Job Details

Job Title

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

Job Type

Full-time

Location

Bethesda Office - Bethesda, MD 20814 US (Primary)
Remote (Virtual) - US - US

Travel

0 - 10%

Job Description

AboutEconometrica, Inc.

Econometrica, Inc., is a research and management organization committed to providing high-quality, cost-effective economic and analytical services for clients in the private and public sectors. Since its founding in 1998, Econometrica has been involved in complex, high-profile contracts for numerous Federal departments and agencies in the healthcare, education, transportation, energy, housing, and finance sectors. Econometrica specializes in research, econometric, analytical, and technical support for our clients, with an emphasis on data science, data analytics, statistics, economic analyses, and program implementation and evaluation services.

The Opportunity

Econometrica is seeking a Senior or Lead Health Policy Analyst with experience in interpreting and evaluating Medicare Part A, Part B, and/or Part D program policies. The Analyst will 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. Successful execution of this role also requires familiarity with CMS data sources and the ability to collaborate with a programming team and other researchers to assist with codebase modification, data source processing, and methodological updates. The Analyst will be responsible for providing guidance, direction, and review to junior and mid-level staff to produce high-quality research deliverables.

Minimum Qualifications (All Levels)

• Bachelor's degree in Public Health, Health Policy, or a related field
  • A Master's degree is preferred but not required.
  • 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.
• Familiarity with CMS payment standardization is preferred

Additional Qualifications by Level

Senior Level

• 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.
• Experience mentoring or guiding junior staff is preferred.

Lead Level

• 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.

Our Generous Benefits Package Includes:

• Being a part of a dynamic research group that continues to grow.
• Company-subsidized healthcare plan and vision/dental coverage.
• Excellent training and development opportunities.
• Discount garage parking at our Bethesda office.
• Referral bonuses.
• 401(k) program.
• Organized social activities.
• Metro SmartBenefits® Program.

Work Environment

This position is remote, though candidates may choose to work in Econometrica's office if they are local.

The office is located at a Metro stop in beautiful downtown Bethesda, MD, within walking distance of great restaurants and local fare. We have a typical office setting with a quiet to moderate noise level.

Physical Requirements

The physical requirements are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Other instructions and related duties may be assigned by the employee's supervisor.

Econometrica, Inc., is an Equal Opportunity Employer (EOE), and we seek to create an inclusive workplace that embraces diverse backgrounds, life experiences, and perspectives.