Health Insurance Specialist (Program Contractor Management)

Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Financial Management (OFM). Vacancies will be filled in the Financial Services Group (FSG) and in the Payment Accuracy and Reporting Group (PARG). As a Health Insurance Specialist (Program Contractor Management), GS-0107-13, you will administer and evaluate contracted stakeholders that participate in Agency health care delivery, quality, or payment programs. Responsibilities Propose modifications to operations to reflect changes or trends in the health care industry program objectives and needs of beneficiaries. Analyze performance against contract requirements and document performance with emphasis on significant trends and items of interest in the management of contractor actions. Evaluate proposed, modified, or new legislation and regulations to assess impact on national health delivery. Develop and review health care policies and legislation...