Director of Governmental Affairs

Job Summary:

The Director of Government Affairs interprets and implements quality assurance standards to ensure regulatory compliance.


  • Medical, Dental and Vision
  • 401(k)
  • Personal, Sick and Vacation Days
  • Flexible Spending Account
  • Life & Disability Insurance
  • Education Assistance
  • Employee Discounts

 Key Job Responsibilities:

  • Responsible for representing Shield Healthcare to government and provider agencies, trade associations and lobbyists on both a local and national level
  • Medicare and Medicaid (Medi-Cal) policy interpretation and clarification.
  • Communication of policy changes to appropriate internal staff.
  • Ensures regulatory compliance through participation in internal and external audits.
  • Monitors regulatory agency policy changes and the organizational effects of such changes to include research and communication of findings to internal and external sources.
  • Management of all reimbursement related issues and policies/procedures.
  • Participate in focus groups which serve in an advisory capacity to various government agencies.


  • College degree preferred.
  • 4 years third party billing/collection/policy experience in healthcare services.
  • 2 years management experience.
  • Strong knowledge of Medicare, Medicaid, and Medi-Cal.
  • Strong financial analysis and project management skills.
  • Excellent written and verbal communication skills.
  • Computer proficiency

Well qualified professionals please forward current resume, salary requirements and interview availability in complete confidence to the Pailin Group PSC - Frank Sinclaire - Health Care Division Group Manager