Date Posted:
October 26, 2026
Position Title:
Vice President/Director, Medicaid & Home Care Policy
Office/Company:
National Alliance for Care at Home (Alliance)
Party:
N/A
Office Code:
Job Number:
HC-13781
Reports To:
Location:
Alexandria, VA
Contact:
Salary:
$145,000.00 To $200,000.00 Annually
Primary Role
Secondary Role:
Job Type:
Full Time
Description:
Vice President/Director, Medicaid & Home Care Policy The National Alliance for Care at Home is hiring one position on our Policy, Quality, Regulatory, and Compliance team focused on Medicaid home and community-based services (HCBS) and home care policy. This role will be filled at either the Director or Vice President level, depending on the successful candidate’s experience. The scope of responsibility, decision-making authority, and compensation differ by level, as described below. Candidates at any experience level within these ranges are encouraged to apply, and final title and level will be determined through the interview process. Both levels serve on a cross-functional legislative, regulatory, research, and policy development team, working closely with the Chief Government Affairs Officer to advance policies that strengthen, support, and expand access to Medicaid HCBS and private-pay home care services. Both levels supervise one direct report, a State Policy Specialist. At the Director level, this person will research and draft policy positions, testimony, and regulatory comments for review and delivery by the Chief Government Affairs Officer; support relationship-building with Congressional, CMS, and MACPAC contacts; and build toward independent representation of the Alliance at state association events as expertise develops. At the Vice President level, this person will independently recommend Medicaid policy positions to the Board and Public Policy Advisory Committee; build and maintain direct relationships with Congressional staff, CMS officials, MACPAC commissioners, and state Medicaid agencies; and represent the Alliance directly through Congressional testimony, regulatory comment letters, and public advocacy forums. Staff and support the Medicaid Advisory Council (MAC), including member recruitment, meeting scheduling, agenda development, and consensus building. Provide analysis of legislation and regulations affecting Medicaid HCBS and home care. Develop research and policy-focused white papers on Medicaid HCBS and home care. Supervise and mentor the State Policy Specialist. Support state associations with state-specific Medicaid HCBS advocacy needs. Represent the Alliance at state association speaking engagements. Develop and deliver educational programming on Medicaid HCBS policy for members and partners. Build coalitions with organizations that share common policy views on Medicaid HCBS.
Responsibilities:
Qualifications:
• Director Level
• Five to Eight (5-8) years of experience in healthcare policy and advocacy preferred.
• A background with Medicaid HCBS policy issues is highly preferred.
• Bachelor’s degree in health administration, political science, public health, or related field required. MA in Public Policy, MPH, or JD a plus.
• Vice President Level
• Eight or more (8+) years of experience in healthcare policy and advocacy preferred.
• A background with Medicaid HCBS policy issues is highly preferred, including direct interaction with CMS, state Medicaid agencies, and/or Congress.
• Bachelor’s degree in health administration, political science, public health, or related field required. MA in Public Policy, MPH, or JD preferred.
• Healthcare background and advanced knowledge of Medicaid HCBS policy affecting homecare and hospice.
• Key Competencies (Both Levels)
• A service-oriented focus on exceeding members’ expectations and delivering value.
• Excellent interpersonal and presentation, and writing skills.
Instructions:
To Apply
Other:
About Us
The National Alliance for Care at Home (Alliance) is the leading authority in transforming care in the home. As a national trade association, we represent providers of home care, home health, hospice, palliative care, and other services delivered where people want them most—at home. We are an inclusive thought leader, advocate, educator, and convener, serving as a unified voice for providers and the individuals they care for across all stages of life.
