Job description

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). #ZR

Requirements