Subject Matter Expert – Clinical Laboratory Fee Schedule (CLFS)

This is a remote position. Program: CMS Fee-for-Service Data Collection System (FFSDCS) Customer: Centers for Medicare & Medicaid Services (CMS), Center for Medicare / Hospital & Ambulatory Policy Group (HAPG) Location: Remote, with periodic travel to CMS (Woodlawn, MD) Clearance: Ability to obtain CMS Public Trust (Moderate) Citizenship: U.S. Citizen or Legal Permanent Resident (per CMS contracting requirements) Position Summary We are seeking a senior Subject Matter Expert to serve as the authoritative voice on Clinical Laboratory Fee Schedule (CLFS) policy and operations for the FFSDCS contract. The CLFS module of FFSDCS collects private payor rate data from applicable clinical laboratories as required by Section 216 of the Protecting Access to Medicare Act (PAMA) of 2014 and uses that data to calculate Medicare Part B payment rates for clinical diagnostic laboratory tests (CDLTs). You will translate statute, regulation, and CMS sub-regulatory guidance into system requirements, da...