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Econometrica, Inc. · 5 hours ago

Senior or Lead Health Policy Analyst (full-time or part-time)

Bethesda, MD

Full-time, Part-time

Hybrid

Senior Level, Lead/Staff

3+ years exp

Econometrica, Inc. is a research and management organization committed to providing high-quality economic and analytical services. They are seeking a Senior or Lead Health Policy Analyst to evaluate Medicare program policies and analyze related legislation, while collaborating with teams to ensure high-quality deliverables.

Consulting

Responsibilities

Analyze Centers for Medicare and Medicaid Services (CMS) ongoing policy updates and related legislation, statute, regulations, and sub-regulatory guidance to determine each policy change’s impact to CMS Payment Standardization

Provide guidance, direction, and review to junior and mid-level staff to produce high-quality research deliverables

Qualification

Medicare policy analysisCMS payment operationsFederal healthcare regulationsData analysisPolicy researchInterpersonal communicationProblem-solving skillsMentoring experience

Required

Bachelor's degree in Public Health, Health Policy, or a related field

Candidates without a Master's degree must have an additional two (2) years of equivalent professional experience to qualify for a given level

Knowledge of Medicare payment programs, CMS payment operations, key stakeholders, federal healthcare statutes, regulations, and the rulemaking process

Strong analytical and problem-solving skills, with the ability to think creatively, approach complex problems methodically, and interpret quantitative policy

Excellent written, verbal, and interpersonal communication skills

3+ years of experience researching and interpreting Medicare Part A, Part B, and/or Part D program policies

Demonstrated ability to conduct in-depth policy research and rapidly develop subject-matter expertise in Medicare FFS payment and related regulatory areas

Strong working knowledge of federal healthcare statutes and regulations, with the ability to interpret new or evolving policies and translate them into actionable research and analysis

Proven ability to independently manage research and policy projects from initiation through completion

Working knowledge of CMS payment operations, including Medicare Administrative Contractors (MACs), other key stakeholders, and coding/claims processes, with ability to analyze operational data to support policy initiatives

Comfortable mapping policy requirements to relevant code and data outputs, identifying likely points of impact, and flagging potential inconsistencies for further review

7+ years of experience researching and interpreting Medicare Part A, Part B, and/or Part D program policies

Demonstrated ability to lead and manage complex Medicare policy research initiatives, rapidly develop expertise in evolving regulatory and rulemaking areas, and effectively balance multiple competing priorities

Experience guiding policy analysis, framing complex policy questions, and advising senior leadership through clear, evidence-driven insights

Deep understanding of CMS payment operations, including the roles of MACs and other key Medicare payment stakeholders, with the ability to apply this knowledge to guide complex policy and operational decisions

Advanced understanding of coding and claims submission/payment processes, with the ability to apply insights to guide complex policy and operational decisions

Skilled at connecting policy changes to code and data; able to independently evaluate routine code change needs and provide programmers with context-rich guidance for more complex investigations

Demonstrated leadership experience, including mentoring staff and leading teams or workstreams