Healthcare Policy Team Lead

Guidehouse

. Lead identification, interpretation, and implementation of policy requirements governing Exchange review and audit activities .

Posted 11/5/2026full-timeUnited StatesSenior💰 $113,000 - $188,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in policy interpretation and implementation within the context of Exchange review and audit activities, with a strong focus on regulatory analysis and stakeholder management. Proven ability to lead teams, oversee multiple workstreams, and ensure quality deliverables in compliance with the Affordable Care Act.

Highest-signal resume keywords

Policy InterpretationRegulatory AnalysisStakeholder ManagementTeam LeadershipAffordable Care Act Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Policy Requirements ImplementationImproper Payment Measurement MethodologyReview Unit Logic UpdatesQuality Review of DeliverablesConcurrent Workstream Oversight

Soft Skills

Excellent Communication SkillsStrong Stakeholder Management

Tools & Technologies

Review ToolsScripts

Certifications & Qualifications

Public Trust Clearance

Industry Keywords

Exchange ReviewAudit ActivitiesFederally Facilitated ExchangesState-Based ExchangesHealth Insurance Markets

About the role

Key responsibilities & impact

Lead identification, interpretation, and implementation of policy requirements governing Exchange review and audit activities
Lead a team of multiple policy team members by assigning responsibilities, setting priorities, and overseeing quality and timely completion
Monitor federal and state policy changes, court rulings, annual Exchange regulations, sub-regulatory guidance, and system and operations documentation
Assess impacts of changes on Exchange Improper Payment Measurement (EIPM) methodology
Establish policy interpretations for consistent application by reviewers
Oversee updates to review unit logic, scripts, and review tools
Lead development and quality review of policy update deliverables
Resolve or elevate policy questions
Coordinate with technical, review, and data teams to translate policy decisions into review procedures and tools

Requirements

What you’ll need

Bachelor’s degree
FIVE (5) + years of relevant experience, at least 2 in a management capacity
Experience with regulatory analysis
Experience working in or knowledge of the Affordable Care Act, specifically Federally Facilitated Exchanges, State-Based Exchanges and health insurance markets and exchanges
Ability to oversee multiple concurrent workstreams
Excellent communication skills (verbal and written)
Strong stakeholder management skills and experience
Ability to obtain Public Trust clearance

Benefits

Comp & perks

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend
Up to 10% travel