Company: RCM Health Care Services
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 – $95,000Government 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.
- 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).
Expected salary: $86000 - 95000 per year
Location: New York City, NY
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