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Manager, Commercial Plan Relations

Washington, DC

The Manager of Commercial Plan Relations will lead engagement with private health insurers to advance payment and coverage policies that support obstetric and gynecologic care. This role will focus on building strategic relationships with commercial payers (e.g., UnitedHealthcare, Aetna, Humana, Blue Cross Blue Shield), advocating for adoption of ACOG clinical and coding standards, and improving member experience through enhanced coverage and reimbursement. The Manager will collaborate with internal teams and external stakeholders to ensure alignment with ACOG’s mission and health policy priorities.

Note: This position is considered Hybrid and will need to commute to ACOG's office located in Washington, D.C.

Duties and Responsibilities

  • Serve as the primary liaison to commercial health plans, including national and regional insurers.
  • Develop and implement strategies to influence payer policies on coverage, payment, and quality measures for ob-gyn services.
  • Recommend policy and advocacy strategy recommendations to supervisor, including the support of implementing such efforts to support ACOG’s policy agenda and alignment with ACOG clinical guidance.
  • As a subject matter expert, provide content for educational activities and resources related to health policy coverage for obstetrician-gynecologists and the patients they
  • Advocate for adoption of new CPT codes and ACOG policy standards across commercial plans.
  • Monitor and analyze commercial payer policies and trends impacting ob-gyn practice.
  • Prepare policy briefs, comment letters, and advocacy materials to support organizational positions.
  • Collaborate with AMA and other stakeholders on coding and payment initiatives.
  • Establish and maintain strong relationships with payer representatives, coalitions, and industry partners.
  • Represent ACOG at meetings, workgroups, and forums focused on commercial insurance and payment policy.
  • Provide guidance and resources to ACOG members on navigating commercial payer requirements.
  • Work closely with colleagues in Medicaid, Medicare, coding, and health informatics to ensure coordinated advocacy efforts.
  • Provide leadership, direction, and management of staff, including fostering a welcoming and inclusive environment through supervising staff, providing feedback, coaching, support, mentoring, performance management, and training and development opportunities as
  • Perform other duties as assigned

Required Skills/Abilities

  •  Excellent verbal and written communications skills.
  •  Excellent organizational and analytic skills, as well as attention to detail.
  •  Ability to work independently, take initiative, manage multiple projects, exercise sound professional judgment, and meet deadlines.
  •  Proficiency with Microsoft Office Suite or other related software and Internet research skills are required.
  • Excellent interpersonal skills, including the ability to work with a variety of levels of professional staff and physician volunteers is essential.

Education and Experience

  • Bachelor’s degree required; Master’s a plus.
  • 5+ years in health policy, payer relations, or related experience
  • Experience of commercial insurance markets and payment systems is essential.

 

Salary Range

$75,000 - $85,000 USD

Our Perks

Paid Parental Leave – Breastfeeding Friendly Workplace –  Flexible work schedule –  Commuting Allowance – Generous Paid Time Off – Holiday Pay – Life Insurance – Community Volunteering Opportunities – Generous 401(k) Company Contributions – Medical, Dental, and Vision Insurance – Learning Opportunities and Tuition Reimbursement – Company-Sponsored Team Outings – and more!

ACOG is an EEO employer committed to providing equal employment opportunities to all applicants and employees. As a federal government contractor and in accordance with applicable laws, regulations, and Executive Orders, the College takes affirmative action to ensure that applicants and employees covered are not discriminated against because of their race, color, religion, national origin, sex (gender), age, disability, pregnancy, marital status, sexual orientation, personal appearance, gender identity or expression, family responsibilities, political affiliation, veteran status, genetic information, or any other characteristic that is protected by applicable law. For more information about your equal employment opportunity rights, please view this poster: EEO is the Law. The College also participates in E-Verify.

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