C-Senior Healthcare Policy Analyst Expert Rockville, MD, USA SENIO01328
Rockville, MD, USA
What you will do:
Apply advanced knowledge of complex health systems' operations and performance to solve a health client's most pressing challenges.
Leverage experience with and subject matter expertise in Medicare and or Medicaid policies to advise client on solutions for program excellence, quality, and safety, applying to a spectrum of operational environments across the provider, payer, research, life science, and public health segments.
Research and analyze current and proposed federal and state health care policy, law and regulations concerning issues that may include but are not limited to health care reform and payment policy, health insurance regulations and requirements, State Medicaid and public programs, mental and behavioral health, health information technology, data reporting and health analytics, and other priority topics for the healthcare business.
Represent CNSI on various internal and external stakeholder groups and committees as needed.
Provide leadership and mentoring for junior employees, serving as a leader on client teams and internal teams alike.
Contribute to the development of innovative principles and ideas.
Work on unusually complex problems and provide business solutions that are highly creative.
Act as leader on large programs and projects that affect the organizations long-term goals and objectives.
Maintain up to date documentation by tracking and recording changes to policies and procedures.
Assure timely review and approval of relevant policies and guidelines by established Committees.
Communicate effectively with subject-matter experts and extract from them the information necessary to implement new policies and procedures.
Perform out-of-the-box thinking, collaborate with others, and make a difference every day Other duties and projects as assigned.
Who you are:
You have e a Bachelor's degree in public health, epidemiology, healthcare or related field.
You have 8+ years' related healthcare experience in research analysis
You have Experience with Centers for Medicare and Medicaid Services (CMS) or related health care entities
You have Experience in Provider Enrollment, Eligibility, managed care, or insurance compliance preferred.
You have experience with Healthcare Policy Analyst activities & tracking federal mandate and state legislative changes compliance.
Knowledge of Medicaid Management Information System (MMIS)
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
CNSI delivers a broad portfolio of information technology (IT) and business process outsourcing (BPO) solutions to a diverse base of federal, state and local government agencies, and commercial enterprises. We deliver innovative, high-quality, cost-effective solutions that help clients accomplish their missions and improve business performance.