Director - ODG Government Affairs

6 days ago

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MCG Health

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Healthcare Consulting • Clinical Decision Support • Clinical admission criteria • care pathways • clinical criteria

201 - 500 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

Description

• As the Director of ODG Governmental Affairs, pursue legislative and regulatory adoptions of ODG • Build relationships with regulators, legislators, and influencers on ODG adoption benefits. • Present ODG solutions at regulatory meetings and public hearings. • Monitor legislative and regulatory initiatives, participate in public comment and hearings. • Coordinate meetings and outreach to key stakeholders throughout the adoption process. • Provide regulators and legislators with supporting documentation and training programs. • Facilitate communication between jurisdictions regarding outcomes and success stories. • Participate in conferences and committees; be an expert presenter on ODG solutions. • Define and manage processes for addressing regulatory opportunities. • Oversee project management for the ODG Strategic Alliance Project manager. • Provide leadership and expertise in training and development for Account Managers and Clinical Educators. • Develop an at-risk program for state regulatory adoptees. • Collaborate with Sales and Marketing to differentiate offerings and optimize sales. • Interact with stakeholders to define operational requirements and goals. • Manage departmental operational and performance metrics reporting. • Assist in annual department budget development and management. • Participate in various committees and projects across the division as needed.

Requirements

• Experience in regulatory or legislative • Extensive Utilization Management, Case Management, Analytics and/or Claims Management experience in workers’ comp, disability and/or auto [i.e., payer, TPA and/or MCO] including experience in operations • Strong client-facing skills • Evidence of ability to engage and educate both external and internal customers evidenced by client feedback • Ability to assume a consulting role with both internal and external executive management. • Proven ability to identify potential risks to successful product and format implementations and collaborate proactively with other departments to improve success. • Skilled in usage of MS Project and MS Office • Experience with Salesforce and SharePoint • Goal oriented and action-focused, pragmatic, and self-disciplined • Limited travel may be required (average of 12 times per year) • Managerial experience • Bachelor’s degree in risk management, data analytics, or clinical degree preferred • Master’s or clinical degree preferred

Benefits

• Remote work / Hybrid work • Medical, dental, vision, life, and disability insurance • 401K retirement plan; flexible spending and health savings account • 15 days of paid time off + additional front-loaded personal days • 14 company-recognized holidays + paid volunteer days • 8 weeks of paid parental leave + 10 weeks of paid bonding leave • LGBTQ+ Health Services • Pet insurance