Healthcare Policy Analyst
Position Description:
It’s an exciting time to be joining a rapidly growing small business! Rainmakers Strategic Solutions, LLC, a certified SBA 8(a), and Economically Disadvantaged Women-Owned Small Business (EDWOSB), is looking to expand capabilities in the government health care space to support an expanding portfolio of federal healthcare clients. We seek a healthcare policy analyst to support the CMS Electronic Prescribing for Controlled Substances (EPCS) program. We are looking for a strong communicator who can respond promptly to prescriber inquiries regarding EPCS, analyze data trends, draft reports, and provide evidence-based recommendations to improve program outcomes. Key Responsibilities:
- Serve as the CMS EPCS Program policy and compliance SME
- Coordinate EPCS non-compliance notices, waiver applications, and determinations
- Work closely with the statistical team to analyze compliance data to identify trends, issues, and opportunities for improvement
- Lead for non-compliance notice distribution team tasks
- Support analytical processes and perform QA
- Perform research and contribute to annual program outcome reports
- Develop briefing papers and coordinate enhancements with the development contractor
- Support Level 2 help desk inquiries
- Contribute to development of outreach materials
Education:
Bachelor’s degree in healthcare administration, public health, business administration, or a related field. Advanced degree preferred (MPH, MHA, MPP). Relevant Knowledge:
- Medicare Regulations: In-depth knowledge of CMS regulations and guidelines, specifically related to quality programs. Knowledge of the EPCS Program a plus.
- Research & Analysis: Analyze health data, literature, and legislation to determine the effectiveness of current policies and identify gaps. SME-level knowledge of CMS claims and systems, particularly Part D, is highly desirable.
- Experience with CMS systems such as Integrated Data Repository a plus.
Minimum of 3-5 years of experience in a policy, analytic, regulatory, or support role within a healthcare or government setting. Relevant Past Experience:
The ideal candidate will have experience supporting large government healthcare programs. Experience in a clinical setting is a plus. Special Skills:
- Analytical Skills: Ability to analyze compliance data and identify trends and issues.
- Problem-Solving Skills: Effective in identifying problems and implementing solutions in a regulatory environment.
- Communication Skills: Excellent verbal and written communication skills to effectively interact with prescribers, stakeholders, and team members.
- Detail-Oriented: Strong attention to detail to ensure accuracy in compliance calculations and waiver reviews.
- Collaboration: Ability to work collaboratively with internal and external teams to achieve program goals.
- Data Analysis Tools: Proficiency in working with large data sets, skilled in use of SQL. Experience with python, dovetail, and Adobe analytics a plus.
- CMS Platforms: Familiarity with CMS platforms and tools used for compliance tracking and reporting. Must be proficient in Tableau or PowerBI.
- Microsoft Tools: Proficient in use of Word, Excel, Outlook, and shared communication platforms such as MS Teams
Recommended Jobs
Data Analyst (POS)
Kitestring is a 25 year old start up in Northwest Arkansas. We provide technical expertise to various clients delivering innovations that improve how customers shop and the enterprise operates. At …
FAB QA TECHNICIAN 2ND SHIFT
Description Position at JBS USA Monitor the implementation of food safety and quality procedures on the floor, report deficiencies and correct them. Other duties as assigned. Responsibilities: ~…
Regional Manager - Southwest - ENT
Regional Manager Who we want: Challengers. People who seek out the hard projects and work to find just the right solutions. Teammates. Partners who listen to ideas, share thoughts and …
Senior Staff Video Distribution Engineer
OVERVIEW OF THE COMPANY Fox Corporation Under the FOX banner, we produce and distribute content through some of the world’s leading and most valued brands, including: FOX News Media, FOX Sports…
Production Team Partner - Truck Unloader & Sorter - UniFirst
Our Production Team is Kind of a Big Deal! UniFirst is seeking a reliable and hardworking Production Team Partner to join our UniFirst Family. As a Team Partner in the Production Department, you wil…
Roll Form Operator
Job Description Digital Building Components, part of the DPR Family of Companies, is seeking a Roll Form Operator who will be responsible for setup, operation, maintenance, and quality of produc…
Travel Nurse - ICU
We are seeking a dedicated Travel Nurse for the ICU in Surprise, AZ, offering $11,349/month. Provide high-quality care to critically ill patients in the Intensive Care Unit. Monitor patient vita…
Maintenance Tech
Hydro Extrusions is a world-leading aluminium extrusion business counting around 100 production sites in 40 countries and employing 20,000 people. Through our unique combination of local expertise, g…
Director of Product Management, Advisor Technology Ecosystem
Description: Onsite in Tempe, AZ Our client provides an independent advisor platform that empowers financial professionals to deliver comprehensive securities and investment advisory services. Th…
Field Apprentice I - Heavy Equipment (or) Fixed Plant Mechanic
At Freeport-McMoRan, we are committed to providing an employment package that recognizes excellence, encourages safe production and a culture supported by our core values. Here, you’ll find a collabo…