Duties Provides executive leadership in the design, development, and implementation of system enhancements to Medicare or other systems. Collaborates with business, program, and other stakeholders to address requests for systems changes to support the agency and its programs. Provides executive leadership in the testing, validation, and monitoring of each application's de

Duties Gather and analyze clinical and cost information, assessing utilization, obtaining provider opinion; and performing pharmacoeconomic analyses. Provide authoritative technical assistance as a professional pharmacist to CMS staff and leadership at the regional or consortium level on regulations, policies, procedures, and other guidelines. Serve as a recognized techni

Duties Provides executive leadership to develop and maintain a program that identifies, addresses, and otherwise mitigates insider, foreign national, and foreign threats to CMS and its programs. Increases security and privacy knowledge and awareness CMS wide. Strengthen the knowledge, skills, and abilities of information security and privacy professionals distributed thro

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 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 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 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