[Hiring] Healthcare Policy Analyst @Rainmakers Strategic Solutions

Remote Full-time
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role 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.
• 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

Qualifications
• Bachelor’s degree in healthcare administration, public health, business administration, or a related field. Advanced degree preferred (MPH, MHA, MPP).
• In-depth knowledge of CMS regulations and guidelines, specifically related to quality programs. Knowledge of the EPCS Program a plus.
• 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.
• Minimum of 3-5 years of experience in a policy, analytic, regulatory, or support role within a healthcare or government setting.
• The ideal candidate will have experience supporting large government healthcare programs. Experience in a clinical setting is a plus.

Requirements
• 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.

Benefits
• Proficiency in working with large data sets, skilled in use of SQL. Experience with python, dovetail, and Adobe analytics a plus.
• 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.

Apply tot his job

Apply To this Job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Experienced Remote Data Entry Operator – Accurate and Efficient Data Administration Specialist

Remote

Associate Consultant, Managed Services

Remote

PMO Operations Advisor-Remote

Remote

Retail Marketplaces Account Specialist

Remote

DevOps Engineer II

Remote

Experienced Customer Service Representative – After Hours Remote Support Specialist for arenaflex, Delivering Exceptional Service and Making a Difference in People's Lives

Remote

RN Coordinator - Utilization Review Behavioral Health Remote (NC,SC) PRN Days

Remote

GKE Engineer (Google Kubernetes Engine)

Remote

Business Analyst - Generation Reshaping/Very Large Customer

Remote

Remote-HR Assistant

Remote
← Back