Washington, D.C.

Washington, D.C.

San Diego, CA


Executive Director, Medicaid And LTSS Policy


January 29, 2018

­Position Summary

At the direction of the Vice President, Medicaid Policy and Advocacy, this position provides policy expertise on Medicaid long term services and supports (LTSS) programs in support of America’s Health Insurance Plans (AHIP) operating departments and member organizations.  Responsibilities include playing a leading role in the development of AHIP’s Medicaid LTSS policy agenda; closely monitoring and analyzing Federal legislative initiatives, health policy developments, and State and Federal agency policies; assisting in the preparation of concise analyses of key issues; remaining in close contact with our Medicaid LTSS health plan members and other Medicaid-focused groups; and pursuing other duties in support of AHIP’s advocacy efforts.

Specific Responsibilities

  • Supports and participates in AHIP’s government relations efforts relating to Medicaid and LTSS programs.
  • Works closely with the Senior Vice President, Federal Programs, and the Vice President, Medicaid Policy and Advocacy, in the development and execution of our Medicaid and LTSS policy agenda. Provides background analysis and information to ensure that industry positions are properly presented and aligned with positions of our member plans; and assists in development of appropriate strategies to further industry objectives.
  • Closely monitors and contributes policy expertise to government relations efforts relating to Congress, U.S. Department of Health and Human Services (DHHS), Centers for Medicare & Medicaid Services (CMS), National Governors Association (NGA), National Association of Medicaid Directors (NAMD), Medicaid and CHIP Payment and Access Commission (MACPAC), National Association of States United for Aging and Disabilities (NASUAD), state Medicaid agencies, and other governmental agencies and commissions.
  • Maintains close, ongoing contact with our Medicaid and LTSS health plan membership to ensure we are best serving their interests and allow us to best respond to inquiries from press and Congressional staff.
  • Analyzes proposed legislation and health policy reports, producing concise written summaries and reports, and evaluating and reporting on their impacts on the industry.
  • Assists in the preparation of testimony, position statements, and talking points sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations and statutes governing Medicaid and LTSS waiver programs. Prepares drafts of written reports, memos, and policy briefs to be sent to AHIP members.
  • Analyzes and compares AHIP’s Medicaid and LTSS positions in relation to positions of Medicaid stakeholders and advocates, identifying points of consistency and divergence.
  • Develops and maintains an archive of legislative and regulatory analyses, policy briefs, reports, position statements and other materials pertinent to AHIP’s Medicaid policy and advocacy work.
  • Communicates concise and clear descriptions of key issues to AHIP member plans and staff. Responds to members’ questions on Medicaid issues and requests for related materials.
  • Maintains ongoing and close contacts with other AHIP staff to share or obtain information.
  • Keeps informed of the continuous and rapid changes in the health care sector and congressional and regulatory activities which may have an impact on health insurance plans, particularly Medicare, Medicaid and LTSS health plans.
  • Performs other tasks as required or assigned.

Supervisory Responsibilities

  • No supervisory duties.


  • Knowledge of the structure and functioning of the government in terms of its impact on health affairs and the health system.
  • Knowledge of current health, Medicaid and LTSS policy issues affecting AHIP and its member organizations.
  • Detailed knowledge of the federal regulatory environment governing Medicaid, Medicaid managed care, and facility- and home and community-based LTSS.
  • Demonstrated good judgment, a well-developed sense of propriety, political acumen, the ability to think constructively, strong interpersonal skills.
  • Ability to deal with complex and changing policy and political environment.
  • Demonstrated capability of developing and maintaining access to reliable sources of information.
  • Knowledge and understanding of managed care and LTSS operations and care management.
  • Extensive knowledge of the techniques and methods of conducting policy analysis.
  • Strong leadership and organizational skills.


  • Minimum ten years’ experience performing analyses of legislation and research reports and writing concise and timely evaluations.
  • Minimum seven years’ experience providing Medicaid and LTSS policy expertise in an advocacy organization or Medicaid health plan.


  • Bachelor’s degree required.
  • Master’s degree in public health, health administration, government or public policy or other appropriate advanced degree preferred.

Certification Requirements

Physical Work Activities & Conditions

  • Light physical activities and efforts required working in an office environment.

Percent of Travel

  • Up to 25 percent of time.

The purpose of a job description is to describe the overall function and general responsibilities of a job. Job descriptions are used in hiring and training and to provide employees with a better understanding of employer expectations. Actual job functions and duties will vary as job responsibilities and business needs require.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, age, disability, religion, sex, sexual orientation, gender identity, national origin, or status as a protected veteran       

Interested candidates must send resume, references and a cover letter that includes salary requirements to:  hr@ahip.org or mail to:

America’s Health Insurance Plans (AHIP)


601 Pennsylvania Avenue, NW

South Building, Suite 500

Washington, DC 20004