Government Programs Policy Specialist / Mostly Remote / NYC

Job Description

Job DescriptionGovernment 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).

#ZRCompany DescriptionRCM Health Care Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates to reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.

Company Description

RCM Health Care Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates to reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.