1,183 Healthcare Policy jobs in the United States

Lyric, formerly ClaimsXten, is a leading healthcare technology company, committed to simplifying the business of care. Over 30 years of experience, dedicated teams, and top technology help deliver more than $14 billion of annual savings to our many loyal and valued customers-including 9 of the top 10 payers across the country. Lyric's solutions leverage the power of machine learning, AI, and predictive analytics to empower health plan payers with pathways to increased accuracy and efficiency, while maximizing value and savings. Lyric's strong relationships as a trusted ally to customers resulted in recognition from KLAS as "true partner" and "excellent value for investment," with a top score for overall customer satisfaction and A+ likelihood to recommend in their October 2023 Payment Integrity and Accuracy Report. Discover more at Lyric.ai .
Applicants must already be legally authorized to work in the U.S. Visa sponsorship/sponsorship assumption and other immigration support are not available for this position.
The Healthcare Policy Ideation Lead is responsible for understanding key healthcare issues, payer challenges, industry rules and regulations as well as competitive product offerings. This role will identify patterns across data, and research industry trends to inform innovative solutions. In addition, the Healthcare Policy Ideation Lead will evaluate and re-purpose existing content across the portfolio and adjacent markets.
**ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE OUTCOMES**
+ **Drive Growth & Differentiation -** Identify market growth drivers and develop innovative content, solutions, and service models to meet payer needs and create competitive advantage.
+ **Research & Market Intelligence -** Monitor clinical, coding, regulatory, and AI trends to translate emerging insights into actionable content strategy and product opportunities.
+ **Cross-Functional Collaboration -** Partner with Product Strategy, Clinical Operations, Clinical Networks, and clients to surface high-impact opportunities and guide innovation priorities.
+ **Content Quality & Expansion -** Conduct research on payer behavior; identify and evaluate new data sources to expand and enhance the quality of PI content.
+ **Ideation & Content Strategy -** Lead and participate in ideation and discovery sessions with internal stakeholders and customers to assess market demand and shape new program concepts.
+ **Sourcing & Innovation Models -** Support build, buy, or partner decisions to source clinical content and develop scalable, differentiated programs.
Collaborate with Product teams to assess feasibility, define requirements, and prioritize capabilities for go-to-market execution.
**REQUIRED QUALIFICATIONS**
+ Bachelor's degree in business or healthcare/related field or at least 10 years in a directly related role.
+ Minimum of (5) years of experience working with medical billing, claim processing, coding, claim and reimbursement methodologies, documentation interpretation, payment policy or working with medical claims to identify improper payments as a payment integrity vendor or within a health plan's payment integrity team.
+ Minimum of (5) years of experience understanding payment integrity principles, including prepayment and post-payment workflows, applications and service components as well as an understanding of medical terminology, CMS, Medicaid/Medicare regulations.
+ Minimum of five (5) years of ideation experience performing and interpreting analysis to drive data-informed decisions.
+ Experience working with or managing AI-enabled products, especially those involving medical claims, coding, or clinical text analysis.
+ Must be current on healthcare AI trends and regulatory shifts, using that insight to influence roadmap.
+ Experience in clinical research, policy surveillance, or market analysis related to payment integrity or coding.
+ Skill in synthesizing payer policy, clinical evidence, and coding guidelines to support the development of defensible and impactful content.
**PREFERRED QUALIFICATIONS**
+ Active applicable related certificate or license (CCS, CCS-P, CPC, RHIA)
+ Prior work in health insurance, claims processing or adjudication, or fraud, waste and abuse detection.
+ Expertise in researching highly technical information on the internet
+ Experience with medical coding sources such as CPT Assistant, medical association publications supporting medical coding and clinical research websites
+ Extensive knowledge of claims data and associated industry-standard codes such as CPT, ICD diagnosis, revenue, bill type and admit/discharge status codes
+ Experience leading working groups and internal and external cross-functional discussions.
***The US base salary range for this full-time position is:
$22,425.00 - 183,638.00
The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location. Please note that the compensation details listed in US role postings reflect the base salary only, and does not reflect the value of the total rewards compensation. ***
Lyric is an Equal Opportunity Employer that strives to create an inclusive environment, empower employees and embrace collaborative success.

