Healthcare Policy Analyst

Remote
Full Time
Rainmakers Strategic Solutions, LLC.
Mid Level
Position Summary:

Job Title: 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

Position Requirements:
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.

Years of Experience:
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. 

Software Proficiency:
  • 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 



    

 
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