Duties Advise CMS experts on adapting highly technical and specific messages to be responsive to different levels of engagement and understanding of audience segments or constituencies. Convey the programs, policies, and functions of the organization to the various public entities affected by or interested in CMS activities. Attend regular meetings with the CMS Administra

Duties Promotes integrity in Medicare and Medicaid Programs by developing a national fraud prevention program for payments and provider enrollment, integrating predictive modeling into CMS' claims processing and provider enrollment system Serves as an effective change agent to achieve quality improvement within PI by using data to quickly identify vulnerabilities and area

Duties Design, conduct and perform analyses that address economic issues related to CMMI models, CMS proposed regulations, or final regulations. Analyze and evaluate a broad range of proposals which relate to health care financing and delivery systems and CMMI models, and make recommendations regarding technical acceptability. Provide technical advice to stakeholders on t

Duties Lead and manage the design, development, implementation, of an enterprise wide Medicaid and CHIP data analytics suite of products in coordination with DSG divisions. The Director serves as a role model for leadership, including coaching, mentoring, providing ongoing feedback to staff, and providing formal and informal learning opportunities. Collaborate with leader

Duties Interpret statute and develop Federal regulations, policy statements, and other program guidance. Propose modifications to policies to reflect changes or trends in the health care industry, program objectives and the needs of beneficiaries. Conduct analysis of policy issues and topics, research background information, the origin of laws, and the intended impact in

Duties Plan, coordinate, and perform systems design and development of a major IT functional area, which may include providing direction to lower level staff and/or contract personnel. Plan, schedule, estimate, and monitor project progress and associated development and operational costs using project management and resource estimating techniques. Identify and analyze adv

Duties Provides executive leadership and direction in the development and implementation of the Agency's healthcare and long term care quality programs, and provides strategic direction for the Agency, the states, and quality improvement partners. Provides executive leadership for the overall operations of the Center's quality reporting and payment programs. Plans and coo

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 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