Government Programs Policy Specialist / Mostly Remote / NYC

Job title: Government Programs Policy Specialist / Mostly Remote / NYC in New York City, NY at RCM Health Care Services

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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