• Lead development, drafting, and review of RFIs, NPRMs, and final rules, including provisions, preamble text, and supporting analyses; collaborate with federal clients to create new regulations and update existing ones; ensure all documentation aligns with agency expectations, statutory authority, and regulatory best practices; and review deliverables to ensure quality, accuracy, and compliance. • Lead client-facing discussions on regulatory approach, strategy, risks, and compliance considerations; prepare formal communications, including rulemaking documents and stakeholder materials; translate complex regulatory content into clear, accessible language for diverse audiences. • Support the full lifecycle of federal rulemaking—including RFIs, NPRMs, and final rules; develop responses to public comments for disposition documents; ensure that stakeholder feedback is effectively represented in final rules. • Contribute to development of regulatory impact analyses (RIA) by synthesizing complex quantitative and qualitative data into actionable insights; support policy and operational decision-making through structured analytical approaches. • Ensure work processes and products are aligned with relevant federal regulations, CMS guidance, and contractual requirements; identify risks and recommend mitigation strategies; ensure deliverables are of the highest quality and meet compliance, audit, and documentation standards.

Role Description As a Demand Writer Support Specialist, you’ll help drive a busy personal injury demand pipeline by: - Reviewing medical records and bills - Organizing exhibits - Preparing demand packages that are attorney-facing and submission-ready This role is built for someone who knows PI demand best practices without hand-holding, while maintaining precision under pressure. You’ll operate inside a case management system (Filevine preferred) and collaborate within a structured workflow while owning your daily output. Expect a high-volume backlog and clear quality standards; your work will directly impact case momentum and outcomes. Responsibilities - Independently review medical records, bills, and supporting documentation to ensure demand-ready accuracy - Verify billing and treatment timelines (dates, providers, gaps) and flag documentation issues before package assembly - Build and organize complete demand packages with properly labeled supporting exhibits - Identify missing records, bills, liens, or key documents and clearly communicate what’s needed to close the file - Navigate disorganized or incomplete case files to locate relevant documents quickly and confidently - Maintain consistent exhibit preparation and documentation standards suitable for attorney review - Support demand submission workflows using demand preparation software (EvenUp or similar) - Manage multiple active demands at once while meeting volume and deadline expectations - Track and update demand tasks and statuses inside the case management system to keep workflows moving - Contribute to process improvements that reduce rework and increase quality at scale Qualifications - Plaintiff personal injury experience (hands-on, not academic) - Direct experience drafting PI demand letters/packages (not only assisting an attorney) - Strong independent medical record and bill review skills (able to spot gaps, inconsistencies, and missing items) - Experience preparing demand packages from record intake through final assembly - Experience working in a case management system (Filevine strongly preferred) - Comfort operating in a high-volume environment with large backlogs and shifting priorities - Strong written English skills for attorney-facing work Requirements - EvenUp experience (or similar demand platforms) - Familiarity with California PI workflows and demand expectations - Proven ability to maintain quality while drafting 15–30+ demands per month - Confidence working independently with minimal supervision - Experience creating repeatable checklists/templates to improve speed and consistency Benefits - Access to a $200k+ perk marketplace with instant discounts on 150+ services - Access up to 50% of approved earnings before payday (no credit checks or fees)

Role Description Are you passionate about building frameworks that uphold ethics and excellence—and turning complex policy into precise, impactful regulatory action? Ripple Effect is seeking a Regulatory Writing Expert that will support development, revision, and finalization of CMS federal rule provisions and related materials (e.g., requests for information (RFIs), notices of proposed rulemaking (NPRMs)) according to the client's regulatory priorities. This work will be completed in close collaboration with subject matter experts in the relevant agency offices and divisions and in compliance with the development stages, timelines, and content focus the client establishes. The Regulatory Writing Expert will also work closely with Ripple Effect team members to prepare materials and train healthcare analysts supporting public comment analysis related to the aforementioned regulatory provisions. Responsibilities - Regulatory Writing & Technical Execution: - Lead development, drafting, and review of RFIs, NPRMs, and final rules, including provisions, preamble text, and supporting analyses. - Collaborate with federal clients to create new regulations and update existing ones. - Ensure all documentation aligns with agency expectations, statutory authority, and regulatory best practices. - Review deliverables to ensure quality, accuracy, and compliance. - Regulatory Strategy & Communication: - Lead client-facing discussions on regulatory approach, strategy, risks, and compliance considerations. - Prepare formal communications, including rulemaking documents and stakeholder materials. - Translate complex regulatory content into clear, accessible language for diverse audiences. - Regulatory Process & Public Comment Response: - Support the full lifecycle of federal rulemaking—including RFIs, NPRMs, and final rules. - Develop responses to public comments for disposition documents. - Ensure that stakeholder feedback is effectively represented in final rules. - Regulatory Impact Analysis: - Contribute to development of regulatory impact analyses (RIA) by synthesizing complex quantitative and qualitative data into actionable insights. - Support policy and operational decision-making through structured analytical approaches. - Compliance & Risk Management: - Ensure work processes and products are aligned with relevant federal regulations, CMS guidance, and contractual requirements. - Identify risks and recommend mitigation strategies. - Ensure deliverables are of the highest quality and meet compliance, audit, and documentation standards. Qualifications - Master’s degree in public health, public policy, medicine, nursing, health policy, government, or related field. - 8+ years of federal regulatory experience, including drafting HHS rules. - Additional years of experience may substitute for advanced education. Requirements - Minimum of 3 years drafting or finalizing HHS regulatory language. - Demonstrated experience supporting federal rulemaking processes (e.g., RFIs, NPRMs, final rules). - Strong understanding of the regulatory development lifecycle for federal agencies. - Experience contributing to regulatory impact analyses (RIAs). - Exceptional written and verbal communication skills, including ability to simplify complex regulatory language. - Basic knowledge of Microsoft Office productivity software and collaboration tools such as Microsoft Teams and SharePoint. - Strong attention to detail. - Ability to work independently and follow instructions precisely. Skills That Set You Apart - Experience writing CMS rules such as: - Physician Fee Schedule (PFS) - Inpatient Prospective Payment System (IPPS) - Quality Payment Program (QPP) / MIPS - Other ACA-related regulatory provisions - Expertise developing and writing RIAs. Benefits - Competitive pay and exceptional benefits. - A range of work/life programs based on your employment classification and personalized preferences. Company Description Ripple Effect is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, political affiliation, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you have a disability or special need that requires accommodation during the hiring process, please let us know by contacting our HR department at HR@rippleeffect.com or your recruiter. Eligibility for employment will be verified using E-verify.

• Own the end-to-end proposal process for grant applications, funding proposals, government submissions, partnership applications and other supporting documentation. • Research relevant grant and funding programs, monitor new funding opportunities aligned with company priorities, and support evaluation of eligibility and fit. • Partner with internal team members to gather technical, operational, and financial information, translate complex ideas into clear, compelling narratives and coordinate inputs across teams to meet deadlines. • Research, write, and edit all proposal sections. • Maintain proposal templates and reusable content, organize supporting materials, metrics, and company information, and help standardize proposal processes as we grow. • Track grant and proposal timelines, manage submission calendars and requirements and ensure applications are complete, accurate, and submitted on time.