DEPARTMENT Medical Economics
To facilitate the physician-lead creation of medical economic policy for the Association; develop and manage TMA medical economic advocacy strategies at both state and national levels that support the successful operations of medical practices in Texas. Monitor and assess state and federal regulations that have a direct economic impact on medical practice. Manage TMA’s relationships with the Centers for Medicare & Medicaid Services (CMS), private insurers, Medicaid carriers, and Texas Department of Insurance and Workers’ Compensation.
1. Maintain an inventory of medical practice types available to Texas physicians (independent private practice, employed, accountable care/value-based care, etc.) and develop strategies and support services that help physicians thrive in these practice settings.
2. Coordinate and monitor relationships between physician practices and private and public third-party payors.
3. Work collaboratively across TMA divisions and departments to plan and direct TMA’s medical economics legislative activities.
4. Work collaboratively across the state with County Medical Societies and State Specialty Societies to plan and direct TMA’s medical economics legislative activities.
5. Write and edit TMA comments on proposed regulations and legislation in coordination with other TMA divisions.
6. Collaborate with Division of Communications in the drafting of Texas Medicine , TMA website and other communication methods.
7. Staff TMA Council on Socioeconomics, and oversee staff who support it’s subcommittees at all conferences, including Fall and Winter Conferences and TEXMED.
8. Staff TMA Reference Committee on Socioeconomics at annual TEXMED meeting.
9. Staff AMA Reference Committees as assigned.
10. Analyze AMA resolutions for compliance with TMA policy, advise AMA delegation as to whether TMA should support, monitor or oppose.
11. Work with General Counsel staff on regulatory implementation.
12. Assist in the development of and monitor Divisional budget.
13. Supervise the staff of the Division of Medical Economics.
14. Participate in the development and delivery of educational programs by serving as a content expert on billing, coding, reimbursement, regulatory, and payor issues.
15. Perform other related duties as directed or required.
Provides general supervision to a department, makes recommendations regarding hiring/firing, but does not have full responsibility; or a department with less than five full-time subordinates.
Assignments are complex and may vary greatly. They require the exercise of independent judgment regarding the definition of basic problems and determination of courses of action to be taken.
GENERAL QUALIFICATION REQUIREMENTS
Knowledge and Experience:
Requires thorough understanding of a comprehensive field of knowledge. Knowledge required is normally equivalent to the attainment of bachelor's degree, several years (e.g., 3-5 years) work experience and major certification, or 5 or more years without certification; or attainment of a master's degree and several years (e.g., 3-5) experience; or the knowledge required is normally equivalent to the attainment of a doctorate or Juris doctorate.
Skills and Abilities:
Ability to understand and follow oral and written instructions and to deal effectively with other TMA employees and members. Must be organized and able to pay strict attention to detail while handling multiple tasks. Ability to plan work which requires analysis or interpretative thinking regarding more than one situation to develop solutions for problems, major TMA programs or functional areas, and courses of action normally for a major TMA program or functional area.
Your application was submitted successfully.