Healthcare Policy Consultant Jobs

The ARDX Healthcare Policy Consultant will act as a trusted advisor to federal government customers in support of the Affordable Care Act (ACA) Marketplaces (Exchange) program operations. Consultants possess strong knowledge of regulatory and legislative US healthcare policy including the ACA and the No Surprises Act (NSA) and their operations. Consultants support the Centers for Medicare & Medicaid Services (CMS) program outreach and training needs to ensure stakeholder regulatory compliance. Our ideal candidate has a passion for supporting programs that enable affordable health care for millions of Americans and advancements in health equity.

Duties:

• Develop strong client relationships and trust in ARDX.
• Serve as a program policy operational expert. Programs may include Plan Management, Enrollment & Eligibility, Risk Adjustment, Distributed Data Collection (EDGE server), Cost Sharing Reductions (CSRs), Qualified Health Plans (QHPs), Small Business Health Options Program (SHOP), and Enhanced Direct Enrollment (EDE).
• Plan and facilitate client meetings, webinars, and onsite conferences.
• Serves as a partner and strategist for solutions to complex challenges and execute with excellence under tight delivery timeframes.
• Perform other duties as assigned.
• Follow quality procedures to ensure the accuracy, quality, and timeliness of all deliverables.
• Develop and implement outreach strategy which includes collecting requirements, developing an approach roadmap, and delivering products that meet or exceed client's expectations.
• Research and develop meaningful guidance in the form of training materials, job aids, manuals, operational documents, and digital training solutions.
• Draft and update policy and operational documentation including Standard Operating Procedures (SOPs) and develop White Papers.
• Bridge the gap between policy and operations by effectively recommending appropriate, efficient, and innovative solutions for issues and challenges.
• Maintain awareness of current policy and regulations and proactively identify downstream impacts and solutions.
• Analyze stakeholder questions and feedback to identify knowledge gaps, pain points, and opportunities for outreach.
• Analyze requirements and engage in collaborative reviews with the client to affirm assumptions, timelines, and deliverables and manage outcomes based on project management and consulting best practices by displaying project management expertise.
• Act as the client’s partner to develop and manage solutions to meet program needs, address program challenges, and make informed decisions.
• Serve as client’s architect and expert for planning and implementation of programs including stakeholder training and outreach based on program goals and needs. Stakeholders may include Health Plans, Agent/Brokers, States, Associations, Navigators/Assisters, Third Party Administrators (TPAs), and Pharmacy Benefit Managers (PBMs).

• Experience in a client-facing consulting role desired
• Experience working with the Centers for Medicare & Medicaid Services (CMS) desired
• Outstanding written and oral communication skills
• Experience with federal government contracting desired
• Experience working in an ISO and/or CMMI certified organization a plus
• Experience with Federal Healthcare programs (ACA Marketplaces, Medicaid, Medicare)
• Well-developed analytical skills
• Experience with JIRA and Confluence a plus
• Technical writing and curriculum development
• Bachelor’s degree required; Master’s degree preferred in Public Health or Public Administration
• Ability to meet deadlines in a fast-paced environment
• Proficiency in using Microsoft Office applications such as Visio, Excel, Word, and PowerPoint
• 3+ years of healthcare working experience
• Project management experience required; Project Management Professional (PMP®) certification a plus
• Ability to conduct independent research

EOE, Including Disability/Vets