Director, State Government Affairs

Role Overview

• Develop and drive a proactive, multi-state strategy across priority states, aligned with enterprise priorities, portfolio objectives, and commercial planning
• Identify, assess, and influence state legislation, regulations, and executive actions impacting pricing, reimbursement, Medicaid, PBM reform, 340B, newborn screening, rare disease access, and innovation policy
• Anticipate state political, legislative, and regulatory trends, translating complex developments into clear business risks, opportunities, and recommended actions for executive leadership
• Lead coordinated advocacy campaigns in priority states, integrating direct lobbying, state trade association engagement, and coalition strategy to shape outcomes before they materially affect the business
• Maintain disciplined oversight of all state lobbying and political compliance processes, ensuring all activity meets reporting requirements and that advocacy activities adhere to applicable state ethics and disclosure laws
• Leverage established relationships and strategically build BridgeBio’s engagement with governors’ offices, state legislators and regulators, Medicaid and insurance leaders, and key staff to advance the company’s state policy priorities
• Represent BridgeBio in state coalitions, and industry forums, serving as a credible and persuasive voice for the company’s positions
• Lead engagement within state trade associations and coalitions, consultants, driving aligned action on priority issues while protecting BridgeBio’s independent strategy
• This role is responsible for executing and advancing BridgeBio’s enterprise policy positions at the state level, in close coordination with the Head of Public Policy and Federal Government Affairs
• Partner with key internal stakeholders including Commercial, Market Access and Patient Advocacy to integrate state policy strategy into coverage, reimbursement, and patient access planning, ensuring advocacy efforts directly support portfolio objectives and patient access across priority states
• Advise executive leadership and cross-functional teams on state-level legislative and regulatory developments, translating state political dynamics into clear implications for pricing, reimbursement, Medicaid coverage, and patient access strategy

Requirements

• 10+ years of relevant experience in state government affairs, public policy, legislative advocacy, or state government
• Strong knowledge of state health policy, reimbursement frameworks, Medicaid programs, and regulatory environments impacting the biopharmaceutical ecosystem
• Established relationships with state legislators, governors’ offices, regulatory agencies, and other key state decision-makers
• Demonstrated ability to interpret complex state legislative and regulatory proposals, assess commercial implications, and translate them into actionable recommendations for executive leadership
• Proven ability to manage multiple priorities across diverse political environments while remaining highly organized, self-directed, and disciplined in execution
• Demonstrated excellent written and verbal communication skills, with the ability to represent the company credibly with policymakers and clearly communicate complex policy issues to internal stakeholders
• Ability and willingness to operate across multiple states, with regional travel as required

Benefits

• Market leading compensation
• 401K with 100% employer match on first 3% & 50% on the next 2%
• Employee stock purchase program
• Pre-tax commuter benefits
• Referral program with $2,500 award for hired referrals
• Comprehensive health care with 100% premiums covered
• no cost to you and dependents
• Mental health support via Spring Health (6 therapy sessions & 6 coaching sessions)
• Hybrid work model
• employees have the autonomy in where and how they do their work
• Unlimited flexible paid time off
• take the time that you need
• Paid parental leave
• 4 months for birthing parents & 2 months for non-birthing parents
• Flex spending accounts & company-provided group term life & disability
• Subsidized lunch via Forkable on days worked from our office