Senior Advisor, Payment Operations

Company: Centers for Medicare and Medicaid Services

Location: —

Clearance Required: —

Salary: —

Description

Duties
Help
Directs programming and policy changes for Medicare payment systems, ensuring new care models are implemented accurately and efficiently.
Tracks payment processes continuously to catch and fix problems before they affect model operations or participants.
Serves as the main point of contact between CMS groups, contractors, and Medicare Administrative Contractors to carry out technical payment changes.
Provides expert recommendations to program directors on policy changes, new initiatives, and ways to improve model operations.
Guides junior team members on payment processes and reviews their work to ensure quality and consistency.

Requirements

Conditions of employment

You must be a U.S. Citizen or National to apply for this position.
You will be subject to a background and suitability investigation.
You may be required to serve a 1 year probationary period.
Selective Service: Male born after December 31, 1959, must be registered or exempt from Selective Service – http://www.sss.gov
If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form 1-9 will be verified through the DHS “E-Verify” System.
All Federal employees are required to have Federal salary payments made by direct deposit to financial institution of their choice.

Qualifications
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.

Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further.

In order to qualify for the GS-14, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include:

Analyzing Medicare fee-for-service payment systems to identify technical requirements for implementing alternative payment or care delivery models; AND
Advising agency leadership and internal stakeholders on Medicare payment policy to support the design, testing, or evaluation of value-based care models; AND
Coordinating with Medicare contractors or CMS business components to implement payment system changes supporting new or existing care delivery initiatives; AND
Preparing technical reports and briefings on Medicare payment operations to communicate findings and recommendations to agency officials or leadership.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13089766

Education
This job does not have an education qualification requirement.