Health Insurance Specialist

Centers for Medicare & Medicaid Services · Denver, CO

Full-time$90,925 – $118,204 per year
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Department of Health and Human Services

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare,Center for Medicare/Medicare Contractor Management Group. As a Health Insurance Specialist, GS-0107-13, serves as a senior specialist responsible for analyzing, evaluating, and improving Medicare contractor operations, policies, and program performance.

  • Planning, coordinating, and evaluating Medicare Administrative Contractor procurements, awards, transitions, and oversight activities to support effective administration of the Original Medicare program.
  • Analyzing Medicare contractor operations, policies, systems, and performance to assess compliance, identify risks and deficiencies, and recommend corrective actions and process improvements.
  • Developing acquisition strategies, pre-solicitation materials, Requests for Proposals, Statements of Work, technical evaluations, and related procurement documentation in collaboration with contracting and program officials.
  • Leading projects and providing technical guidance on Medicare contractor policy and operations by assigning work, reviewing technical products, analyzing complex issues, and presenting recommendations to management.
  • Serving as a liaison with CMS components, contractors, stakeholders, and other government officials to coordinate Medicare initiatives, resolve procurement and operational issues, and communicate program requirements and policy findings.

This announcement is also open in 25 other locations; the full list is on the announcement.

Read the full announcement on USAJOBS

Listed under Finance & Accounting jobs.

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