Duties Serves as the CMMI lead for emerging and precedent setting policies pertaining to innovative models impacting states, community based organizations, and underserved populations. Leads the development and implementation of the strategic planning and implementation of the state based, Medicaid, preventive, and population health care models to advance the Administrati

Duties Coordinates audits initiated by the General Accountability Office (GAO) and Office of Inspector General (OIG) related to programs run by CMS. Researches statutes, regulations, issuances, articles, published reports, and congressional hearing transcripts to identify data/policy positions for inclusion in written testimony on Medicare, Medicaid, CHIP, and private hea

Duties Provides nursing consultation on the interpretation of clinical program requirements and the provision of health care services. Conducts reviews or oversight activities to assess compliance with healthcare regulatory requirements such as application of Medicare coveragerules or similar healthcare programs. Develops and implements a variety of tools and written mate

Duties Provides expert nursing consultation/advice on the interpretation of clinical program requirements and provision of health care services. Leads reviews or oversight activities to assess compliance with healthcare regulatory requirements including application of Medicare coverage rules or similar healthcare programs. Employs expertise to develop and implement a vari

Duties Serves as the Deputy Director for the Fraud Investigations Group (FIG) planning, directing, and overseeing the operations and work activities of the organization to be accomplished by subordinate employees and/or teams. Develops Medicare program integrity policy and operational options and presents recommendations to the Group Director and senior CPI and CMS manage

Duties Analyze short, medium, and long range projects for solutions of complex operational or policy issues in areas such as information security, information security reporting, systems development life cycle, quality assurance, and others as directed. Develop and executes strategies for developing system development quality assurance (QA) program management office. Prep

Duties The incumbent ensures CMS maintains a strong security posture to minimize risk to the Agency's IT and data assets. Initiates policy directives to ensure information resources management operations and decisions are integrated with the agency strategic priorities, budget, financial management, human resources, and organizational planning. Drives the enablement of CM

Duties Develops strategic plans in conjunction with program officials and Contracting Officer's Representatives (CORs). Prepares solicitation documents which incorporate required Federal Acquisition Regulations (FAR) and HHS policies and provisions. Performs cost/price analysis, including analysis of cost breakdowns to determine reasonableness and conformance to applicabl

Duties Provides expertise advice and guidance to senior leadership in the and guidance to leadership in the development and implementation of a broad range of CMS programs and policies that impact healthcare service delivery to all health care consumers. Oversee the coordination of workload responsibilities, assess the impact and interoperability on customer experience an