Serco is seeking a motivated and results driven health policy advisor to shape and drive strategic policy and operations initiatives. The candidate would join our talented and fast-paced team supporting millions of people applying for healthcare coverage via the Affordable Care Act (ACA) Health Insurance Marketplace (Marketplace). This dynamic position will provide thought leadership and management to implement policy and program changes for processes and systems that review, adjudicate, and assist consumer applications. As such, the candidate in this role will closely collaborate with Serco Leadership; Service Delivery, IT Solutions and Delivery; and Operations teams; and CMS Executives.

The candidate in this position ideally brings the unique combination of subject matter expertise in health insurance markets trends, federal and state health insurance policies and programs (such as the ACA Marketplaces, Medicaid/CHIP and Medicare), as well as technical understanding of eligibility and enrollment processes to coordinate and optimize multiple aspects of verification operations.

This role is primarily located in Serco’s Herndon, VA office with possibility of telework options. 

In this role, you will:

Advise on health and insurance policies, program changes, and market trends that would impact CMS programs, especially the ACA Marketplace eligibility and enrollment operations

• Monitor health policy-related guidance, regulations, and legislation
• Research, analyze and report on market and insurance coverage trends
• Stay abreast of CMS programs and latest analysis, research, evaluations, and reports from government, industry, think tanks, and advocacy organizations
• Proactively identify potential changes that impact consumer applying for health insurance through the Marketplace and provide in-depth analysis and recommendations
• Develop strategic planning and program improvements initiatives that would optimize Marketplace eligibility processing and enhance consumer enrollment outcomes

Serve as an eligibility and enrollment policy subject matter expert integrating knowledge of the eligibility policy to Marketplace verification program process and operations

• Support leadership and teams (business, operations, and systems teams) on eligibility requirements as policy changes or processes are improved or enhanced
• Incorporate policy changes and operationalize new or revised guidance
• Manage and/or coordinate priority projects that crosscut multiple teams and product lines to analyze business, functional, and technical requirements; draft operational plans and documentation; and develop performance analytics

Perform liaison role delivering executive level communication and consultation

• Deliver strategic written and oral briefings to CMS and Serco Leadership with clear and concise descriptions on policy and/or program changes including options, requirements, and potential impacts
• Communicate key policy changes to CMS and Serco teams through detailed, well-written memos, briefs, analysis, evaluations, reports and presentations
• Develop and maintain effective and efficient working relationships with the Client, interfacing with government SMEs and Serco teams

Contribute to business development efforts to accelerate growth

• Identify and pursue potential business opportunities that align with Serco’s objectives and capabilities
• Provide policy, implementation, and innovation expertise in drafting responses to sources sought, request for proposals, and other business development requirements

Performs other tasks as required or assigned

Required Qualifications:

• Bachelor’s degree in relevant field, e.g. public health, health administration, government, or law or other appropriate degree required
• Minimum five year's project management experience for complex government program
• Minimum five years’ experience providing ACA Health Insurance Marketplace policy expertise in government or advocacy organization; OR Minimum five years of experience performing legislative, regulatory and program analyses and/or research on government health programs (such as Marketplace, Medicaid, CHIP, and Medicare) and/or private health insurance
• Demonstrated knowledge of the Marketplace eligibility and enrollment policies and processes, or other federal health programs (such as Medicaid, Children’s Health Insurance Program or Medicare) and private health insurance industry
• Ability to travel up to 10% of the time

Desired Competencies:

• Expertise in Affordable Care Act legislative, regulatory and sub-regulatory guidance
• Well-versed on the Marketplace eligibility and enrollment processes and the operations that support verifications
• Knowledge of other federal health programs (such as Medicaid, Children’s Health Insurance Program and Medicare) and private health insurance industry
• Understanding of ACA and Marketplace policy issues affecting consumer coverage
• Demonstrated capabilities in qualitative and quantitative research and analysis, especially related to CMS programs
• Ability to navigate with complex and changing policy and political environment
• Strong leadership and organizational skills
• Exceptional interpersonal and Client management skills
• Strong verbal and written communications skills

If you are interested in supporting our mission and working with a passionate team - then submit your application now for immediate consideration. It only takes a few minutes and could change your career!

Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco’s 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.

To review Serco benefits please visit: https://www.serco.com/na/careers/benefits-of-choosing-serco. If you require an accommodation with the application process please email: careers@serco-na.com or call the HR Service Desk at 800-628-6458, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email.

Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see our Applicant Privacy Policy and Notice.

Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email Agencies@serco-na.com.

Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Our Total Rewards package includes competitive pay, performance-based incentives, and benefits that promote well-being and work-life balance—so you can thrive both professionally and personally. Eligible employees also gain access to a wide range of benefits from comprehensive health coverage and health savings accounts to retirement plans, life and disability insurance, and time-off programs that support work-life balance. Program availability may vary based on factors such as contract type, location, hire date, and applicable collective bargaining agreements.

Salary range: The range for this position can be found at the top of the posting. This range is provided as a general guideline and represents a good faith estimate across all experience levels. Actual base salary will be determined by a variety of factors, including but not limited to, the scope of the role, relevant experience, job-related knowledge, education and training, key skills, and geographic market considerations. For roles available in multiple states, the range may vary to reflect differences in local labor markets. In addition to base salary, eligible positions may include other forms of compensation such as annual bonuses or long-term incentive opportunities.

Benefits HIGHLIGHTS – Comprehensible Benefits for Full-time Employees (Part-time members receive a customized package tailored to their role).

• Medical, dental, and vision insurance
• Robust vacation and sick leave benefits, and flexible work arrangements where permitted by role or contract
• 401(k) plan that includes employer matching funds
• Tuition reimbursement program
• Life insurance and disability coverage
• Optional coverages you can buy, including pet insurance, home and auto insurance, additional life and accident insurance, critical illness insurance, group legal, ID theft protection
• Birth, adoption, parental leave benefits
• Employee Assistance Plan that includes counseling conditions
• Specific benefits are dependent upon the specific contract as well as whether the position is covered by a collective bargaining agreement or the Service Contract Act.

To review all Serco benefits please visit: https://www.serco.com/na/careers/about-us.

Serco complies with all applicable state and local leave laws, including providing time off under the Colorado Healthy Families and Workplaces Act for eligible Colorado residents, in alignment with our policies and benefit plans. The application window for this position is for no more than 60 days. We encourage candidates to apply promptly after the posting date, as the position may close earlier if filled or if the application volume exceeds expectations. Please submit applications exclusively through Serco’s external (or internal) career site. This is a U.S.-based role. If an applicant has any concerns with job posting compliance, please send an email to: careers@serco-na.com.