Senior Policy and Governance Analyst Jefferson Health Plans

Number of Positions In Requisition

1

Job Details

The Senior Policy and Governance Analyst monitors analyzes and evaluates federal and state legislative and regulatory developments affecting Medicaid CHIP ACA Qualified Health Plans and Medicare Advantage programs. This role supports the organizations policy strategy by conducting impact assessments coordinating responses to proposed legislation and regulations and collaborating with internal and external stakeholders on advocacy efforts. By providing policy analysis executive briefings governance support and industry engagement the position helps inform organizational decision-making and advance strategic policy objectives.

Job Description

Summary
The Senior Policy and Governance Analyst monitors analyzes and evaluates federal and state legislative and regulatory developments affecting Medicaid CHIP ACA Qualified Health Plans and Medicare Advantage programs. This role supports the organizations policy strategy by conducting impact assessments coordinating responses to proposed legislation and regulations and collaborating with internal and external stakeholders on advocacy efforts. By providing policy analysis executive briefings governance support and industry engagement the position helps inform organizational decision-making and advance strategic policy objectives.

Job Duties

• Policy Analysis & Research - Conduct detailed analysis of proposed legislation and regulations to assess:o Business and operational impacto Compliance implicationso Financial and competitive considerationsDevelop regulator-ready summaries issue briefs and impact assessments for internal stakeholders and leadership.
• Regulatory Comment & Response Development - Lead or support development of:o Public comment letterso Regulatory feedback submissionso Policy position documentsEnsure positions are well-supported aligned with organizational strategy and responsive to regulatory intent.
• ELT Policy & Governance Support - Provide analytical and strategic support for executive leadership team and internal governance materials including:o Briefing memoso Decision frameworkso Executive summaries for leadership reviewTrack and follow through on policy decisions and action items.
• External Engagement & Collaboration - Coordinate and collaborate with:o Trade associations and industry groups (e.g. AHIP PAMCO and other associations)o External policy organizations and coalitionso Consultants and regulatory advisorsRepresent organizational perspectives in workgroups policy forums and stakeholder discussions as appropriate.
• Cross-Functional Coordination - Partner with internal teams (e.g. Product Compliance Legal Government Affairs) to:o Align on policy positionso Assess downstream implications of proposed policieso Ensure readiness for potential regulatory changes
• Strategic Policy Support - Identify emerging policy trends and risks across government forward-looking insights to support proactive policy positioning and advocacy development of executive-level briefings and board materials on key regulatory developments.
• Regulatory & Legislative Monitoring - Monitor and track federal and state legislative and regulatory activity including:o Proposed and final rules (e.g. CMS HHS IRS)o State legislation and agency guidance (e.g. DHS PID Pennie)Maintain a centralized tracking mechanism for proposed and enacted policy changes impacting government programs.

Minimum Qualifications

• Bachelors Degree Public Health Business Administration Health Policy or a related field
• 5 years Health Policy Regulatory Affairs Government Affairs or related field
• Strong understanding of State and Federal rulemaking process including legislative and regulatory environments
• Familiarity with Pennsylvania regulatory landscape (Department of Human Services Pennsylvania Insurance Department Bureau of CHIP Pennie)
• Proven ability to: analyze complex policy and regulatory proposals translate requirements into clear strategic insights and draft high-quality persuasive written materials (e.g. comment letters briefs)
• Strong stakeholder management and collaboration skills including experience engaging with regulators congressional and senate staff industry associations and cross-functional teams to advance policy regulatory and organizational objectives
• Ability to manage multiple priorities in a dynamic policy environment

Preferred Qualifications

• Juris Doctor
• Masters Degree
• 7 years Health Policy Regulatory Affairs Government Affairs or related field

Additional Qualifications

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing frequent keyboard use *patient care providers may be required to perform activities specific to their role including kneeling bending squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities requirements and working conditions for the position. It is intended to be an accurate reflection of the current position however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Health Partners Plans Inc.

Primary Location Address

1101 Market Philadelphia Pennsylvania United States of America

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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