System Vice President State Government Affairs

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The HCS Vice President, State Government Affairs leads UNC Health's state legislative, regulatory, and public policy strategy and serves as a senior advisor to executive leadership on issues impacting the health system. This executive develops and advances UNC Health's state government affairs agenda, builds and maintains strategic relationships with elected officials, policymakers, state agencies, and other key stakeholders, and represents the organization's interests on significant health care policy and funding matters.

The Vice President works across UNC Health and in partnership with clinical, operational, financial, legal, communications, and academic leaders to ensure state policy priorities are aligned with organizational strategy. The role monitors the evolving political and policy environment, anticipates opportunities and risks, and develops advocacy strategies that support UNC Health's mission and long-term priorities.

Develops and executes UNC Health's comprehensive state government affairs strategy, aligned with the organization's mission, strategic priorities, and clinical, operational, academic, and financial objectives. Leads development of UNC Health's annual state legislative and public policy agenda, establishing priorities and coordinating executive review and alignment. Serves as a senior advisor to executive leadership regarding the state political, legislative, regulatory, and public policy environment and its potential impact on UNC Health.

Anticipates emerging state policy issues, opportunities, and risks and develops proactive strategies to advance or protect UNC Health's interests. Ensures government affairs priorities are coordinated across UNC Health entities and functions to present a clear and consistent enterprise position on significant state policy matters. Develops strategies to position UNC Health as a trusted resource to policymakers on health care issues affecting patients, communities, the health care workforce, and the state.

Builds and maintains strategic, bipartisan relationships with members of the North Carolina General Assembly, legislative leadership and staff, the Governor's Office, state agencies, and other governmental stakeholders. Represents UNC Health before state policymakers and government officials on legislative, regulatory, funding, and health policy matters. Leads advocacy strategies for priority legislation and policy initiatives, including development of stakeholder engagement plans, executive outreach, testimony, briefings, and other advocacy activities.

Coordinates engagement by UNC Health executives, clinical leaders, and subject‑matter experts with state policymakers. Monitors and evaluates proposed legislation, regulations, budget provisions, and other state government actions and advises leadership regarding potential organizational implications. Develops advocacy positions and recommended responses to significant legislative and regulatory proposals. Builds coalitions and external partnerships with health care organizations, associations, business and community organizations, and other stakeholders when shared advocacy can advance UNC Health priorities.

Leads UNC Health's state appropriations and funding strategy, working with executive, finance, strategy, academic, and operational leadership to establish priorities and develop compelling funding requests. Develops and executes advocacy strategies to advance state operating, programmatic, and capital funding priorities. Monitors state budget development and legislative activity and assesses potential financial and operational implications for UNC Health. Advises executive leadership regarding state funding opportunities, risks, and developments affecting UNC Health.

Partners with internal stakeholders to articulate the clinical, economic, workforce, academic, and community impact of proposed state investments.

Establishes processes for identifying, evaluating, prioritizing, and responding to state legislative and regulatory issues across UNC Health. Builds strong partnerships with clinical, operational, financial, legal, compliance, communications, strategy, and…