DescriptionThe Public Policy Lead develops and maintains policies and programs to ensure organizational awareness of legislation and/or regulatory issues that affect the organization. The Public Policy Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
The Public Policy Lead analyzes technical legislation and regulatory proposals for the purposes of developing policy positioning; mitigation of compliance and reputational risks; and supporting both the business and public relations strategies. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
The Public Policy Lead also serves as a subject matter expert for the PBM working with both internal customers of Humana Pharmacy Solutions (HPS) and with external customers including selected trade/professional associations, Humana Corporate Affairs, and other Humana business segments. This position will analyze legislation and regulations at the federal and state level to determine business impact and alternative proposals to mitigate the business impact. This position will collaborate with national trade groups for analysis and strategy purposes and will report on current initiatives and regulations and the impact to both Humana and Humana Pharmacy Solutions.
Other job responsibilities:
•Prepares internal documents to inform business owners of potential changes to rules and regulations
•Strategizes solutions to complex problems
•Solve complex problems and develop innovative solutions
•Promotes a sense of urgency and help prioritize options to address legislative and regulatory issues as they arise
•Collaborate with trade associations to develop strategies to influence public policy
•Identify and delivers efficiencies in reporting key state regulatory and legislative metrics
•Provide regular reports and initiate white papers to update and educate senior leadership
•Drives action through influence, motivates others, and acts as a resource to others with less expertise
•Willingness to independently manage other projects as assigned
- Degree in Pharmacy and/or JD or equivalent professional Pharmacy industry experience-
- Bachelor's degree in Political Science, Health Science, or related field
- 5+ years of Health Plan, PBM, or Pharmaceutical industry experience
- Demonstrates knowledge of state and federal legislation
- Proficient with MS Excel, Word and PowerPoint
- Advanced verbal and written communication skills
- Ability to independently interact effectively with internal business partners
- Experience in the evaluation of Legislation and Regulation impacting the administration and provision of Pharmacy Benefits
- Familiarity with Medicare regulations and processes
- 5+ years of experience working with a government entity, specifically with experience working within the regulatory and legislative processes
- Reporting Relationships:
- You will report to the Vice President, Pharmacy Professional Affairs.
Scheduled Weekly Hours40