Pharmaceutical Research and Manufacturers of America (PhRMA) is seeking a Director/Senior Director for its Policy and Research team to support policy, as well as legislative and regulatory analysis, for the commercial health insurance market. The individual will be responsible for supporting PhRMA policy development and response to current and emerging public policy issues on coverage across the commercial health insurance markets including insurer and pharmacy benefit manager (PBM) actions.
The Director/Sr. Director will:
- Serve as a subject matter expert on public policy matters affecting the commercial health insurance markets with a focus on insurer, health plan, and PBM actions affecting patient coverage and access.
- Provide expertise on policies related to commercial coverage regulation and oversight including in the Employee Retirement Income Security Act (ERISA) and the Affordable Care Act (ACA) as well as understand different aspects of regulation in these markets such as health maintenance organizations (HMOs), flexible spending accounts (FSAs), medical loss ratio (MLR), and Individual Coverage Health Reimbursement Arrangements (ICHRA).
- Provide expertise on issues related to vertical integration of healthcare companies.
- Understand insurer, PBM, and employer implemented copay adjustment programs such as accumulator adjustment programs, copay maximizer programs, and alternative funding programs (AFPs).
- Analyze trends, research studies, and third-party policy analyses relating to employer-based coverage and individual and small group insurance markets.
- Analyze federal regulations and other guidance from the Departments of Health and Human Services, Labor, and the Treasury and guide development of PhRMA comment letters through established work group processes and engaging outside consultants as necessary and appropriate.
- Lead the development of up-to-date talking points and materials in support of federal and state advocacy efforts on commercial health insurance coverage, including individual and small group markets, employer-sponsored insurance, and Health Insurance Marketplaces. Analyze proposed legislation to identify key areas of interest for PhRMA members and coordinate with PhRMA’s Law department and others on potential amendments and legislative alternatives.
- Prepare and deliver presentations on PhRMA’s priorities to groups external and internal to PhRMA and lead the development of slide decks, talking points, and other relevant materials.
- Support PhRMA’s advocacy and third-party engagement with employer, insurance, and patient advocacy groups.
- Identify gaps in existing research and analysis and recommend action to fill the gaps, working in concert with the Policy and Research team. Manage day-to-day interactions with external consultants on assigned department-initiated projects.
- Perform other duties as assigned.
Key Success Factors
PhRMA seeks a collaborative, proactive, self-starter who is passionate about access to medicines and contributing to the healthcare challenges we face today. Key success factors for this role include strong interpersonal skills and team focus paired with the ability to work and prioritize tasks independently. The candidate will bring substantive health policy analysis experience, particularly regarding individual- and employer-based health insurance, as well as exceptional written and verbal communication skills. The candidate should have demonstrated expertise in designing, reviewing, and interpreting in-depth policy analyses to support public policy advocacy. Lastly, the candidate should be focused, organized, detail-oriented, responsive, and diplomatic.
Professional Experience / Requirements
- Bachelor’s Degree required.
- 6+ years of experience in legislative or regulatory policy and/or advocacy.
- Strong writing that communicates clearly and persuasively on advocacy issues.
- Strong verbal communication and presentation skills.
- Ability to synthesize, distill and clearly communicate complex ideas to a non-technical audience.
- Be an adaptable, creative problem solver, who is comfortable working in a high-pressure environment.
- Excellent interpersonal skills that foster the ability to design and manage multiple projects simultaneously.
Preferred Experience / Requirements
- A Master’s degree in public policy or related field;
- Prior experience working on Capitol Hill, or at HHS, a state legislative body, state regulatory agency, PBM, health insurance company, drug manufacturer, or health care trade association or consultancy; and
- Experience developing and achieving public policy objectives in one or more of the following areas: ERISA, ACA, Health Insurance Marketplaces, or state-regulated individual and group health insurance.
Potential Salary
Director: $132,600 - $182,300 / Sr. Director: $169,300 - $237,100 per annum. Salary is commensurate with experience and other compensable factors.
Who we are The Pharmaceutical Research and Manufacturers of America (PhRMA) represents the country’s leading innovative biopharmaceutical research companies, which are laser focused on developing innovative medicines that transform lives and create a healthier world. Together, we are fighting for solutions to ensure patients can access and afford medicines that prevent, treat and cure disease. Over the last decade, PhRMA member companies have invested more than $800 billion in the search for new treatments and cures, and they support nearly five million jobs in the United States.
Connect with PhRMA
For information on how innovative medicines save lives, please visit:
www.PhRMA.org
www.Innovation.org
www.Facebook.com/PhRMA What we offerIn addition to a highly competitive salary and bonus program, various opportunities for reward and recognition and a platform of extensive benefits, PhRMA is committed to the development and overall wellbeing of our team members. We offer traditional (medical, dental, vision, flexible spending, life, AD&D, LTD, STD, LTC) and enhanced benefits such as parental leave, a well-being program, on-site fitness facility, back-up care, an employee assistance program, and pre-tax commuting benefits. We also offer a robust 401k plan with employer contributions upon the first day of hire and immediate vesting, a generous paid time off plan, -ten paid holidays (plus inauguration day), half-day Fridays preceding holidays, half-day Fridays in the summer months and a paid winter break. As an organization, we work together in the office on Mondays through Thursdays, and remotely Fridays. We also all work remotely in August. We are committed to the growth and development of our team members and offer many learning opportunities including an integrated onboarding program, best-in-class leadership programming, tuition reimbursement, industry on-site and off-site training, and other management/professional development programs. Corporate social responsibility is also important to us at PhRMA. Our team members participate in community service activities, fundraising drives, and charitable athletic events. We are committed to supporting our family of professionals at PhRMA and strive to create programs that help our team members manage the challenges of balancing a fast-paced career with their personal goals. Equal Opportunity Employer PhRMA provides equal employment opportunities to all applicants without regard to race, color, religion, national origin, sex, age, marital status, personal appearance, sexual orientation, gender identity or expression, family responsibilities, genetic information, disability, matriculation, political affiliation or veteran status in accordance with applicable federal, state and local laws governing nondiscrimination in employment. The job description contains an overview of the activities and duties for this role. Responsibilities may change and new ones may be assigned at any time.
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