The Department of Health Services Research at The University of Texas MD Anderson Cancer Center has several fully funded postdoctoral fellowships available. Under the mentorship of Dr. Iakovos Toumazis, these postdoctoral fellowships will provide highly motivated individuals with the opportunity to contribute to the design, implementation, analysis, and publication of high-impact studies focusing on public health policy, decision analytics, mathematical modeling, and microsimulation modeling.
The first set of positions focuses on the development and application of decision analytical models to optimize sequential decision-making under uncertainty for various cancers (OR-focused positions). The second set of available positions focuses on the development and application of computer simulation-based modeling to simulate the disease progression and assess the impact of alternative interventions on cancer incidence and mortality (microsimulation-focused positions).
Fellowships are for one-year, full-time commitment, renewable upon mutual consent with competitive salary and benefits. Opportunities for the fellows to write and submit their individual career development grants (e.g. NIH career development award) would be provided and strongly supported by the PI and the institution.
*LEARNING OBJECTIVES*
OR-focused position(s):
- Develop optimization models to optimize sequential medical decision making under uncertainty.
- Assess the effectiveness and cost-effectiveness of optimal policies to inform public health policy.
Microsimulation-focused position(s):
- Develop microsimulation models for decision analysis and cost-effectiveness analysis.
- Calibrate and validate microsimulation models to observed outcomes from clinical trials and/or cancer registries.
All positions:
- In coordination with the principal investigator, lead the research team in writing manuscripts, disseminating findings at scientific meetings, and preparing grant applications.
All duties and responsibilities are carried out in compliance with institutional policies, ethical research standards, and applicable federal and state regulations.
*ELIGIBILITY REQUIREMENTS*
QUALIFICATIONS:
OR-focused position(s):
- Expertise in Markov decision process (MDP)/partially observable MDP (POMDP) is required.
- Prior experience in data analytics, applications of operations research to public health and medical decision making is highly desired but not required.
Microsimulation-focused position(s):
- Expertise in stochastic simulation modeling and Monte Carlo methods is required.
- Prior experience with model validation and calibration is highly desired but not required.
- Experience in survival analysis, parameter estimation, and data analytics will be considered a plus.
All positions:
- Good understanding of mathematical modeling and hands-on experience of general-purpose programming languages such as Julia, R, Python, or MATLAB is required.
- Strong writing and verbal communication skills are required.
Qualified candidates should have or be close to completion of a Doctorate Degree in industrial engineering, operations research, computer science, health services research, epidemiology, health-outcomes research, biostatistics, data science or a related quantitative field.
*ADDITIONAL APPLICATION INFORMATION*
To apply, interested candidates should submit a brief cover letter personalizing one's interest in the position(s), with information about research experience and interests, and their CV with the names and contact information for references to Dr. Iakovos Toumazis, with subject: "Postdoctoral Fellowship - OR" or Apply via Slate for the OR-focused positions or with subject "Postdoctoral Fellowship - Microsimulation" or Apply via Slate for the microsimulation-focused positions. Review of applications will begin immediately and continue until all positions are filled.
MD Anderson consistently tops U.S. News & World Report's list for cancer care ("America's Best Hospitals") and is located in the Texas Medical Center (TMC), the world's largest. The proximity of the TMC to Rice University and the Museum District, light rail connections to world-class performing arts and professional sporting venues, a short drive from Galveston and the Texas coast, and a diverse population of Houston are a few features of this uniquely cosmopolitan and affordable city.
*POSITION INFORMATION*
MD Anderson offers full-time postdoc positions with a tuition benefits, educational opportunities, and individual and team recognition.
Offsite work arrangements are subject to approval and may be modified or revoked at any time based on business needs, performance considerations, or regulatory requirements.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law.

Company Overview  

Policy Reporter offers a suite of insights products and consulting services to enhance market access strategies and patient support initiatives. By tracking payer policies in near real time, we ensure that the largest pharmaceutical, medical device and diagnostics manufacturers, leading academic institutions and organized provider groups have the most up-to-date data and evidence-based guidance to help patients access the therapies they need. For more information, please visit .

About the Team

If successful, you will be joining a friendly and supportive team with a healthy work/life balance and a flexible schedule that can accommodate various time zones. There is an opportunity for professional growth and development as the team continues to expand.

