Executive Director, Government Advocacy

The Executive Director, Government Advocacy leads government affairs for Boston Medical Center Health System (BMCHS), a $9B mission-driven, safety-net health system. The Executive Director helps inform and execute BMCHS's advocacy agenda and serves as a senior organizational representative with elected officials, regulators, and trade associations across city, state, and federal government.

Based in Massachusetts, this role is accountable for implementing advocacy work across Massachusetts and New Hampshire, engaging local, state, and federal policymakers. The Executive Director works closely with Strategy, Finance, operational, clinical, academic, and health plan leadership to align government affairs priorities across BMCHS's hospitals and health plan.

Candidates should bring senior relationships and a track record of influence in Massachusetts state government, federal government, or both.

Government Affairs & Advocacy Leadership Lead the development and execution of BMCHS's government affairs and advocacy agenda at the federal, state, and local levels.

Build and maintain senior relationships across Massachusetts and New Hampshire, including state legislative and executive branch contacts, congressional delegations, and city and municipal officials.

Represent BMCHS with policymakers, regulators, trade associations, and coalitions; mange relationships with nongovernmental bodies (e.g., America’s Essential Hospitals).Oversee day-to-day legislative advocacy, external lobbyists, trade association engagement, and coalition participation at the state and federal level. Lead legislative and regulatory advocacy on healthcare financing and policy matters, issues germane to academic medicine, and Coordinate advocacy priorities across BMCHS's hospitals, faculty practice, and health plan to ensure a consistent enterprise position.

Public Funding & Regulatory Advocacy Advocate for Medicaid, ACA, and supplemental funding programs, including DSH, state-directed payments, and quality incentives.

Participate in advocacy on Medicaid policy and 1115 demonstration waiver amendments.

Partner with Strategy and Finance to align advocacy priorities with the organization's fiscal position.

Identify emerging policy risks and opportunities and develop advocacy strategies in response.

Executive Engagement Serve as an advisor to executive leadership on government affairs, political developments, and regulatory risk. Accompany executives to meetings with key stakeholders and events.

Brief executives on legislative, regulatory, and budgetary developments, and prepare them for engagement with government officials and policymakers.

Develop advocacy materials, including testimony, comment letters, briefings, and thought leadership, and lead the government-facing response to emerging issues.

External Affairs & Stakeholder Engagement Position BMCHS with audiences as a leading academic safety-net health system and trusted partner on Medicaid, care delivery, academic medicine, and health equity.

Partner with Communications and Community Engagement on policy-related communications and external positioning.

Team Leadership & Operations Lead and develop a high-performing Government Advocacy team.

Establish priorities, operating rhythms, and accountability for the function.

Oversee external government affairs resources, including lobbyists and consultants.

Assess the team's existing relationship coverage and build out complementary expertise — state or federal — that complements the Executive Director's own background.

Job Requirements REQUIRED

EDUCATION AND EXPERIENCE:

• Bachelor's degree required.
• 10+ years of progressively responsible experience in government affairs or public policy, including significant leadership experience, with a…