Operations jobs, Maryland jobs, Health Insurance Specialist at ...

The Centers for Medicare and Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace. Our effectiveness depends on the capabilities of a dedicated, professional staff that is committed to supporting these objectives.

Come be a part of history as we embark on the mission to transform America?s Healthcare and implement the provisions of the Affordable Care Act. This extensive legislation puts into place comprehensive health insurance reforms, lowers health care costs, guarantees more health care choices and enhances the quality of health care for all Americans.

The Center of Consumer Information and Insurance Oversight (CCIIO) within CMS is seeking a Health Insurance Specialist who will report to the Central Office (CO) or one of the Regional Offices (RO). Duties may include:

? Reviewing, evaluating, and/or developing briefing documents related to the Affordable Care Act (ACA) for consideration by senior management. Developing and drafting ACA related policies, regulations, procedures, guidance, correspondence, and other related documents. Reviewing and providing analysis of legal background, legislative history, other applicable laws, and court decisions that interpret the policies and regulations for ACA Programs.

? Reviewing, analyzing, developing, and implementing operational policies that set and enforce standards for health insurance that promote fair and reasonable practices to ensure affordable, quality health care coverage is available to all Americans.

? Reviewing, developing, or implementing policies and programs that assist consumers in understanding health insurance and available operations for coverage.

? Reviewing, evaluating, and analyzing data on the private health insurance market, including identifying patterns and recommending policy and operations solutions. Developing policies/procedures to ensure compliance.

? Developing risk adjustment model, implement risk spreading mechanisms, and developing and implementing payment and financial operations. Developing and implementing quality rating and improvement systems.

? Defining and coordinating data collection strategies, developing analytic data sets, and analyzing data for program development assessment and impact analysis.

? Serving as a Contracting Officer?s Representative (COR) to develop and maintain statements of work, conduct contract oversight and management, and ensure compliance with HHS and Federal government regulations and provisions of negotiated contracts.

Please review the vacancy announcement located at http://www.usajobs.gov/GetJob/ViewDetails/321764200 between July 30, 2012 and August 3, 2012 for specific qualification requirements and complete application instructions. In order to be considered for the position, you MUST apply by following the instructions found in the vacancy announcement no later than August 3, 2012.

Source: http://careers.medicaldevices.org/jobs/4855118/health-insurance-specialist

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