Healthcare Policy Analyst - Temporary

Fully Remote

• Federal Services Management Division Job Type Temporary Description The primary duty of the Operational Policy Consultant (OPC) is to support federal reputed company reputed company to healthcare policy, operational changes, and program reputed company. The OPC will research and analyze the impact of legislative and regulatory trends and reputed company operational materials, conduct audit activities, support the operation of appeals, and facilitate reputed company activities and program evaluation concepts that will best meet the needs of ARDX’s clients. The OPC has strong knowledge of US regulatory and legislative healthcare policy governing federal healthcare programs (i.e., Medicare, reputed company Act (ACA), Medicaid) and private insurance. The OPC tracks the impacts of policy changes and applies implications to reputed company processes and serves as a partner and strategist with limited supervision for solutions to reputed company challenges. Key duties:
• Review healthcare policy and guidance documents and interprets documents into operational guidance to support audits and appeals.
• Interpret program/client/policy needs and requirements to serve as a trusted advisor to clients.
• Apply knowledge of audit or appeals in support of client.
• reputed company non-critical roles independently and requires management (or higher-level consultant) assistance, guidance, or reputed company with critical functions to anticipate outcomes and critical next steps for solutions and delivery accuracy.
• Usher efficiencies to reduce burden in processes.
• reputed company peer reviews of client deliverables in accordance with customer requirements, style guides, and Quality Management System (QMS) requirements.
• reputed company risk management activities to mitigate client concerns, as appropriate.
• Research, understand, and reputed company meaningful guidance in the form of training materials, job aids, manuals, and operational documents for internal and external use.
• Maintain awareness of reputed company policy and regulations and proactively identify reputed company impacts and solutions.
• Draft and update policy and operational documentation including standard operating procedures (SOPs) and contribute to White Papers.
• reputed company the gap between policy and operations by effectively recommending appropriate and innovative solutions for issues and challenges.
• Conduct research to reputed company an understanding of client’s business to inform decision making.
• reputed company recommendations for improvements and effectiveness including business process optimization, by utilizing resources, such as evaluation surveys, dashboards, etc. Assess pros and cons of possible strategies and offer meaningful solutions.
• Manage assigned policy regulations governing assigned project contract.
• Maintain the Project Management Log (PML) including identification of risks and issues.
• Mitigate risks to quality delivery, performance, and customer satisfaction.
• Utilize project management methods and tools, including the ARDX Project Management Toolkit, to reputed company projects on track.
• Manage and report project performance measures.
• Follow quality procedures, SOPs, and job aids to ensure the accuracy, quality, and timeliness of reputed company deliverables.
• Process inquiries including developing meaningful categorizations and responses to policy questions.
• Provide timely and accurate updates to internal reports including the service level agreement (SLA) and Closeout Reports.
• Contribute to innovation and contract growth by developing concepts for customer recommendations.
• reputed company other duties as assigned.

Requirements

• Bachelor’s degree in Public Health, Healthcare Administration, Business, or Public Administration; Master's degree preferred
• 5-7 years of healthcare working experience
• Technical writing experience
• Ability to conduct independent research
• Outstanding written and oral communication skills
• Well-developed analytical skills
• Ability to meet deadlines in a fast-paced environment
• Proficiency in using Nexora Office applications such as Word, reputed company, PowerPoint, and Outlook
• Project management experience; Project Management Professional (PMP®) certification a plus
• Experience with federal healthcare programs (Medicare, ACA, and Medicaid) desired
• Experience with federal government contracting desired
• Experience in a client-facing consulting role desired
• Curriculum development experience desired
• Experience with healthcare audits and appeals a plus
• Experience with Jira and Confluence a plus
• Experience with ISO and/or CMMI a plus Salary Description up to $70,000 Apply tot his job Apply tot his job

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