Position Summary

The Healthcare Policy Reporting Specialist I, Research is responsible for extracting US healthcare policy data and delivering payer landscape projects that impact market access strategies. This role involves thorough research and insight generation; attention to detail and high data accuracy; and solution focused problem-solving skills. Our clients include large pharmaceutical, medical device, and diagnostics companies, as well as leading academic institutions and organized provider groups.

Role & Responsibilities

• Investigate and extract key healthcare payer policy data for client facing reports for both new and existing reports 
• Lead well-established reporting, ensuring continued high data accuracy and efficiency through thorough quality assurance of the policy data set across existing reports. 
• As required, HPRSs liaise directly with clients on projects to understand their needs, scope deliverables, and present findings. 
• Work collaboratively with internal stakeholders to conduct analysis and generate insights in the form of dashboards/visualizations for the clients. 
• With experience, HPRSs will take on additional responsibilities including but not limited to: 
  • Provide support and guidance to new hires - participate in the mentorship program when requested and conduct training sessions.
  • As required, support cross-departmental strategic initiatives as a representative of the research team.
• Evaluate current content & processes and develop innovative approaches for improvement to increase accuracy and efficiency
• In line with ensuring the quality and accuracy of our reports, HPRSs will perform maintenance on a database of healthcare payer policies as needed
• Perform maintenance of internal research tools
• Conduct Quality Control checks on your own work, as well as the work of colleagues as required
• Develop a deep understanding of the US healthcare landscape
• Work independently with minimal supervision

Skills & Qualifications

• A bachelor’s degree in a relevant field (life science, social science, language-focused humanities), or 1-3 years of experience in a similar role (data quality management or research) is considered an asset.
  
• Must have at least 1 year of Quantitative & Qualitative Research experience.
  
• Experience and/or knowledge in Prior Authorization, Billing and Coding, and Medical reimbursement would be considered an asset
  
• Experience in communicating findings to external clients is considered an asset
  
• Prior knowledge of the US healthcare market is preferred.
  
• Previous healthcare data experience is considered an asset.
• Intermediate to advanced Microsoft Office Suite, particularly Excel skills
• Research competencies including but not limited to
• Synthesizing and analyzing insights from large data sets
• Summarizing, presenting, and defending findings to both internal and external stakeholders
• Excellent organizational and problem-solving skills
• High attention to detail
• Effective verbal and written communication; ability to communicate and present findings to clients in a clear and concise manner.

Vertical Specific Experience:

Oncology/Immunology: 

• In-depth scientific knowledge and/or previous work experience in Oncology & Immunology therapy areas is preferable. Knowledge of the US pharmaceutical market access landscape is considered an asset. 
• A strong understanding of key concepts such as biomarkers, companion diagnostics, personalized medicine, biosimilars, cell & gene therapies, and monoclonal antibodies is preferred.

General Pharma: 

• In-depth scientific knowledge and/or previous work experience in General Pharmaceutical including but not limited to neurosciences, cardiovascular, metabolic, renal, gastroenterology, infectious diseases areas is preferable. Knowledge of the US pharmaceutical market access landscape is considered an asset.

Hybrid/Diagnostics:

• In-depth scientific knowledge and/or previous work experience in diagnostic testing areas is preferable. Knowledge of the US pharmaceutical market access landscape is considered an asset. 
• Knowledge and/or experience in Precision medicine and clinical genomics experience will be highly valued
• Experience in processing/approval of diagnostic coverage claims is considered as an asset
• Knowledge and/or experience in working with Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes

Medical Devices/Procedures:

• In-depth scientific knowledge and/or previous work experience in medical devices/procedures is preferable. Knowledge of the US pharmaceutical market access landscape is considered an asset.
• Knowledge and/or experience in working with Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes is considered an asset
• Expertise of medical device industry standards and compliance with launch and reimbursement experience is considered an asset.

What We Offer

• Competitive compensation package including extended health benefits, paid-time off, volunteer leave, employer-matching retirement savings, etc. and company paid Employee Assistance Program
• Excellent opportunities for personal and career development
• Collaborative and supportive company culture
  

Policy Reporter’s Core Values

• Excellence
• Value & Respect
• Continuous Learning
• Ownership & Accountability
• Teamwork 

Policy Reporter is committed to Employment Equity. Accommodations during the recruitment process are available upon request for candidates with disabilities.

