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Department Summary:

As part of MITRE’s Center for Transforming Health, the CMS Coverage, Payment, and Equity Department is responsible for managing work shaping, engagement, and end-to-end delivery for the Health FFRDC’s CMS Portfolio with the Center for Medicare, Center for Medicaid and CHIP Services, Center for Consumer Information and Insurance Oversight, and CMS Office of Minority Health.

Roles and Responsibilities:

In this role, you will be supporting large, complex engagement teams to address programmatic, policy, operational, strategic, and/or acquisition needs for the Center for Medicaid and CHIP Services (CMCS). As part of a team, you will have the opportunity to work closely with CMCS to develop and implement evidence-based strategies and solutions to address some of Medicaid’s most complex challenges.

Key Responsibilities:

• Developing and implementing solutions across a broad spectrum of Medicaid and CHIP policy areas, including finance and reimbursement, benefits and coverage, eligibility and enrollment, home and community-based services, IT systems, and/or behavioral health services.

• Building trusted, collaborative relationships with CMCS.

• Contributing to, building, and managing a collaborative delivery team.

• Defining deliverable structure and content.

• Ensuring on-time, quality delivery of work products.

• Managing engagement risk.

Basic Requirements:

• Bachelor’s degree and a minimum of 8+ years of related experience; or an advanced degree with relevant experience who can immediately contribute at this job step; or equivalent combination of related education and work experience.

• Medicaid policy, programmatic, and/or operations expertise related to CMCS or State Medicaid and/or CHIP Agencies.

• Experience in analyzing, interpreting, and implementing legislation, statutory and regulatory requirements, and sub-regulatory guidance.

• Experience supporting large, complex engagements that identify, design, and implement policy and business solutions for government entities or large companies.

• Experience in developing and presenting proposals, briefings, and recommendations to government and business executives.

• This position requires a minimum of 50% hybrid on-site

Preferred Qualifications:

• Direct experience working with or for CMCS and/or State Medicaid or CHIP Agencies

• Ability to work independently and lead large complex teams focused on specific work streams.

• Expert in Medicaid and CHIP delivery systems and program design authorities (e.g., State Plans, waivers, and demonstrations).

• Strong oral and written communication skills, including executive leadership presentation experience (MS Visio, MS PowerPoint).

• Strong problem-solving skills with the ability to exercise mature judgment.

• A track record of success in leading large, complex engagements according to the scope, work plan, quality standards and budget for government entities or large companies.

• Experience implementing and overseeing the quality of deliverables and effectively managing the team and day-to-day relationships to ensure exceptional performance.

  This requisition requires the candidate to have a minimum of the following clearance(s):

None

This requisition requires the hired candidate to have or obtain, within one year from the date of hire, the following clearance(s):

None

Work Location Type:

Hybrid

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