Policy & Implementation Specialist

at Serco in Boise, Idaho, United States

Job Description

Position Description & Qualifications

Serco is seeking a motivated and results driven Policy & Implementation Specialist to shape and drive strategic policy and operations initiatives. The candidate would join our talented and fast-paced team supporting millions of people applying for healthcare coverage via the Affordable Care Act (ACA) Health Insurance Marketplace (Marketplace). This dynamic position will provide thought leadership and management to implement policy and program changes for processes and systems that review, adjudicate, and assist consumer applications. As such, the candidate in this role will closely collaborate with Serco Leadership; Service Delivery, IT Solutions and Delivery; and Operations teams; and CMS Executives.

The candidate in this position ideally brings the unique combination of ACA knowledge, subject matter expertise in health insurance markets trends, and federal and state health insurance policies and programs (such as the ACA Marketplaces, Medicaid/CHIP and Medicare), as well as technical understanding of eligibility and enrollment processes to coordinate and optimize multiple aspects of verification operations.

Responsibilities:

Advise on health and insurance policies, program changes, and market trends that would impact CMS programs, especially the ACA Marketplace eligibility and enrollment operations

+ Monitor health policy-related guidance, regulations, and legislation

+ Research, analyze and report on market and insurance coverage trends

+ Stay abreast of CMS programs and latest analysis, research, evaluations, and reports from government, industry, think tanks, and advocacy organizations

+ Use research and monitoring to proactively identify potential changes that may impact consumers applying for health insurance through the Marketplace, provide analysis and recommendations as appropriate

Serve as an ACA policy expert integrating knowledge of Marketplace eligibility and enrollment policy into the Marketplace verification process and operations

+ Support leadership and teams (business, operations, and systems teams) on eligibility requirements as policy changes or processes are improved or enhanced

+ Incorporate policy changes and operationalize new or revised guidance

+ Manage and/or coordinate priority projects that crosscut multiple teams and product lines to analyze business, functional, and technical requirements; draft operational plans and documentation; develop performance analytics; and track and meet deliverable schedules

Perform liaison role delivering executive level communication and consultation

+ Deliver strategic written and oral briefings to CMS and Serco Leadership with clear and concise descriptions on policy and/or program changes including options, requirements, and potential impacts

+ Communicate key policy changes to CMS and Serco teams through storytelling in detailed, well-written memos, briefs, analysis, evaluations, reports and presentations

+ Develop and maintain effective and efficient working relationships with the Client, interfacing with government SMEs and Serco teams

Contribute to business development efforts to accelerate growth

+ Identify and pursue potential business opportunities that align with Serco’s objectives and capabilities

+ Provide policy, implementation, and innovation expertise in drafting responses to sources sought, request for proposals, and other business development requirements

Performs other tasks as required or assigned

To be successful in this role, you must have:

+ Bachelor’s degree in relevant field, e.g. public health, health administration, government, or law or other appropriate degree required

+ Minimum eight year’s project management experience for complex government program

+ Minimum eight years’ experience providing ACA Health Insurance Marketplace policy expertise in government or advocacy organization; OR Minimum five years of experience performing legislative, regulatory and program analyses and/or research on government health programs (such as Marketplace, Medicaid, CHIP, and Medicare) and/or private health insurance

+ Demonstrated knowledge of the Marketplace eligibility and enrollment policies and processes, or other federal health programs (such as Medicaid, Children’s Health Insurance Program or Medicare) and private health insurance industry

+ Ability to travel up to 10% of the time

Desired Skills:

+ Expertise in Affordable Care Act legislative, regulatory and sub-regulatory guidance

+ Well-versed on the Marketplace eligibility and enrollment processes and the operations that support verifications

+ Knowledge of other federal health programs (such as Medicaid, Children’s Health Insurance Program and Medicare) and private health insurance industry

+ Understanding of ACA and Marketplace policy issues affecting consumer coverage

+ Demonstrated capabilities in qualitative and quantitative research and analysis, especially related to CMS programs

+ Ability to navigate with complex and changing policy and political environment

+ Strong leadership and organizational skills

+ Exceptional interpersonal and Client management skills

+ Strong verbal and written communications skills

If you are interested in supporting our mission and working with a passionate team – then submit your application now for immediate consideration. It only takes a few minutes and could change your career!

Company Overview

Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco’s 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.

To review Serco benefits please visit: https://careers.serco-na.com/us/en/what-we-offer . If you require an accommodation with the application process please email: careers@serco-na.com or call the HR Service Desk at 800-628-6458, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email.

Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see our Applicant Privacy Policy and Notice.

Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email Agencies@serco-na.com .

Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Pay Transparency

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