Senior Policy and Governance Analyst - Plans

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 organization's 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 organization's 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 impact o Compliance implications o Financial and competitive considerations Develop 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 letters o Regulatory feedback submissions o Policy position documents Ensure 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 forums. Prepare materials including: o Briefing memos o Decision frameworks o Executive summaries for leadership review Track 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 coalitions o Consultants and regulatory advisors Represent 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 positions o Assess downstream implications of proposed policies o Ensure readiness for potential regulatory changes
• Strategic Policy Support - Identify emerging policy trends and risks across government programs. Provide forward-looking insights to support proactive policy positioning and advocacy strategy. Support 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

• Bachelor’s 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
• Master’s 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 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's 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 8,300 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 diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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