Government Affairs Manager

What you can expect! 

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Reporting to and under the general direction of the Director of Government Affairs, the Government Affairs Manager is responsible to lead the management and oversight of the execution of the government affairs role for Medi-Cal, Medicare, and commercial lines of business. The Government Affairs Manager plays a key role in crafting and shaping federal and state legislative and regulatory policy issues for the benefit of IEHP. The Government Affairs Manager has an active and visible lead role with the state and federal advocacy associations and legislative offices.

The Government Affairs Manager serves as a lead liaison for IEHP with state and federal trade associations and legislative staff, and positions IEHP as a key influencer, maintaining relationships with advocacy groups and legislative staff. This position works collaboratively with other departments within the Plan acting as a resource to provide analysis and interpretation of draft state and federal legislative and regulatory guidance, and work with Business Units to ensure advocacy issues are presented accurately and in a compelling manner.

Additionally, the Government Affairs Manager works closely with the managers in the Compliance Department to ensure seamless services to Business Units and effective advocacy, as well as with other Managers within the Plan to ensure alignment, understanding and follow through of priorities.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary
• Hybrid schedule
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development
• Wellness programs that promote a healthy work-life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

1. In collaboration with the Director of Government Affairs, lead the day-to-day operations of the Government Affairs Department in the most effective manner to meet Plan, department, and unit objectives while ensuring quality and accuracy of the work. Implement standardized processes to maximize efficiency.
2. Train and educate Government Affairs Team Members to ensure they are equipped to provide and carry out actionable legislative and regulatory advocacy recommendations.
3. Develop and implement a government affairs calendar of duties.
4. Identify, direct, and maintain Government Affairs metrics for the purpose of driving process improvements and efficiencies.
5. Assume a lead role within the organization and oversee the interpretation of complex federal and state legislative and regulatory draft and final guidance. Guide the Government Affairs TMs to serve as a resource to ensure that Business Units are provided with legislative and draft regulatory support to ensure understanding and early identification to barriers for compliance. This includes overseeing the interpretation, and distribution of draft federal regulations, All Plan Letters (APLs), Policy Letters (PLs), Covered California guidance, etc.
6. Lead, guide, manage, and attend, as appropriate, relevant committees and work groups, make presentations, prepare reports, data, or other materials. These may include workgroups convened by trade associations, legislators, and regulatory agencies.
7. Lead and oversee Government Affairs active participation of various trade association and regulatory agency calls.
8. Work closely with the Director of Government Affairs to support the CEO, and Plan leadership, in fostering strong relationships with legislators and regulatory agencies. Oversee and manage the development of memos to provide analysis on key emerging issues.
9. Serve as the primary state and federal trade association liaison by establishing collaborative working relationships with all contracted lobbyists and advocacy associations. Partner with the Compliance Department to ensure advocacy concerns are coordinated and shared directly with regulators.
10. Oversee and facilitate resolution of high-visibility, escalated requests, and issues from elected official offices, including but not limited to Member cases, Provider cases, and Enforcement Matters.
11. Communicate to all levels of the Plan to ensure support, awareness, and effectiveness of new and emerging issues impacting Federal and State statutes, and regulations impacting all lines of business.
12. Cultivate an effective system for ensuring that legislative and regulatory compliance concerns are continually reviewed and creative opportunities for addressing concerns are sought.
13. Organize and plan for visits from legislators and legislative staff, as well as state and federal trade associations.
14. Partner with operational areas to ensure continual understanding of internal operational policies and procedures for all lines of business.
15. Develop, centralize, and maintain policies, procedures, training materials and oversees training completion.
16. Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Education & Requirements 

• Required: Five (5) years with managed care health plan or other relevant healthcare industry experience specific to government affairs legislative and regulatory advocacy
• Comprehensive advocacy experience, with direct experience interacting with regulators, legislative staff and state and federal trade associations
• Preferred: A minimum of one (1) year experience in project management
• Required: Bachelor's degree in Public/Business Administration, Health, Political Science, Public Policy or a relevant field from an accredited institution required
• Preferred: Master’s degree in Public/Business Administration, Health, Political Science, Public Policy or a relevant field

Key Qualifications

• Must have a valid California Driver’s license
• Strong knowledge and understanding in the following areas:
  • Medicaid, Medicare, and commercial health insurance
  • Managed care and government-sponsored health care delivery systems
  • County, state, and federal legislative and budget processes
  • Policy, legislative and regulatory implications to an organization and effective advocacy strategy and tactics
  • Principles of effective project management, effective survey tools, business impact analysis and report writing
  • Team building, strategic planning, and organizational and project management
  • Cross-organization coordination
  • Understanding and sensitivity to a multi-cultural environment and community.
  • State and federal legislative and budget process
  • Effective advocacy strategies, including effective partnerships with state and federal trade associations
  • Federal and state regulatory requirements related to lines of business included in IEHP’s business portfolio
• Possesses strong skillsets in the following areas:
  • Strong leadership and excellent interpersonal skills
  • Excellent verbal and written communication skills
  • High level analytical skills and ability to analyze complex regulatory and legislative proposals
  • Project management skills
  • Issue management skills
  • Microcomputer applications: spreadsheet, database, and word processing
  • Ability to translate legislation and regulatory guidance into meaningful and actionable information
  • Strong writing, interpersonal communication, organizational skills
• Proven ability to:
  • Understand, incorporate, and demonstrate the mission, vision, and values of the Plan in behaviors, practices, and decisions
  • Maintain a high level of diplomacy
  • Be resourceful and independent in problem solving and self-direction
  • Establish and maintain effective working relationships with internal departments and external agencies and offices of elected officials
  • Embrace and champion change to accommodate evolving organizational and regulatory processes
  • Work independently and collaboratively within a team environment
  • Manage multiple projects with competing deadlines and changing priorities
  • Possess a strong attention to detail and exceptional follow through

Start your journey towards a thriving future with IEHP and apply TODAY!

This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)