This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Seamless Care Models Group (SCMG), Division of Health Plan Innovation (DHPI).
As the DHPI Director, GS-0101-15, you will lead a staff responsible for designing, implementing, and operating innovative payment and delivery models specifically related to Medicare Advantage health plans.
Duties
- Supervises a diverse professional and administrative staff. Directs, designs, and implements models to test approaches to improve Medicare Advantage (MA) plan policy and operations to achieve better care, better health, and lower costs.
- Serves as technical expert and resource to CMS leadership and other stakeholders on issues related to the design, implementation, and operations for tests of innovative alternative payment, benefit, and service delivery models in MA.
- Consultant and advisor to the Group Director and Agency and Departmental management on decisions and recommendations associated with innovative payment, benefit and service delivery models related to MA plan policy and operations.
- Directs research and demonstrations to support the development and implementation of alternative MA delivery systems. Directs research studies to advance the development and refinement of payment policy, including risk adjustment, for health plans.
- Directs projects teams to ensure project management, quality management, performance, risk/issue management are integrated within the program and closely followed.
