Director of Health Policy

The Director of Health Policy is responsible for monitoring and influencing all reimbursement, and Medicare regulatory policy at the federal level that affect ophthalmologists in the United States. Develop and implement Academy strategy regarding regulatory and Medicare payment policy, CPT/ billing code valuation, other reimbursement issues as well as federal activities related to Medicare Physician quality performance and EHR issues at CMS and ONC. Supervise two health policy staff members.

Responsibilities:

• Develop strategies and provide leadership as well as maintain knowledge base related to Medicare Policies and private plan payment policy including, drafting and filing comments.
• Identify opportunities and advance the Academy’s agenda through the regulatory process.
• Act as a Spokesperson on reimbursement and other health policy issues for the Academy.
• Serve as primary staff for the Health Policy Committee.               
• Oversee the Carrier Advisory Committee, the Academy’s RUC, PEAC and CPT activities.
• Supervising/conducting surveys to defend reimbursement values and develop practice expense recommendations.
• Develop strategies and proposals for outside contracts with outside legal counsel and consultants and manage those contracts and activities.       
• Maintain trust and influence external policy staff, federal agency officials, consumer groups, consultants, medical societies, AMA, MedPAC and Academy members to promote the Academy’s agenda (improve payment and policy for ophthalmologists).
• Direct Academy communications to members on Medicare and other payment issues through various mediums including: written communications; Academy print and electronic publications; etc. in order to demonstrate the effectiveness of the Academy’s efforts.
• Oversees day-to-day operations of the department, providing supervision and guidance to staff (Manager, Quality and HIT Policy and Health Policy Specialist).
• Assures responsible development and management of the department budgets