Please note application instructions at the bottom of this page. Applications that do not include a cover letter and salary requirements will not be considered.
The Senior Manager, Reimbursement Advocacy, reports to the Senior Director, Advocacy.
Bachelor’s degree with 5-7 years of work experience in a healthcare environment required. Knowledge of health policy issues and processes, including familiarity with various payment systems, is required. Excellent written, oral presentation, attention to detail, and interpersonal skills essential. Candidate must be organized, diplomatic, innovative, flexible, member focused, and a team player. Some travel (4-5 trips per year) will be required.
This position supports the Advocacy Business Unit in the development and execution of AAO-HNS/F goals to ensure the Academy maintains a leadership role in physician payment and socioeconomics for otolaryngology-head and neck surgery services.
Participate in CPT/RUC activities and assist with preparation of physician leader presentations.
Develop comment letters and materials that assist members with participation in new payment models, regulatory compliance related to quality reporting, and optimizing reimbursement for services.
Create materials and tools to expand the knowledge base for members related to payment models and quality reporting programs.
Assist with the Academy’s private payer advocacy initiatives.
Contribute to the success of the AAO-HNS/F advocacy programs by initiating proposals and developing solutions to health policy challenges facing otolaryngologists.
Work with the AMA, CMS/CMMI, private payers, and other medical specialty societies to achieve common goals and leverage resources.
Lead discussions related to CPT/RUC issues, track relevant deadlines, and attend CPT Editorial Panel and RUC meetings, as assigned.
Assist with submission of CPT applications.
Manage process of review and update of Academy CPT for ENTs.
Oversee the review and comment on edits proposed by CMS for the NCCI.
Monitor and analyze reimbursement issues by reviewing Federal Register announcements, federal proposed and final rules, related list serves, attending meetings, conferences, member inquiries, and other activities.
Assist with the development and execution of the AAO-HNS/F’s Socioeconomic Survey and other health policy surveys as needed.
Represent, via in-person meetings or conference calls, the specialty’s interests to outside organizations on physician payment policy, including but not limited to CMS, CMMI, ACS, and AMA, and providing feedback/action items as appropriate.
Respond to member inquiries on payer and practice management issues, new payment models, private payer and CMS quality initiatives, and other related topics.
Serve as liaison to assigned Academy Committees, Workgroups, and Task Forces.
Coordinate activities and projects with other departments (e.g., Communications, Research and Quality, Education, etc.) as applicable.
Develop and maintain mutually beneficial relationships with other specialty societies, third party payers, and other professionals and organizations as appropriate.
Consistently demonstrate courteous, cooperative and helpful behavior to all contacts, internal and external.
Participate on an internal team, either through formal assignment, or on an ad hoc basis.
Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either orally or in writing.
Please submit your resume and cover letter with salary expectations (applications without a cover letter and salary expectations will not be considered) through the following options:
Online application: Use the Apply Now button above to Submit an application. Use the Message to Employer field to send your cover letter and salary requirements, and attach your resume.
Submit your resume with your cover letter and salary expectations online
Mail: AAO-HNSF, 1650 Diagonal Rd., Alexandria, VA 22314-2857 Attn: HR
About American Academy of Otolaryngology-HNSF
The American Academy of Otolaryngology – Head and Neck Surgery http://www.entnet.org one of the oldest medical associations in the nation, represents around 12,000 physicians and allied health professionals who specialize in the diagnosis and treatment of disorders of the ears, nose, throat, and related structures of the head and neck. The Academy serves its members by facilitating the advancement of the science and art of medicine related to otolaryngology and by representing the specialty in governmental and socioeconomic issues. The organization’s mission is “Empowering otolaryngologist-head and neck surgeons to deliver the best patient care.”
We take pride in our excellent benefits package offered to eligible employees, which includes medical, dental, and vision coverage. We also provide short and long term disability insurance, life insurance, flexible spending accounts, 403(b) retirement plan, credit union membership, five weeks of PTO, and nine holidays, compressed work schedules and flexible scheduling. We offer a business casual dress environment, free parking, commuter benefits, and walking distance to the King Street Metro. We are proud to be an equal opportunity employer.