Government Programs Policy Specialist

Job Overview

Government Programs Policy Specialist Job (New York, NY – Remote)

Join MetroPlus Health Plan as a Government Programs Policy Specialist! This full-time, remote position offers a competitive salary ranging from $86,000 to $95,790 a year. While primarily remote, you’ll join a team based in New York, NY, with in-office presence only as needed for key meetings, collaboration, or business needs.

MetroPlusHealth stands firmly on the belief that healthcare is a right, not a privilege. Consequently, we commit to empowering New Yorkers by uniting communities through care. If you possess both compassion and a collaborative spirit, then consider working with us. Ultimately, you’ll truly feel proud of your daily contributions as a Government Programs Policy Specialist.

As a wholly-owned subsidiary of NYC Health + Hospitals, which is incidentally the largest public health system in the United States, MetroPlusHealth delivers top-tier healthcare services. Specifically, we serve residents across Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive suite of products. These include, but are not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, and Essential Plan. Indeed, our network encompasses over 27,000 primary care providers, specialists, and participating clinics. For more than 30 years, MetroPlus has consistently built strong relationships with members and providers, thereby enabling New Yorkers to live their healthiest lives.

Position Overview for a Government Programs Policy Specialist

As a Government Programs Policy Specialist, you will proactively conduct regulatory research and, moreover, assist in implementing various government initiatives. Furthermore, this position serves as a crucial liaison for MetroPlusHealth, participating in various committees and workgroups to offer guidance for operational needs related to government programs policy.

Government Programs Policy Specialist Job (New York, NY – Remote)

Key Responsibilities for this Policy Specialist Role

You will take on significant responsibilities in this vital government programs policy specialist role. Expect to:

Monitor, distribute, interpret, and analyze a high volume of new laws, regulations, and guidance specifically applicable to designated business units.
Next, track, monitor, and assess pending legislation and regulations for their potential impact on the organization.
Subsequently, coordinate, collaborate with, and guide MetroPlusHealth departments through the implementation of impactful regulatory and legislative changes.
Additionally, complete timely research for regulatory questions concerning department processes, policies, procedures, or materials for applicable business units.
Respond to requests for regulatory guidance; this includes conducting thorough research, answering questions, and providing clear clarification on new rules, regulations, and/or administrative directives.
Furthermore, develop comprehensive guidance for other departments on contract obligations, broken down by line of business.
Support the regular development and review of Regulatory and Compliance policies and procedures for the general operation of the Plan’s business. This is a core duty for any government programs policy specialist.
Beyond that, contribute quality and timely data for materials prepared for both the Internal Compliance Committee Meetings and the Audit and Compliance Subcommittee of the Board of Directors.
Develop workplans and monitor progress for all regulatory-based requests.
Finally, perform other duties as assigned or requested.

Minimum Qualifications for a Government Programs Policy Specialist

To qualify for this Government Programs Policy Specialist role, you must possess:

A Bachelor’s Degree.
At least 5 years of experience, moreover, demonstrating strong knowledge in researching, reviewing, and interpreting laws and regulations.
Specifically, 3-5 years of Medicaid Managed Care or Managed Care Special Needs Plan experience.
Furthermore, prior successful experience working with regulators on compliance audits, reporting, and other related matters.
Proven experience managing complicated projects, meticulously tracking details, and staging work to deliver projects on time.
A demonstrated ability to clearly articulate regulatory requirements to both business and technical staff, thereby effectively capturing information and achieving results.
Lastly, proficiency in conducting research using LexisNexis, Westlaw, as well as Microsoft Word, Excel, PowerPoint, and SharePoint.

Professional Competencies for a Policy Specialist

Successful candidates will also exhibit:

Strong project management skills, including the ability to handle multiple projects concurrently and consistently meet deadlines.
Effective process improvement skills.
Excellent written communication, research, and editing skills.
Beyond that, the ability to lead, influence, and build strong relationships with stakeholders across the organization. This is vital for a policy specialist engaging with various government programs.
Sound working knowledge of Word, Excel, PowerPoint, SharePoint, and Visio.
Comprehensive knowledge of healthcare policies.
Creative problem-solving abilities.
Finally, the utmost integrity in handling confidential materials.

Apply here: https://www.indeed.com/viewjob?jk=5f1022a772950a7c&tk=1iujbrklsi8qs82n&from=serp&vjs=3

Frequently Asked Questions (FAQs) for this Government Programs Policy Role

Q: Is this position fully remote? A: This is a primarily remote position. You can work from home but may need to come into the New York City office as needed for key meetings, collaboration, or other business needs. This arrangement is typical for a remote policy specialist at our organization.
Q: What is the primary focus of this role? A: The main focus is on regulatory compliance and policy. Specifically, you will monitor and interpret laws, regulations, and guidance from government programs, ensuring the health plan stays compliant.
Q: What type of health plan experience is preferred? A: We are seeking candidates with specific experience in Medicaid Managed Care or Managed Care Special Needs Plans. This knowledge, indeed, is crucial for a Government Programs Policy Specialist.
Q: What are the key tools and software I should be proficient in? A: Proficiency in legal research tools like LexisNexis and Westlaw is required. In addition, you should also be highly skilled in Microsoft Office Suite (Word, Excel, PowerPoint, SharePoint).

Apply here: https://www.indeed.com/viewjob?jk=5f1022a772950a7c&tk=1iujbrklsi8qs82n&from=serp&vjs=3