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Director, State Government Affairs

Bridgebio

Washington DC (Remote - USA, Washington DC) Remote permanent

Posted: February 24, 2026

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Quick Summary

We are seeking a Director, State Government Affairs with expertise in rare disease and life-changing medicines, including the ability to pool projects and develop breakthrough treatments. The ideal candidate should have a strong background in government affairs and a passion for driving innovation.

Job Description

Mavericks Wanted

When was the last time you achieved the impossible? If that thought feels overwhelming, you might want to pause here, but if it sparks excitement...read on

In 2015, we pioneered a “moneyball for biotech” approach, pooling projects and promising early-stage research from academia together under one financial umbrella to reduce risk and unleash innovation. This model allows science and small teams of experts to lead the way. We build bridges to groundbreaking advancements in rare disease, and develop life-changing medicines for patients with unmet needs as fast as humanly possible.

Together we define white space, push boundaries and empower people to solve problems. If you're someone who defies convention, join us and work alongside some of the most respected minds in the industry. Together, we'll ask "why not?" and help reengineer the future of biopharma.

What You'll Do

BridgeBio is establishing a dedicated leadership role to build and lead the company’s state government affairs function. As part of the Government Affairs team, the Director, State Government Affairs will develop and drive a comprehensive state engagement strategy, drawing on established networks and building strategic relationships with state policymakers and stakeholders.

The Director, State Government Affairs will shape BridgeBio’s engagement on state health policies, including Medicaid coverage, diagnosis, and access frameworks, positioning the company to anticipate and influence evolving state reimbursement environments.

This leader will monitor, assess, and anticipate evolving state policy landscapes, translating complex policy developments into clear, actionable business implications for executive leadership and cross-functional partners.

Responsibilities

State Policy Strategy & Execution

• 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, 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

Relationship Building & External Influence

• 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 hearings, rulemakings, 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

Cross-Functional Leadership

• 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 political dynamics into clear implications for pricing, reimbursement, Medicaid coverage, and patient access strategy

• Partner closely with Federal Government Affairs to manage the intersection of state and national politics, policy, lawmakers, and associations and align strategies and execution

Where You'll Work

The ideal candidate is located in California, Washington, DC or remote with the ability to regularly travel to key state capitals

Who You Are

• 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

Rewarding Those Who Make the Mission Possible

We have high expectations for our team members. We make sure those working hard for patients are rewarded and cared for in return.

Financial 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

Health & Wellbeing:

• 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

Skill Development & Career Paths:

• People are part of our growth and success story - from discovery to active drug trials and FDA pipelines, there are endless opportunities for skill development and internal mobility

• We provide career pathing through regular feedback, continuous education and professional development programs via LinkedIn Learning, LifeLabs, Spring Health & BetterUp Coaching

• We celebrate strong performance with financial rewards, peer-to-peer recognition, and growth opportunities

At BridgeBio, we strive to provide a market-competitive total rewards package, including base pay, an annual performance bonus, company equity, and generous health benefits. Below is the anticipated salary range for candidates for this role who will work in California. The final salary offered to a successful candidate will depend on several factors that may include but are not limited to the type and length of experience within the job, type, and length of experience within the industry, educational background, location of residence and performance during the interview process. BridgeBio is a multi-state employer, and this salary range may not reflect positions based in other states.

Salary
$230,000—$285,000 USD

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