Director, Regulatory Affairs

The Massachusetts League of Community Health Centers (League) was founded in 1972 as one of the country's first state Primary Care Associations (PCAs). Established under the same federal authorizing legislation as the health center program (Section 330 of the Public Health Service Act), PCAs are organized around a set of core functions and competencies that provide a framework for support and assistance to health centers and the communities they serve.

The League is a non-profit 501(c)(3) organization registered as a public charity with the Secretary of the Commonwealth. It maintains a professional staff at its headquarters in Boston and its training center in Worcester.

The Director, Regulatory Affairs will serve as the subject matter expert within the Government Affairs and Public Policy team on federal and state regulatory policy impacting health center organizations, patients, and communities. This position is a unique opportunity to help shape health policy to ensure health centers continue to provide high quality, equitable primary care in underserved communities across the Commonwealth.

Working under the direction of the Vice President of Regulatory Affairs, the Director anticipates, analyzes and translates federal and state regulatory policy changes, with a particular focus on health center payment/ reimbursement. The candidate will also provide leadership on payment transformation efforts by Mass Health and other payers, following national and local trends and providing in-house subject matter leadership.

• Monitor and assess proposed and finalized rules, regulations, bulletins and other provider guidance issued by federal (e.g., CMS, HHS, SAMHSA) and state (e.g., EOHHS, Mass Health, DPH) agencies that impact health centers, their patients, and the communities they serve. Topics include but are not limited to Medicare and Medicaid payment/ reimbursement, billing and provider enrollment and credentialing.
• Analyze and distill complex regulatory policy and its implications into clear, concise, and actionable language that meets the needs of different audiences and ensure timely communication of changes to members.
• Draft and submit testimony and comment letters on new and revised regulatory policy. Gather feedback from health center members and other partners/ stakeholders to inform content as needed/ appropriate.
• Serve as a subject matter expert on federal and state regulatory policy and develop memorandums and policy briefs for internal Mass League staff and member education.
• Maintain expertise on health center payment/ reimbursement policy and operations, including Medicare, Mass Health (Medicaid), the Health Safety Net, and commercial payers in support of and in collaboration with the VP, Regulatory Affairs.
• Identify emerging regulatory issues and trends affecting health centers and elevate significant concerns, opportunities, and policy implications to the VP, Regulatory Affairs.
• Support Payment Transformation and CHC Financial Sustainability. Track and analyze payment and reimbursement transformation initiatives, including Medicare and Mass Health, and assess their operational and financial implications for community health centers. Support health centers in understanding and implementing payment and reimbursement changes, identifying opportunities to improve revenue and operational efficiency, and mitigating financial and operational risks associated with payment transformation.
• Work to support cross-divisional education and alignment on key regulatory policy and training and technical assistance needs to best support health centers.
• Provide subject matter expertise and input on state legislative and budgetary priorities and maintain status as registered lobbyist.

• Support health centers in understanding applicable federal and state rules, regulations, bulletins, and other provider guidance, including providing training and technical assistance on implementation and compliance.
• Monitor emerging health center compliance and program integrity issues and identify trends that may require broader Mass League education, technical assistance, or policy engagement.
• Lead education, training, and technical assistance for health centers on payment/ reimbursement and billing, including facilitating the Lead Billers Forum and FQHC Billing Workgroup. Track health center payment/ reimbursement and billing issues and work with necessary…