** THIS POSITION IS FOR RESIDENTS OF OAHU ONLY **
Location: Hybrid, Half the week in person in Honolulu, HI
Pay: $27/hr
+ Position Summary:
We are seeking a detail-oriented and experienced professional with experience in healthcare claims processing and policy development. The ideal candidate will play a key role in analyzing claims data, identifying trends, and drafting policies that ensure compliance with regulatory standards and improve operational efficiency.
Key Responsibilities:
+ Analyze healthcare claims data to identify patterns, discrepancies, and opportunities for process improvement.
+ Develop, write, and revise internal policies and procedures related to claims processing, reimbursement, and compliance.
+ Collaborate with cross-functional teams including compliance, legal, and operations to ensure policies align with federal and state regulations.
+ Monitor changes in healthcare laws and regulations (e.g., CMS, HIPAA) and update policies accordingly.
+ Provide training and guidance to staff on new or revised policies and claims procedures.
+ Conduct audits and reviews of claims to ensure accuracy and adherence to policy.
+ Serve as a subject matter expert on claims adjudication and policy interpretation.
Qualifications:
+ Bachelor's degree in Healthcare Administration, Public Health, Business, or related field (Master's preferred).
+ 3+ years of experience in healthcare claims processing and policy writing.
+ Strong understanding of healthcare reimbursement methodologies (e.g., Medicare, Medicaid, commercial insurance).
+ Excellent written and verbal communication skills.
+ Proficiency in data analysis tools and claims management systems.
+ Ability to interpret complex regulations and translate them into actionable policies.
Preferred Skills:
+ Experience with regulatory compliance and healthcare audits.
+ Familiarity with EHR systems and claims platforms.
+ Certification in healthcare compliance (e.g., CHC, CPC) is a plus.
Pay and Benefits
The pay range for this position is $6.00 - 29.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Honolulu,HI.
Application Deadline
This position is anticipated to close on Aug 29, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

** THIS POSITION IS FOR RESIDENTS OF OAHU ONLY **
Location: Hybrid, Half the week in person in Honolulu, HI
Pay: $27/hr
+ Position Summary:
We are seeking a detail-oriented and experienced professional with experience in healthcare claims processing and policy development. The ideal candidate will play a key role in analyzing claims data, identifying trends, and drafting policies that ensure compliance with regulatory standards and improve operational efficiency.
Key Responsibilities:
+ Analyze healthcare claims data to identify patterns, discrepancies, and opportunities for process improvement.
+ Develop, write, and revise internal policies and procedures related to claims processing, reimbursement, and compliance.
+ Collaborate with cross-functional teams including compliance, legal, and operations to ensure policies align with federal and state regulations.
+ Monitor changes in healthcare laws and regulations (e.g., CMS, HIPAA) and update policies accordingly.
+ Provide training and guidance to staff on new or revised policies and claims procedures.
+ Conduct audits and reviews of claims to ensure accuracy and adherence to policy.
+ Serve as a subject matter expert on claims adjudication and policy interpretation.
Qualifications:
+ Bachelor's degree in Healthcare Administration, Public Health, Business, or related field (Master's preferred).
+ 3+ years of experience in healthcare claims processing and policy writing.
+ Strong understanding of healthcare reimbursement methodologies (e.g., Medicare, Medicaid, commercial insurance).
+ Excellent written and verbal communication skills.
+ Proficiency in data analysis tools and claims management systems.
+ Ability to interpret complex regulations and translate them into actionable policies.
Preferred Skills:
+ Experience with regulatory compliance and healthcare audits.
+ Familiarity with EHR systems and claims platforms.
+ Certification in healthcare compliance (e.g., CHC, CPC) is a plus.
Pay and Benefits
The pay range for this position is $6.00 - 29.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Honolulu,HI.
Application Deadline
This position is anticipated to close on Sep 2, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

