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 Medicaid and CHIP Services CMCS, Managed Care Group (MCG). As a Health Insurance Specialist, GS-0107-13, serves as an expert in the development, evaluation, implementation, and oversight of Medicaid Managed Care Policy, operations, program integrity, FWA activities within the Group's areas of responsibility.
- Developing and evaluating Medicaid Managed Care policies by researching statutory requirements, program history, and policy options to support effective program administration and beneficiary services.
- Analyzing proposed legislation, regulations, and policy initiatives to determine impacts on Medicaid Managed Care programs and recommending changes to improve program effectiveness and operations.
- Reviewing state reports, compliance documentation, and managed care policies to assess adherence to federal requirements and verify completion of corrective and enforcement actions.
- Conducting analytical studies of Medicaid policies, procedures, guidance, business processes, and systems to identify operational problems and recommend improvements in efficiency and effectiveness.
- Preparing briefing materials, reports, issue papers, and program guidance and communicating Medicaid Managed Care policies, requirements, and operational issues to internal and external stakeholders.
This announcement is also open in 22 other locations; the full list is on the announcement.
Read the full announcement on USAJOBS
Listed under Finance & Accounting jobs.