Healthcare Policy Analyst

Position Summary:Job Title: Healthcare Policy AnalystPosition 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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