**Job Family** **:**
Strategy & Transformation Consulting
**Travel Required** **:**
None
**Clearance Required** **:**
Ability to Obtain Public Trust
**What You Will Do** **::**
As a Consultant, Public Health Data Policy and Regulatory Analyst within the Guidehouse Federal Health Advisory practice, you will support the delivery of services and development of solutions that enhance the interoperable exchange of public health data across various health sectors. While your initial focus will be on a CDC initiative involving data use agreements, privacy, and governance, you will also have opportunities to contribute to broader strategy and transformation efforts across federal health clients. In this role, you will assist with legal and policy research, help draft and review data-related agreements and policies, and support client-facing workstreams that require analytical thinking, attention to detail, and strong communication skills. You will work closely with consultants and project leads to ensure deliverables meet client expectations and align with legal and operational standards.
Specific Responsibilities:
+ Assist in the analysis and development of new data use agreements, ensuring they comply with current legal standards and meet operational needs.
+ Support the review and revision of existing contracts and agreements to align with updated data procurement policies and public health goals.
+ Contribute to the development of policies for data procurement and privacy that reflect best practices and legal compliance.
+ Help draft and update terms of service for technology platforms, ensuring secure and compliant data use.
+ Participate in the development of trust frameworks for shared service platforms, focusing on legal and operational considerations.
+ Conduct legal and policy research to support client deliverables.
+ Support qualitative and quantitative analysis to inform client decision-making.
+ Assist in the development of client work products such as findings reports, strategic plans, SOPs, and communications materials.
+ Collaborate with team members and clients to ensure alignment and progress.
+ Contribute to internal initiatives and cross-functional projects as needed.
**What You Will Need** **:**
+ Juris Doctor (JD) degree is required
+ 1+ years of relevant experience in public health law and/or data use agreements.
+ Strong analytical, problem-solving, and communication skills.
+ Ability to work independently and collaboratively in a fast-paced environment.
+ Proficiency in Microsoft Office Suite.
+ U.S. Citizenship and ability to obtain a Public Trust clearance.
**What Would Be Nice To Have** **:**
+ Experience working with the US Centers for Disease Control and Prevention (CDC) or related Department of Health and Human Services (HHS) operating division.
+ Relevant professional certification(s) (e.g., Project Management Professional - PMP, Lean Six Sigma Green Belt, Certified Change Management Professional - CCMP).
+ Advanced proficiency with Microsoft Office suite.
**What We Offer** **:**
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
+ Medical, Rx, Dental & Vision Insurance
+ Personal and Family Sick Time & Company Paid Holidays
+ Position may be eligible for a discretionary variable incentive bonus
+ Parental Leave and Adoption Assistance
+ 401(k) Retirement Plan
+ Basic Life & Supplemental Life
+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
+ Short-Term & Long-Term Disability
+ Student Loan PayDown
+ Tuition Reimbursement, Personal Development & Learning Opportunities
+ Skills Development & Certifications
+ Employee Referral Program
+ Corporate Sponsored Events & Community Outreach
+ Emergency Back-Up Childcare Program
+ Mobility Stipend
**About Guidehouse**
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
_Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee._

Job Family:

Strategy & Transformation Consulting

Travel Required:

None

Clearance Required:

Ability to Obtain Public Trust

What You Will Do::

As a Consultant, Public Health Data Policy and Regulatory Analyst within the Guidehouse Federal Health Advisory practice, you will support the delivery of services and development of solutions that enhance the interoperable exchange of public health data across various health sectors. While your initial focus will be on a CDC initiative involving data use agreements, privacy, and governance, you will also have opportunities to contribute to broader strategy and transformation efforts across federal health clients. In this role, you will assist with legal and policy research, help draft and review data-related agreements and policies, and support client-facing workstreams that require analytical thinking, attention to detail, and strong communication skills. You will work closely with consultants and project leads to ensure deliverables meet client expectations and align with legal and operational standards.

Specific Responsibilities:

• Assist in the analysis and development of new data use agreements, ensuring they comply with current legal standards and meet operational needs.

• Support the review and revision of existing contracts and agreements to align with updated data procurement policies and public health goals.

• Contribute to the development of policies for data procurement and privacy that reflect best practices and legal compliance.

• Help draft and update terms of service for technology platforms, ensuring secure and compliant data use.

• Participate in the development of trust frameworks for shared service platforms, focusing on legal and operational considerations.

• Conduct legal and policy research to support client deliverables.

