Policy & Regulatory Analyst

Index Analytics LLC is a rapidly growing Baltimore-based small business providing health related consulting services to the federal government. At the center of our company culture is a commitment to instilling a dynamic and employee-friendly place to work. We place a priority on promoting a supportive and collegial team environment and enhancing staff’s experience through career development and educational opportunities.

The Federal No Surprises Act (NSA) creates a new process, called independent dispute resolution (IDR), which health care providers, facilities, and health plans can use to resolve payment disputes for certain out-of-network charges. 

Index Analytics is seeking a policy and regulatory analyst to support more comprehensive understanding of federal independent dispute resolution eligibility requirement and how those requirements relate to requirements related to surprise billings at the state level. The Policy and Regulatory Analyst will work as a member of a multi-disciplinary team to review medical and billing documentation and collect information from disputing parties to assist in the resolution of disputes.

Index will provide training on the Federal rule, IDR process, case types, IDR entity responsibilities/role, state bifurcation, and relevant government systems to access case materials.

Responsibilities

Using a current understanding of the No Surprises Act and the IDR guidance to:

• Support formative research and policy analysis to enhance the understanding of federal and state requirements related to surprise billing dispute resolution eligibility.

• Work in partnership with other Analysts, Policy SMEs, and project leadership to develop and maintain awareness of current policies and regulations, and proactively identify downstream impacts and offer solutions.

• Identify gaps in documentation/materials needed and participate in a process for corrective action to ensure expeditious case resolution.

• Contribute recommendations for enhancements to business processes and workflows related to policy and regulatory analysis.

• Contribute recommendations to training materials, job aids, and operational documents.

• Participate in the delivery of training.

• Summarize information and effectively communicate findings in writing and verbally within internal team and to external government and IDRE partners.

• Adhere to customer and company standards, processes, and requirements.

Qualifications

• US citizen or Authorized to Work and lived in the US for 3 of the last 5 years. Must be able to obtain a U.S. Federal government client badge and obtain Public Trust level clearance

• Bachelor’s degree and 2 years of relevant experience

• Degree in Public Policy/Public Administration or Public Health preferred

• 2 years relevant work experience implementing and operating healthcare programs in compliance with Federal regulations required

• Working knowledge of the No Surprises Act preferred

• Working knowledge of healthcare delivery and healthcare claims systems preferred

• Demonstrable ability to interpret and communicate programs and policies

• Demonstrated ability to provide operational guidance based on analysis and comprehension of complex information

• Proven ability to work in a fast-paced environment with short turnaround times and coordinate across teams

• Ability to learn new and complex computer system applications

• Outstanding written and oral communication skills

• Proficiency in Microsoft Office suites including Word, Excel, and PowerPoint

• Security Clearance - Ability to obtain Public Trust level clearance

Index Analytics provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.