Headquartered in Rosemont, Illinois, the American Academy of Dermatology (AAD), founded in 1938, is the largest, most influential, and most representative of all dermatologic associations.
With a membership of more than 20,500 physicians worldwide, the AAD is committed to: advancing the diagnosis and medical, surgical, and cosmetic treatment of the skin, hair, and nails; advocating high standards in clinical practice, education, and research in dermatology; and supporting and enhancing patient care for a lifetime of healthier skin, hair, and nails.
Dermatologists are leaders in providing superior and compassionate patient care, with patients having access to excellent dermatologic care at the right time and place. Patient care is continuously improved through the collection and transfer of data. The AAD is recognizing the trend in medicine toward care teams, supporting the board-certified dermatologists who lead dermatology care teams in achieving effective integration of team members to provide high-quality patient care.
At the AAD, excellence in dermatologic care through education and advocacy drives what the organization does. They provide access to dermatologic care, use a data-driven transformative care model, and are unified in their specialty. In addition, they have a strong operations team that provides support for everyone involved in the organization.
The Opportunity:
The Academy seeks a Director, Health Policy and Payment to be responsible for leading the Academy’s regulatory, payment and health policy activities, as well as public and private payer liaison activities. Competitive candidates will show success in planning and implementing Academy strategic initiatives that influence the development of regulatory, public and private payer policy proposals that have the potential to affect the delivery of dermatologic care. They will provide strategic advice to RUC and CPT teams, as well as to work groups and CCTFs that focus on coding, payment, and regulatory issues. In addition to overseeing and directing staff liaison relationships with the Centers for Medicare and Medicaid Services, the Food and Drug Administration, other agencies of interest within the Department of Health and Human Services, and private payers, the successful candidate will further the Academy’s mission by integrating regulatory and payment policy activities with those of the rest of Advocacy and Policy and the Academy. AAD anticipates this leader to participate in the overall management, directions and success of the Advocacy & Policy Division. The Director, Health Policy and Payment will also:
Lead the Academy’s regulatory, payment and health policy activities, as well as both public and private payer liaison activities. Collaborate with external stakeholders, physicians and staff to guide regulatory and payment advocacy that has the potential to affect the prevention, diagnosis and quality treatment of dermatological conditions. Regularly report to Academy leadership, regional, state and local dermatological societies on regulatory and payer proposals that could potentially affect the management of dermatology practices or the delivery of dermatological care.
Provide expertise, counsel and guidance in the formation of Academy policy and strategy on public and private payer policy issues. Oversee and direct the drafting, editing and finalization of Academy comments on proposed regulations, communications with private payers, and submissions to RUC. Evaluate and provide strategic guidance on CPT and ICD submissions and processes. Collaborate with the Practice Management Department to ensure consistency between coding and reimbursement guidance for members with the Academy’s regulatory and payer advocacy efforts.
The Candidate:
- Bachelor’s degree is required, preferably in public health, government, or political science.
- Doctor of Jurisprudence, Master’s, or other advanced degree is preferred.
- Minimum of 12 years of health policy or payer relations experience (e.g., working for a Federal agency, association/non-profit, or insurance company).
- Minimum of 8 years of people management experience with a combination of direct supervision experience with an increase in size and scope of team members. May include leading, training, and coaching non-direct reports.
- Experience in dealing with government agencies, private sector payer, and health industry representatives required.
Location: Hybrid flexibility – Washington, DC
Travel: 15% (25-30 days a year). Annual meeting, Innovation Academy and AMA RUC meetings
DRiWaterstone is proud to lead this search on behalf of American Academy of Dermatology.
