Healthcare Policy Analyst

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 Powered by JazzHR