• Support qualitative and quantitative analysis to inform client decision-making.

• Assist in the development of client work products such as findings reports, strategic plans, SOPs, and communications materials.

• Collaborate with team members and clients to ensure alignment and progress.

• Contribute to internal initiatives and cross-functional projects as needed.

What You Will Need:

• Juris Doctor (JD) degree is required

• 1+ years of relevant experience in public health law and/or data use agreements.

• Strong analytical, problem-solving, and communication skills.

• Ability to work independently and collaboratively in a fast-paced environment.

• Proficiency in Microsoft Office Suite.

• U.S. Citizenship and ability to obtain a Public Trust clearance.

What Would Be Nice To Have:

• Experience working with the US Centers for Disease Control and Prevention (CDC) or related Department of Health and Human Services (HHS) operating division.

• Relevant professional certification(s) (e.g., Project Management Professional - PMP, Lean Six Sigma Green Belt, Certified Change Management Professional - CCMP).

• Advanced proficiency with Microsoft Office suite.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

ORGANIZATION OVERVIEW Funded by philanthropists Gary and Mary West, West Health is a nonprofit and nonpartisan organization that includes the Gary and Mary West Health Institute and Gary and Mary West Foundation in San Diego, and the Gary and Mary West Health Policy Center in Washington, D.C. These organizations work together toward a shared mission: lowering the cost of healthcare to enable successful aging with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life and independence. For more information, westhealth.org and follow @westhealth

West Health’s focus is lowering healthcare costs, improving health outcomes, and enabling the creation of a system that is more transparent, competitive, affordable, person-centered, quality-driven, and sustainable. Specific focus areas include lowering national and consumer healthcare spending, promoting value-based care models, advancing integrated brain health, catalyzing patient-centered innovations, increasing price transparency, and limiting consumer exposure to high out-of-pocket costs.

POSITION SUMMARY
The Associate Director, Health Policy will work to support the development of policy solutions through advanced data analysis and research. This role sits at the intersection of data science and public policy and plays a critical role in transforming complex healthcare data into evidence-based insights that inform national, state, and institutional health policy initiatives. Projects will include analysis of large healthcare claims data, survey data, pricing and utilization data, and other sources to examine current trends and estimate effects of potential changes on healthcare programs, including Medicare, Medicaid, and private insurance. The Associate Director will collaborate with the Data Science Team to manage, maintain, and troubleshoot West Health’s collection of healthcare databases and associated visualizations.

The ideal candidate will bring a deep understanding of healthcare data and a keen interest in using that data to explore, evaluate, and inform policies that reduce costs and improve care for aging populations.

GENERAL DUTIES AND RESPONSIBILITIES

Data-Driven Policy Analysis

• Identify and frame policy-relevant research questions that can be answered using data from healthcare claims, surveys, pricing files, and utilization databases.
• Design and execute statistical analyses to assess the cost, utilization, and outcomes associated with healthcare services and policy interventions.
• Use data to quantify potential effects of legislative or regulatory proposals.

Transforming Data Into Policy Insights

• Synthesize analytical findings into actionable insights for policymakers, stakeholders, and the public, clearly articulating implications for healthcare cost, access, and quality.
• Create concise and compelling data visualizations, policy briefs, and slide decks that communicate research findings effectively to non-technical audiences.

Cross-Functional Collaboration

• Collaborate with policy experts, economists, and communications staff to ensure data analyses are aligned with strategic policy goals and messaging.
• Partner with external organizations (e.g., think tanks, academic institutions) on joint research projects, ensuring data integrity and methodological rigor.

Rapid Response and Policy Monitoring

• Conduct quick-turn analyses in response to emerging policy questions or media inquiries, using available data to generate timely insights.
• Support the review and synthesis of healthcare legislation and regulations, using data to assess potential policy impacts.

Data Infrastructure and Documentation

• Maintain and update analytic datasets, codebooks, and documentation to ensure reproducibility and transparency of methods.
• Assist in managing West Health’s internal data assets and contribute to improving analytical tools and workflows.

