Regional Government Affairs Director - Northeast

Modivcare
Worcester, MA

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

Modivcare is looking for an experienced Government Affairs Director II to join our team! This role is responsible for leading and executing the Company's government affairs strategy across an assigned multi-state region (approximately 10-20 states). This role serves as the company’s senior in-state representative and the face of the Company before state legislatures, governors’ offices, Medicaid agencies, and other executive branch leadership. They will lead legislative and regulatory engagement; manage contract lobbyists where appropriate; monitor and respond to policy developments; and partner closely with Sales, Business Development, Operations, product, Legal, Compliance, and Marketing to protect and strengthen the Company's market position. The position will design and implement state-level advocacy strategies aligned with enterprise priorities and will manage engagement with key stakeholders and execution of public affairs initiatives as directed and designed in collaboration with Corporate Affairs leadership.

This role…

Government Affairs

  • Serves as the company’s primary representative at the assigned state capitols before executive leadership, including Medicaid directors, transportation program leaders, and personal care services (PCS) administrators

  • Develops and maintains direct relationships with legislative leaders and their staff, committee staff, executive branch officials, and regulatory authorities to advance the company’s policy and business objectives

  • Leads state-level legislative and executive branch advocacy efforts, including direct lobbying, engagement with agency leadership, and coordination with contract lobbyists as appropriate

  • Monitors, analyzes, and interprets legislative, regulatory, and procurement activity for potential impact to the Company’s operations, contracts, reimbursement, and compliance obligations

  • Tracks and assesses legislative and regulatory developments and communicates risks, opportunities, and recommended actions to senior leadership and cross-functional partners

  • Prepares and delivers testimony, comment letters, issue briefs, and executive talking points for legislative hearings, regulatory proceedings, and stakeholder meetings

  • Partners closely with Sales, Business Development, and Operations to engage proactively with Medicaid, transportation, and PCS program leadership in support of contract retention, procurement readiness, and rate stability

  • Supports implementation of enacted legislation or regulations by coordinating with internal stakeholders to ensure operational readiness and alignment

  • Represents the Company in relevant state-based committees, advisory groups, and trade associations

Public Affairs

  • Implements and manages state-level public affairs initiatives in collaboration with the Vice President and Corporate Affairs leadership

  • Executes grassroots and grasstops engagement efforts when activated, including stakeholder outreach, coalition coordination, and third-party engagement, ensuring alignment with enterprise strategy and messaging

  • Supports coalition participation and alliance development efforts in-region, maintaining relationships with provider groups, community stakeholders, advocacy organizations, and industry associations

  • Conducts stakeholder mapping and maintains on going engagement plans for policymakers, regulators, and key influencers in assigned states

  • Provides local intelligence and risk assessments related to strategic alliances, community partnerships, and stakeholder positioning

  • Deploys surrogate engagement strategies in-region, identifying and coordinating appropriate third-party validators consistent with enterprise guidance

  • Public affairs campaigns are expected to be strategic, targeted, and limited in number; this position serves as the in-state implementer and manager of such initiatives as designed and approved by Corporate Affairs leadership

Political Strategy

  • Provides insight into state political dynamics, leadership transitions, and electoral environments that may impact regulatory oversight, procurement cycles, or reimbursement frameworks

  • Supports state-level political engagement activities consistent with company governance standards and Corporate Affairs strategy

  • Advises Corporate Affairs leadership on emerging policy trends, enforcement risks, and stakeholder sentiment within assigned states

  • May lead projects and performs other duties as assigned

  • Business travel required

We are interested in speaking with individuals with the following…

  • Bachelor's Degree required; advanced degree in public policy, public administration, law, or related field preferred

  • Ten (10) plus years of relevant work experience in state government affairs, public policy, or public affairs, including direct experience working with state legislatures, governors’ offices, or executive branch agencies

  • Demonstrated experience serving as a primary external representative before policymakers and regulators

  • Experience coordinating or managing contract lobbyists and external stakeholders

  • Experience in healthcare, Medicaid, Medicare, transportation policy, human services, or other regulated industries preferred

  • Or equivalent combination of education and/or experience

  • Strong project management and judgment skills, including ability to work under deadline with limited supervision

  • Exceptional writing and verbal communication skills, including experience drafting testimony, comment letters, and executive briefings

  • Strong analytical skills, including ability to interpret legislative language and regulatory guidance and translate implications into business insights

  • Ability to collaborate internally across Sales, Business Development, Operations, Product, Legal, Compliance, and Marketing with a high level of professionalism

  • Real-world experience advancing state-level legislative and regulatory strategies that supported business objectives

  • Understanding of state procurement and rate-setting environments, particularly in Medicaid, non-emergency medical transportation, and personal care services

  • Demonstrated ability to build and maintain relationships with senior policymakers, agency leaders, and external stakeholders

  • Confidence and presence necessary to serve as the company’s lead representative in a state or region

  • Ability to manage multiple states with differing political and regulatory environments while maintaining strategic alignment with enterprise priorities

  • Willingness and ability to travel regularly within assigned states

  • Willing to travel 60% of the time

Salary: $159,900 - $215,900

Position is bonus eligible based on individual and company performance.

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.


We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

  • Medical, Dental, and Vision insurance
  • Employer Paid Basic Life Insurance and AD&D
  • Voluntary Life Insurance (Employee/Spouse/Child)
  • Health Care and Dependent Care Flexible Spending Accounts Pre-Tax and Post
  • -Tax Commuter and Parking Benefits
  • 401(k) Retirement Savings Plan with Company Match
  • Paid Time Off
  • Paid Parental Leave
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement
  • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

  • EEO is The Law - click here for more information
  • Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
  • We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at [email protected]
Posted 2026-04-11

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