The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in.

POSITION SUMMARY

Gold Coast Health Plan is seeking a Policy Analyst to enhance and strengthen Gold Coast Health Plan’s (GCHP) policy infrastructure/platform involving state and federal Medicaid programs by tracking and analyzing federal, state and local legislation/regulation that may impact GCHP. Under the guidance of the Executive Director, Strategy and External Affairs, the Policy Analyst is responsible for policy research, analysis, and keeping leadership abreast of regulations and statutes concerning Medicaid/ Medi-Cal Programs. The Policy Analyst works on projects and other assignments in the Government Affairs Department relating to policy objectives and policy initiatives concerning Medicaid/Medi-Cal Programs, and supports other key GCHP staff on related projects.
Amount of Travel Required: 10%
Work Schedule: Travel, work protracted or unusual work hours and evening meetings, or irregular hours for attendance at meetings for special projects or programs.

POSITION QUALIFICATIONS

• Ability to work collaboratively with internal departments to develop policies reflective of operational needs and in compliance with state and federal regulations, and contractual requirements.
• Strong organizational, analytical, problem solving, and project management skills.
• Demonstrated ability to build consensus on strategies and messages among peers and stakeholders.
• Ability to adapt to constantly changing priorities in managing various projects simultaneously.
• Maintain a high degree of credibility, confidentiality, and integrity.
• Work independently on assigned projects.
• Work as a team member as department tasks dictate.
• Prioritize tasks according to internal and external deadlines.
• Expertise in federal and state policy issues and data sources related to the Medicaid program.
• Ability to communicate research findings clearly through tables, charts, and figures.

SKILLS & ABILITIES

Education:

• Bachelor’s Degree in Health Services Administration, Public Health, or Public Policy, or related field: Required
• Master’s Degree: Preferred

Experience: 1-3 years of experience required including health care regulatory, managed care and/or compliance experience, or combination of education and related experience.
Computer Skills: Advanced skills in the usage of the MS Word and Power Point.
Certifications & Licenses: A valid and current Driver’s License, Auto Insurance required

Other Requirements:

• Understanding of managed care and government-sponsored health care delivery systems.
• Understanding of managed care operations and issues that affect the organization.
• Demonstrated knowledge of pertinent federal and state laws related to health care.
• Demonstrated knowledge of policy implications and impact of policy decisions on the organization.
• Intermediate level in Microsoft applications.
• Ability to communicate effectively Oversee projects and prioritize resources.
• Demonstrate initiative to drive tasks and responsibilities.
• Self-manage priorities and responsibilities to meet objectives.
• Able to interact and maintain vendor relationships.
• Able to utilize computer programs and tools provided in work environment.
• Ability to implement and maintain various reports.
• Leadership skills.
• Thorough knowledge of Policies and Procedures.

• Adherence to the Code of Conduct as well as the Code of Ethics.

  Competency Statements

• Accountability - Ability to accept responsibility and account for his/her actions.

• Communication, Written - Ability to communicate in writing clearly and concisely. Superior writing skills with the ability to draft policies using precise and unambiguous language.
• Communication, Oral - Ability to communicate effectively with others using the spoken word.
• Technical Aptitude - Ability to comprehend complex technical topics and specialized information.
• Detail Oriented - Ability to pay attention to the minute details of a project or task.
• Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.
• Judgment - The ability to formulate a sound decision using the available information.
• Relationship Building - Ability to effectively build relationships with customers and co-workers.
• Management Skills - Ability to organize and direct oneself and effectively supervise others.

Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statements

• Analyze and assess relevant federal, state, county, and city local policies and trends.
• Analyze new regulations and statutes to determine potential Plan impact.
• Provide guidance to internal customers on policy implications and recommendations for policy decisions.
• Draft memorandum(s) and report(s) on policies and procedures concerning state and federal Medicaid programs.
• Support in writing GCHP policy briefs and other publications, including developing figures, tables, charts and other data visualizations, fact sheets, and other supporting documents.
• Keep abreast of new policy/regulatory developments affecting the Medicaid/Medi-Cal program and coverage for the low-income population.
• Monitor activities by the Executive Branch, Congress and State Legislature that will or can impact the health plan; alert and advise the Executive Director, Strategy and External Affairs on emerging opportunities or concerns.
• Other ad hoc assignments and projects in support of GCHP departments.
• Other duties as assigned.