Government Programs Policy Specialist / Mostly Remote / NYC - RCM Healthcare Services : Job Details

Government Programs Policy Specialist / Mostly Remote / NYCJob Type: Full-Time, PermanentLocation: Primarily Remote - In-office presence in NYC only as needed for key meetings or collaborationSchedule: Monday through Friday, Standard Business HoursSalary Range: $86,000 - $95,000Government Programs Policy Specialist Position OverviewWe 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).