Government Programs Policy Specialist / Mostly Remote / NYC Job Type: Full-Time, Permanent
Location: Primarily Remote - In-office presence in NYC only as needed for key meetings or collaboration
Schedule: Monday through Friday, Standard Business Hours
Salary Range: $86,000 - $95,000
Government Programs Policy Specialist Position Overview We are seeking a
Government Programs Policy Specialist to support compliance and regulatory efforts within a mission-driven health plan. This role is responsible for conducting in-depth regulatory research, tracking legislative changes, and guiding internal teams through the implementation of evolving government program requirements.
While primarily remote, this position may require occasional in-office attendance in New York City for important meetings or collaborative projects.
Government Programs Policy Specialist Key Responsibilities - Monitor, interpret, and distribute a high volume of regulatory updates, laws, and guidance affecting specific business units.
- Assess the impact of pending legislation and regulations on organizational operations and compliance.
- Partner with internal departments to coordinate the implementation of new regulatory and legislative changes.
- Conduct timely research to respond to regulatory questions related to processes, policies, and procedures.
- Provide clear guidance on regulatory and contractual obligations across various lines of business.
- Support the development and periodic review of compliance policies and procedures.
- Contribute accurate, timely data and analysis for Compliance Committee and Board Subcommittee reports.
- Develop work plans and monitor progress for projects tied to regulatory requirements.
- Perform additional duties as assigned.
Government Programs Policy Specialist Qualifications - Bachelor's degree required.
- Minimum 5 years of experience in regulatory research and interpretation.
- 3-5 years of experience in Medicaid Managed Care or Special Needs Plans.
- Demonstrated success working with regulatory agencies on audits, reporting, and compliance matters.
- Strong project management skills with the ability to handle complex initiatives and meet deadlines.
- Effective communicator with the ability to translate complex regulations into clear operational guidance.
- Proficient with research tools such as LexisNexis and Westlaw, and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
