Healthcare Policy Analyst

Rainmakers Strategic Solutions • Phoenix, AZ

13d

About The Position

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.

Requirements

• Bachelor’s degree in healthcare administration, public health, business administration, or a related field.
• Minimum of 3-5 years of experience in a policy, analytic, regulatory, or support role within a healthcare or government setting.
• In-depth knowledge of CMS regulations and guidelines, specifically related to quality programs.
• Analyze health data, literature, and legislation to determine the effectiveness of current policies and identify gaps.
• Ability to analyze compliance data and identify trends and issues.
• Effective in identifying problems and implementing solutions in a regulatory environment.
• Excellent verbal and written communication skills to effectively interact with prescribers, stakeholders, and team members.
• Strong attention to detail to ensure accuracy in compliance calculations and waiver reviews.
• Ability to work collaboratively with internal and external teams to achieve program goals.
• Proficiency in working with large data sets, skilled in use of SQL.
• Familiarity with CMS platforms and tools used for compliance tracking and reporting.
• Must be proficient in Tableau or PowerBI.
• Proficient in use of Word, Excel, Outlook, and shared communication platforms such as MS Teams

Nice To Haves

• Advanced degree preferred (MPH, MHA, MPP).
• Knowledge of the EPCS Program a plus.
• 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.
• The ideal candidate will have experience supporting large government healthcare programs.
• Experience in a clinical setting is a plus.
• Experience with python, dovetail, and Adobe analytics a plus.

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

What This Job Offers

• Career Level: Mid Level