The Advocacy Specialist communicates and interacts with multiple public and private payers and regulatory agencies including CMS and the Oregon Health Authority. This visible position serves as a resource for OMA members through engagement and support and by providing reimbursement and payment advocacy to the membership as part of the Knowledge Center team.
The Advocacy Specialist will monitor trends in health care economics, keep abreast of and report on rules and regulations impacting medical practice, and develop expertise in specific policy areas. This includes representing OMA in various forums, preparing written communication for internal and external audiences and participating in the development of education for members and their staff.
Responsible for OMA’s payment advocacy and coding helpline, part of OMA’s Knowledge Center. Facilitates communications between physician practices and health insurers and regulatory agencies
Maintains and develops relationships between the OMA and health plans, regulatory agencies and other stakeholders
Serves as a technical resource for practices regarding issues with commercial health plans; Medicare, Medicaid, and other public payers; HIPAA; the Quality Payment Program; reimbursement; practice management; as well as regulatory and compliance concerns
Assists in the development of internal and external communications as needed for OMA publications, products or services
Monitors, analyzes and reports on changes, trends, and rules and regulations that impact medical practice
Reviews legislation, rules and regulations on payer, payment or related issues
Performs policy research
Interfaces with the education team on recommendations for the development of practice management and CME programming related to specific policy areas
Represents the OMA at various coalitions, meetings and work groups
Provides support on projects related to regulatory implementation and compliance
Plans or implements special projects as assigned, including surveys and grants
Serves as support staff for OMA member committees and task forces as assigned
QUALIFICATIONS & EXPERIENCE
Bachelor’s degree required
At least two years’ experience in a professional organization or non-profit
Strong interest in advocacy
Knowledge of third-party payers (Medicare, Medicaid and commercial), health care coding, billing, reimbursement, and compliance regulations that impact a medical practice is preferred
Experience with policy related to medical practice is preferred
Experience in policy research involving advocacy, regulations or rules
Excellent written and verbal communication skills
Must have the ability to provide an exceptional level of customer service and the aptitude to maintain ongoing member relations
Must be a flexible, highly-motivated team player who is able to work independently
Experience managing projects, with exemplary organizational skills, attention to detail and discretion with confidential information desired
Experience in grant writing a plus
Intermediate to advanced level knowledge of Microsoft Office products including Excel, Word, PowerPoint and Outlook. Knowledge of electronic survey software, such as Zoomerang or Survey Monkey, a plus
Work involves walking, talking, hearing, using hands to handle, feel or operate objects, tools or controls and reaching with hands and arms. Vision capabilities required by this job include close vision and ability to adjust focus.
To apply for a position, please send a cover letter and resume in PDF format. Please note, a cover letter is required for highest consideration of your application.