QUALIFICATIONS AND EDUCATION

• Master’s or doctoral degree in statistics, biostatistics, economics, or related field with healthcare research experience; or master’s or doctoral degree in health services research, public health, public policy, or related field plus several years of work experience in quantitative data analysis.
• 5 - 10 years of applicable work experience in a health policy area is required.
• Detailed knowledge of at least one topic in healthcare and aging policy, such as Medicare policy, value-based care, provider payment, behavioral health, cost of healthcare services, prescription drug costs, and/or alternative care delivery models for aging.
• Demonstrated research and analytical skills applied to public policy issues, including ability to synthesize and summarize large amounts of information and to focus quickly on the essence of an issue. A keen understanding of the importance of such research and disseminating it effectively to policymakers, the media, and the public.
• Demonstrated ability to draw clear, policy-relevant conclusions from complex data and communicate them effectively.
• Ability to develop, initiate and conduct work independently and efficiently on concurrent projects.
• Strong organizational and management skills and attention to detail.
• Demonstrated ability to work successfully in a highly collaborative environment.
• Prior experience working in or with government agencies, policy research organizations, or consulting organizations is a plus.

Compensation and Benefits

• The estimated total compensation range for this position is $130,000 - $170,000
  We gladly offer:    
• Up to 15% Annual Performance Bonus – rewarding your hard work and success.
• Hybrid Work Schedule (Must be located in San Diego or Washington DC) - offering flexibility to balance your work and personal life.
• Comprehensive Benefits Package – including Medical, Dental, Vision, Short-Term Disability, Long-Term Disability, Life Insurance, and a Flexible Spending Account to support your health and well-being.
• 100% Premium Coverage for Employee Medical, Dental, Vision, Short-Term Disability, Long-Term Disability, and Life Insurance, plus 70% coverage for dependents for medical, dental and vision – ensuring both you and your family are well cared for.
• Generous 5% Retirement Plan Match – helping you build a secure financial future.
• Professional Development Reimbursements – investing in your growth and career advancement.
• 15 Days of Paid Time Off plus 16 Paid Holidays – promoting a healthy work-life balance and time to recharge

West Health is an Equal Opportunity Employer and does not discriminate against persons on the basis of race, color, religion, national origin, sexual orientation, gender, marital status, age, disability, or veteran's status.

Join to apply for the Director, Health Policy role at Breakthrough T1D

Join to apply for the Director, Health Policy role at Breakthrough T1D

Get AI-powered advice on this job and more exclusive features.

As the leading global type 1 diabetes (T1D) research and advocacy organization, Breakthrough T1D helps make everyday life with T1D better while driving toward cures. We invest in the most promising research to turn ideas into life-changing therapies and devices. We work with government, regulatory officials, and insurance companies to address issues that impact the T1D community -- breaking through barriers that limit access to care worldwide. We provide resources and guidance that makes it easier to live and thrive with T1D. This is more than a moment -- we're empowering a movement for the T1D community. Share your support and help educate and empower individuals facing type 1 diabetes.

Our mission is to improve lives today and tomorrow by accelerating life changing breakthroughs to treat, prevent and ultimately, cure T1D and its complications. Always, we are guided by a single purpose: As we drive towards curing type 1 diabetes, we help make everyday life better for the people who face it .

The Director of Health Policy will be responsible for advancing access to type 1 diabetes care, drugs, and devices with a focus on access to T1D cell therapies. The person in this role will bring deep expertise, strategic vision, and a collaborative spirit to develop and execute a dynamic access strategy that advances care and cures for the type 1 diabetes community.

Working closely with Breakthrough T1Ds leaders and volunteers, the Director of Health Policy will ensure Breakthrough T1D leads national efforts to expand access to current and future T1D cell therapies as well as other therapies and devices essential to the T1D community.

The person in this position will have an opportunity to play a leading role in accelerating innovative scientific advancements and the accessibility of quality care for people with T1D. The person in this role must be a motivated self-starter with a proven track record of leading successful, cross functional projects.

