Health Policy Analyst
TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.4 million Tennesseans and operates with an annual budget of approximately $12 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).
WHY WORK AT TENNCARE?
TennCare’s mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and work collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.
JOB AND DEPARTMENTAL OVERVIEW
TennCare is committed to improving the quality of health care for its members while maximizing the value of every dollar spent. TennCare has been a leader in innovation through clinical care models and delivery system payment reform. TennCare also sits at the intersection of federal and state health policy. TennCare’s Medical Office is integral to this mission with direct responsibility for clinical quality and operations, federal and state policy, and strategic clinical innovation for the agency.
Operationally, the medical office is responsible for all medical, dental, and pharmacy policies and operations while providing quality and population health oversight. It also administers all medical appeals and oversees provider registration and engagement. Finally, the medical office is responsible for strategic clinical initiatives to improve clinical care and outcomes for its members working closely with providers, the managed care organizations, and other key stakeholders to accomplish this.
Health Policy Analyst
The Health Policy Analyst will work closely with the Chief Medical Office leadership team to work on high-profile projects in support of the strategic vision and goals of the Medical Office and lead the Maternal Opioid Misuse (MOM) Model grant. The position will report directly to the Associate Medical Director and Director of Health Policy. In addition to leading the MOM grant, other high-priority initial projects will include supporting efforts around the TennCare opioid epidemic strategy, maternal and infant health, and project management and organization.
The Maternal Opioid Misuse (MOM) Model grant is a 5-year CMS federal grant focused on addressing fragmentation in the care of pregnant and postpartum Medicaid beneficiaries with substance use disorder (SUD). TennCare is one of 10 recipients of this grant. TennCare will partner with Vanderbilt University Medical Center to focus on providing enhanced care coordination and expanded services to support successful treatment and recovery services from opioid use disorder for mothers and their infants during and after pregnancy. For more information on the MOM Model Grant:
- Manage Maternal Opioid Misuse (MOM) Model grant in partnership with Vanderbilt University Medical Center (VUMC)
- Use project management skills and tools to ensure streamlined and efficient management of the grant to track all project timelines and milestones.
- Ensure all CMS required grant deliverables are completed and submitted on time (e.g. quarterly and annual reports).
- Lead bi-weekly calls with CMS and participate in required learning opportunities.
- Monitor and partner collaboratively with VUMC to ensure all performance and operational milestones are reached.
- Guide and coordinate strategic decisions for MOM grant including the development of advanced payment model for maternal substance abuse.
- Communicate and coordinate across TennCare stakeholders to meet all budget, quality measurement and evaluation, and policy change requirements for grant operations.
- Support Data Analytics and Policy Research to Guide Medical Office Policy Decisions
- Conduct literature/policy reviews to summarize relevant evidence to inform policy decision-making on strategic topics (e.g. women’s health, opioid usage, social determinants of health).
- Prepare supporting materials for meetings and legislative hearings which may include PowerPoint presentations, policy memos, and data visualization.
- Engage with or interview multiple internal and external stakeholders to gather supporting information for decision-making.
- Assist with academic presentation and publications of key TennCare initiatives.
- Support the Associate Medical Director and Director of Health Policy
- Document next steps and ensure completion for key CMO and leadership team meetings. Responsibilities include ensuring key meeting participants are informed and prepared, capturing critical tasks, and following-up on task completion.
- Assist with organizing, scheduling, and securing logistics to ensure efficient and productive team meetings.
- Partner with and support creative design and planning of TennCare initiatives that are led by the Associate Medical Director and Director of Health Policy.
- Other duties as assigned by Chief Medical Officer, Associate Medical Director, or Director of Health Policy
- A bachelor’s degree with at least 2 years relevant work experience in clinical healthcare, public health, and/or health policy ~ OR~ Master’s degree in public health, the social sciences or a related field
- Expertise in Microsoft Office software including Word, Excel, and PowerPoint
- Excellent interpersonal, oral, and written communication skills
- Grant management skills including developing reports, budgets, and presentations
- Ability to research and summarize key information from academic resources
- Strong organizational, time management, and analytical skills
- Experience with health insurance and managed care
- Experience with state/federal health agencies and policies
- Experience in program evaluation and/or managing large-scale grants
- Experience in health care delivery and administration (hospital, physician practice, etc.)
JOB LOCATION: Nashville, Tennessee
SALARY RANGE: Compensation arrangements are competitive and will be commensurate with the selectedcandidate’s experience and responsibilities of this position.
HOW TO APPLY: Qualified candidates should send a cover letter with salary expectations, resume, and writing sample by February 5, 2020.
Position Status: Executive Service
State Classification: Planning Analyst 6
Pursuant to the State of Tennessee’s Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State’s policy to provide an environment free of discrimination and harassment of an individual because of that person’s race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran’s status or any other category protected by state and/or federal civil rights laws.
Job Type: Full-time
- relevant work: 2 years (Required)