Government Programs Policy Specialist

MetroPlus Health Plan; New York (NY); Hybrid; USD 86,000 - 96,000; Full time

Job summary

An established industry player is seeking a Government Programs Policy Specialist to drive regulatory research and compliance initiatives. This role is pivotal in monitoring legislation, guiding departments on regulatory changes, and ensuring adherence to healthcare policies. The ideal candidate will possess strong project management skills and a collaborative spirit, thriving in a dynamic environment that values integrity and community empowerment. Join a mission-driven team dedicated to transforming healthcare for New Yorkers, where your expertise will make a meaningful impact.

Qualifications

• 5 years of experience in researching and interpreting laws and regulations.
• Experience with Medicaid Managed Care or Managed Care SNP.
• Ability to communicate regulatory requirements effectively.

Responsibilities

• Monitor and analyze new laws and regulations impacting the organization.
• Coordinate implementation of regulatory changes across departments.
• Develop guidance and support for compliance policies and procedures.

Skills

Regulatory Research

Project Management

Communication Skills

Analytical Skills

Stakeholder Relationship Building

Education

Bachelor's Degree

Tools

LexisNexis

Westlaw

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

SharePoint

Job description

Government Programs Policy Specialist

Job Ref: 119526

Category: Professional

Department: OFFICE OF CORPORATE COMPLIANCE

Location: 50 Water Street, 7th Floor, New York, NY 10004

Job Type: Regular

Employment Type: Full-Time

Hire In Rate: $86,000.00

Salary Range: $86,000.00 - $95,790.00

About MetroPlusHealth

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, work with us and be proud of what you do every day.

Position Overview

The Government Programs Policy Specialist conducts regulatory research and assists in implementing various government initiatives. The role serves as a liaison and participates in committees to provide guidance to operational needs. This position primarily operates remotely, with in-office presence as needed.

Job Description

1. Monitor, distribute, interpret, and analyze high volumes of new laws, regulations, and guidance applicable to specific business units.
2. Track, monitor, and assess pending legislation and regulations for potential organizational impact.
3. Coordinate and guide departments in implementing regulatory and legislative changes.
4. Research regulatory questions related to department processes, policies, and procedures.
5. Respond to requests for regulatory guidance, providing clarification on new rules and directives.
6. Develop guidance for departments on contract obligations by line of business.
7. Support the development and review of regulatory and compliance policies and procedures.
8. Contribute data for internal compliance and board committees.
9. Develop workplans for regulatory requests and monitor progress.
10. Perform other duties as assigned.

Minimum Qualifications

• Bachelor's Degree required.
• 5 years of experience in researching, reviewing, and interpreting laws and regulations.
• 3-5 years of Medicaid Managed Care or Managed Care SNP experience.
• Experience working with regulators on compliance audits and reporting.
• Project management skills with attention to detail.
• Ability to communicate regulatory requirements effectively.
• Proficiency in LexisNexis, Westlaw, Microsoft Word, Excel, PowerPoint, SharePoint.

Professional Competencies

• Project management and multitasking skills.
• Process improvement capabilities.
• Excellent written communication, research, and editing skills.
• Ability to influence and build stakeholder relationships.
• Knowledge of healthcare policies.
• Creative problem-solving skills.
• Integrity in handling confidential materials.