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Director, Government Relations

Location: Santa Clara Family Health Plan - San Jose, CA 95119
HR Req#: 659
# of Openings: 1


FLSA Status: Exempt
Compliance and Regulatory Affairs
Reports To:  Chief Compliance and Regulatory Affairs Officer

The Director of Government Relations is responsible for all aspects of SCFHP’s government relations at the county, state, and federal levels, and a significant portion of the Plan’s engagement with the community.  The position is responsible for establishing effective relations with policymakers.  The Director coordinates with trade associations and other healthcare stakeholders to gather political and public policy information, advocate SCFHP’s public policy positions, update staff on issues of importance at all levels of government, and coordinate the Plan’s advocacy efforts.



To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily.

  1. Develop and maintain positive and productive relationships and regular communication with a significant network of elected officials at the county, state, and federal level, ensuring the Plan’s access to key decision-makers; position the Plan as an essential and respected stakeholder and a source of information on Medi-Cal and other healthcare issues.
  2. Stay abreast of and influence significant legislative and regulatory activity; coordinate consistent messaging of SCFHP’s positions to policymakers, and facilitate meetings between federal, state, and local policymakers and SCFHP leadership and/or Board members.
  3. Track and analyze legislation and regulations, including pending legislative and regulatory proposals that could impact the Plan or its members; provide timely analyses and information to internal and external audiences that accurately reflect the expertise and feedback received from staff and other experts.
  4. In conjunction with Compliance, provide advice and direction to Plan business units in establishing and monitoring operational compliance with regulations.
  5. Represent SCFHP with statewide and national health plan associations, government entities, and advocacy groups.
  6. Remain informed about healthcare policy in Medicaid, Medicare, insurance, long-term care, and mental health for vulnerable populations.
  7. Ensure that positive relationships are established and maintained with key stakeholders and influencers in the community, including business advocacy groups, healthcare and social service providers, and others with significant civic influence; gather political, business, and public policy intelligence and information, and communicate with Plan leadership.
  8. Develop public policy agenda and strategy.
  9. Engage in joint planning and evaluation of community initiatives, sponsorships, and communications with the Vice President of Marketing and Enrollment; provide support for media and community relations.
  10. Attend off site meetings or events, including frequent travel within the county and periodically to Sacramento and Washington, D.C.
  11. Perform other related duties as required or assigned.


REQUIREMENTS – Required (R)   Desired (D)

  1. The requirements listed below are representative of the knowledge, skill, and/or ability required or desired.
  2.    Bachelor’s Degree in political science, healthcare administration, or related field. (R)
  3.    Master’s Degree in related field or JD.  (D)
  4.    Minimum eight years of experience as legislative staff or in government relations with direct management of relationships with elected and other government officials at the county, state, and/or federal level. (R)
  5.    Experience developing a public policy agenda and advocating on healthcare issues. (R)  
  6.    Knowledge of managed care health plan policies and operations.  (R)
  7.    Knowledge of the Medi-Cal program and its regulatory context and stakeholders.  (R)
  8.    Demonstrated ability to work collaboratively and effectively with multiple internal and external groups and manage work to meet deadlines.  (R)
  9.    Excellent organizational and analytical skills.  (R)
  10.    Working knowledge and the ability to efficiently operate all applicable computer software including a working knowledge of computer applications such as Outlook, Word, Excel and PowerPoint. (R)
  11. Superior verbal and written communication skills—articulate and concise; strong public speaking skills with the ability to influence, motivate, and inspire.  (R)
  12. Political and business acumen; discretion, diplomacy, and tact.  (R)
  13. Ability to understand, evaluate, interpret, and understand practical implications of applicable rules, laws, regulations, program requirements, and industry guidance. (R)
  14. High integrity and sense of ethics. (R)
  15.  High emotional intelligence. (R)
  16. Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R)
  17. Ability to maintain confidentiality. (R)
  18. Ability to comply with all SCFHP policies and procedures. (R)
  19. Ability to perform the job safely with respect to others, to property, and to individual safety. (R)
  20. Maintenance of a valid California driver’s license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events. (R)


Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications.


Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation:

  1. Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R)
  2. Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R)
  3. Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R)
  4. Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R)
  5. Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R)
  6. Reasoning Requirements:  ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R)




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