPAA.
• Actively participates in administrative standards development work, with a primary focus on claims.
• Collaborates with internal experts on joint activities to advance physicians' priorities in administrative standards, health information exchange, and burden reduction. Authors comment letters, testimony, and other related content independently or in collaboration with internal experts.
• Attends industry meetings representing the AMA and interests of physicians.
  

NUCC Operations

• Chairs and conducts secretariat functions of the National Uniform Claim Committee (NUCC).
• Manages day-to-day operations of the NUCC, including meeting planning for the biannual in-person meeting with the National Uniform Billing Committee (NUBC) and building and maintaining relationships with NUCC member organizations.
• Serves as a subject matter expert, both internally and externally, on professional claims content.
• Collaborates with internal experts in providing recommendations and input on NUCC efforts.
• Represents the NUCC on the NUBC on interests related to professional claims and participates in the organization of bi-annual meeting.
• Represents the NUCC on the HIPAA Designated Standards Maintenance Organizations (DSMO) Steering Committee supporting the adoption of new and modified HIPAA standards.

Internal & External Collaboration

• Participates in WEDI and other multi-stakeholder industry collaborative initiatives
• Represents the AMA on the WEDI Board of Directors, participates in WEDI workgroups representing physicians' interests, and represents the AMA at WEDI educational events.
• Collaborates with internal experts in providing recommendations and input on WEDI comment letters and content.
• Actively contributes to cross-Business Unit and cross-Association projects and activities, particularly on issues relating to administrative simplification, health information exchange, and burden reduction.
• Provides formal and informal representation of the AMA in high visibility forums and delivers written content and presentations to key internal and external audiences.

Staff Management

• Lead, mentor and provide management oversight for staff.
• Responsible for setting objectives, evaluating performance, and developing staff.
  

May include other responsibilities as assigned

REQUIREMENTS:

1. Bachelor's degree required; discipline in Healthcare Administration, Health Policy, Health Information Technology, or Healthcare Data Standards preferred. Graduate Degree or Certification in Healthcare Administration, Health Policy, Health Information Technology, or Healthcare Data Standards preferred.
2. Minimum 10+ years professional experience required in health care administration, health policy, or health care financing including knowledge of HIPAA administrative simplification regulations, regulatory processes, federal agencies (e.g., CMS and Assistant Secretary for Technology Policy (ASTP), and standards development organizations required.
3. Minimum 5+ years experience in people management required.
4. Minimum 5+ years of leading healthcare interoperability initiatives, programs and products preferred.
5. Proven experience managing committees, producing written reports and content for communications, presenting, and developing other educational and advocacy content.
6. Professional experience in associations highly desirable.
7. Understanding of CPT Codes preferred.
8. Strong collaboration and networking skills to build and maintain relationships with standards organizations, organized medicine, physicians and other health care professionals, government agencies, multistakeholder organizations, and outside policy bodies.
9. Exceptional communications skills, both verbal and written, required.
10. Excellent interpersonal, team building, group communication, and presentation skills required.
11. Familiarity with data standards and operating rules, such as X12, HL7, CAQH Committee on Operating Rules for Information Exchange (CORE), etc. preferred.
12. Familiarity with federal policy, agencies, and advisory groups related to health IT such as CMS, ONC/ASTP, NCVHS, HIPAA administrative simplification, privacy and security regulations, clinical measures, health-related social needs, etc. preferred.
13. Familiarity with and participation in organizations: X12, HL7, WEDI, DaVinci, AHIMA, HIMSS, Gravity, etc. preferred.
14. Some travel required

This role is an exempt position, and the salary range for this position is $200,175 - $265,812. This is the lowest to highest salary we believe we would pay for this role at the time of this posting. An employee's pay within the salary range will be determined by a variety of factors including but not limited to business consideration, geographical location, and internal equity, as well as candidate qualifications, such as skills, education, and experience. Employees are also eligible to participate in an incentive plan. To learn more about the American Medical Association's benefits offerings, please click here.

The American Medical Association is located at 330 N. Wabash Avenue, Chicago, IL 60611 and is convenient to all public transportation in Chicago.

We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant's race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.

THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION