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.

• 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

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 Power
  
  BI.
• Microsoft Tools:
  Proficient in use of Word, Excel, Outlook, and shared communication platforms such as MS Teams.