Specific Responsibilities

• Enhance and lead execution of Breakthrough T1Ds cell therapy access strategy to identify and remove barriers to access for current and future T1D cell therapies.
• Develop and maintain effective relationships with key associations, coalitions, other diabetes advocacy organizations, industry partners, payers, and other relevant external stakeholders.
• Direct and/or support the work of external consultants related to Breakthrough T1Ds access goals, specifically related to data analyses to support the cell therapy strategy.
• Monitor industry trends and emerging policy issues to identify opportunities for proactive engagement with a focus on T1D cell therapies.
• Support development of content related to Breakthrough T1Ds advocacy efforts such as press releases, testimony, one-pagers, web-content, etc.
• Develop and/or support content related to Advocacy access efforts such as webinars, web-content, volunteer emails, social media content, etc.
• Speak and present at external meetings and events such as conferences and workshops.
• Serve as an access subject matter expert at Congressional meetings.
• Collaborate closely with members of the Breakthrough T1D Advocacy, Research, Medical Affairs, Marketing and Communications teams.
• Support other Breakthrough T1D access goals related to insulin and diabetes devices, as needed.
  
  

Education

• Bachelors Degree required. Advanced Degree/Masters in related healthcare, business, or policy field strongly preferred.
  
  

Experience & Requirements

• 10+ years of experience in market access, healthcare, or healthcare related policy
• Expertise in health care policies expanding access through influence via Congress, federal agencies, commercial health plans, employer benefit design, and other stakeholders.
• Demonstrated ability to lead successful cross-functional projects.
• Deep understanding of US health care system is required.
• Knowledge of diabetes and/or cell/gene therapy market preferred.
• Ability to concisely present complex concepts through exceptional written and verbal communication skills.
• A team player that has the ability to work effectively with a diverse range of stakeholders including policymakers, volunteers, industry, and the public.
• Detail-oriented, self-starter, with strong organizational skills.
• Proficient in Microsoft Word, Excel, and PowerPoint.
• Travel (less than 30%).
  
  

Target Salary: $145-165k base

Essential Functions

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools or controls. The employee is occasionally required to stand, walk, sit, reach with hands and arms, climb or balance, and stoop, kneel, crouch or crawl.

The employee must occasionally lift and/or move up to 25 pounds, and infrequently up to 50 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus.

The noise level in the work environment is usually moderate.

Additional Information

Requests for medical, religious, and other exemptions will be considered on an individual basis. Breakthrough T1D will comply with all federal, state, and local laws.

Breakthrough T1D supports a diverse and inclusive workforce.

Breakthrough T1D is an Equal Opportunity Employer.

All your information will be kept confidential according to EEO guidelines.

Seniority level

• Seniority level Director

Employment type

• Employment type Full-time

Job function

• Job function Health Care Provider
• Industries Non-profit Organizations

Referrals increase your chances of interviewing at Breakthrough T1D by 2x

Get notified about new Health Director jobs in Washington, DC .

Sr Director, Community Health, Inova Cares for Families

Washington DC-Baltimore Area $04,000.00- 235,000.00 1 day ago

Deputy Director, Environmental Health & Safety

Washington, DC 229,500.00- 250,000.00 1 day ago

Campaign for the Public's Health Director

Washington, DC 125,000.00- 155,000.00 3 weeks ago

Washington, DC 140,000.00- 200,000.00 1 month ago

Washington, DC 140,000.00- 200,000.00 1 week ago

Washington, DC 64,771.00- 80,964.00 8 months ago

Vice President - Executive Director MedStar Family Choice Associate Director, Health Promotion Programs Director of Operations - Home Healthcare Director of Clinical Operations - Home Health

Upper Marlboro, MD 115,000.00- 120,000.00 2 days ago

Director of Operations - Home Healthcare

McLean, VA 175,000.00- 250,000.00 2 weeks ago

Washington, DC 90,000.00- 125,000.00 2 months ago

Washington, DC 100,000.00- 150,000.00 1 week ago

Director, Ambulatory Practice Transformation and Quality Performance Deputy Director, Environmental, Health & Safety

Rockville, MD 131,600.00- 205,700.00 2 months ago

Senior Director, Perioperative Business and Operations Associate Director - Healthcare Strategy & Innovation

Columbia, MD 90,000.00- 110,000.00 1 month ago

Campaign for the Public's Health Director

Washington, DC 80,000.00- 95,000.00 2 weeks ago

Washington, DC 77,000.00- 92,400.00 2 weeks ago

Washington, DC 160,000.00- 180,000.00 1 week ago

Lanham, MD 111,616.00- 125,010.00 1 month ago

Washington, DC 160,000.00- 180,000.00 1 week ago

Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr