Posted on

FWA- Missouri should refund $34 million in Medicaid payments, federal agency says

 
 

 
 

MM Curator summary

The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.

 
 

[MM Curator Summary]: The state IG says the Medicaid agency owes CMS a lot of cash because of poor oversight of personal care services payments. The Medicaid agency disagrees, and now its up to CMS to decide.

 
 

 
 

Clipped from: https://www.stltoday.com/business/local/missouri-should-refund-34-million-in-medicaid-payments-federal-agency-says/article_9e65305d-2863-5d94-9046-7f963962c1fd.html

ST. LOUIS — A federal agency is pushing Missouri to refund more than $34 million in Medicaid payments, after an audit raised issue with some of the state’s policies for programs that help patients with day-to-day tasks.

In the audit, the Health and Human Services Office of Inspector General looked at claims filed for personal care assistance, which offers help with daily tasks like meal preparation, shopping, grooming and bathing.

The audit found that in some cases, time sheets couldn’t be provided or lacked detail. In other cases, documentation was missing for the attendants who provided the care.

It also looked at what emergency preparedness policies the state had during that period. Because the audit looked at the 2018 and 2019 fiscal years, it looked at plans in place prior to the COVID-19 pandemic.

When HHS looked for “backup plans,” meant to ensure that patients are safe in the event that they can’t be reached in an emergency, in some cases it found little or no information or instructions.

The state objected to many of the audit’s findings. It said the federal agency looked at just a small sampling of claims. It argued that some of the documents it cited had all the information that is legally required. And it noted that the state health department established a Quality Assurance Unit in late 2020.

Still, HHS issued recommendations for repayments and policy changes this month, including a recommendation that the state refund at least $34.2 million to the federal government.

The Missouri Department of Social Services and the Department of Health and Senior Services reiterated Tuesday that they disagreed with the recommendations. The agencies do not believe “that any of these funds should be disallowed,” DHSS spokesperson Lisa Cox said in an email.

The suggestions by HHS will be reviewed by the U.S. Centers for Medicare and Medicaid Services, or CMS, which will make the final decision about what actions the state must take and whether it must make any refunds. If the state disagrees with CMS’ determination, it will have the option to appeal.

HHS called the state out for similar issues a decade earlier, also with personal care services. In a 2012 audit, the agency found problems like missing care plans and unsigned time sheets.

Posted on

FWA (AR)- doctor’s Medicaid billing suspended after fraud allegations

 
 

MM Curator summary

The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.

 
 

[MM Curator Summary]: A doc in Arkansas appears to not be doing much at all.

 
 

 
 

 
 

Clipped from: https://www.nwahomepage.com/news/nwa-doctors-medicaid-billing-suspended-after-fraud-allegations/

 
 

FAYETTEVILLE, Ark. (KNWA/KFTA) — A Northwest Arkansas psychiatrist has had his Medicaid billing privileges suspended following allegations of fraud.

According to a letter from the Arkansas Office of Medicaid Inspector General Elizabeth Smith, Dr. Brian T. Hyatt of Rogers was informed of the suspension on February 24. It stated that the decision was made to suspend “all payments for Medicaid services” performed by Hyatt after the office received a “credible allegation of fraud.”

The suspension does not pertain to other individual members of the group provider “Brian T. Hyatt, MD, PLLC dba Pinnacle Premier Psychiatry,” but it added that no payments will be made to Hyatt’s provider number during the suspension.

Court denies NWA doctor’s international travel request before sexual assault trial

“This suspension is temporary and will continue until either the investigation authority determines there is insufficient evidence of fraud, or the legal proceedings related to the alleged fraud are completed,” it noted.

The letter added that illegal participation in the Arkansas Medicaid Program is a class A misdemeanor punishable by up to one year in jail and a fine of up to $2,500. Hyatt has the right to appeal the suspension within 30 calendar days of receiving notice.

Hyatt was named the medical director of the behavioral unit at Northwest Medical Center in Springdale in 2018 and worked there until he was “abruptly terminated” in May, 2022, according to court documents. The Medicaid Control Fraud Unit was contacted by a whistleblower and confidential informant (CI) who worked in that unit and indicated that Hyatt was only on that employee’s floor “a few minutes each day” and that the doctor had “no contact with patients.”

“The CI described him walking up and down the hall with a computer on wheels and never entering the rooms or meeting with patients. The CI said Dr. Hyatt did not want the patients to know his name and that he directed staff to mark through his name on the armbands of patients.”

Probable cause statement, Medicaid Fraud Investigator, January 17

The informant also provided investigators of a photo of a posted sign instructing staff to cross out his name on patient armbands, according to court documents. The CI believed that Hyatt was “fraudulently billing Medicaid, Medicare, and other health insurance companies.”

A probable cause report filed as part of the investigation noted that “some of the patients were being held against their will” and noted that “only a physician could make the decision to impose a 72-hour hold” under Arkansas law. It added that any false statement made in a claim that resulted in an overpayment of $2,500 or more is a felony offense.

Springdale psychiatrist appointed vice chairman of State Medical Board

That filing continued by stating that the fraud investigators obtained approximately two months of surveillance video from the behavioral unit at the Northwest Medical Center. Agents “have reviewed several days and hundreds of hours of video and have yet to observe Dr. Hyatt enter a patient’s room or otherwise have direct contact with a patient.”

“Sometimes he pauses at the rooms and may even look in,” it stated. “But he does not enter the room or have patients come out into the hall.” It went on to explain that the use of data analytics “identified several red flags,” and noted that Hyatt “is a clear outlier, and his claims are so high they skew the averages on certain codes for the entire Medicaid program in Arkansas.”

In January, investigators were granted a search warrant to obtain data from Hyatt’s cell phone through his wireless provider.

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FWA- South Plainfield health care provider ordered to repay $1 million in Medicaid overpayments

MM Curator summary

The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.

 
 

[MM Curator Summary]: John stole $1M of your tax dollars and put kiddos at risk by not ensuring “providers” in his organization had basic background checks or licenses.

 
 

 
 

A South Plainfield man who works as a behavioral health provider has been ordered by the state to repay Medicaid more than $1 million for improperly billing the program.

John Gore, a licensed drug and alcohol counselor at Clear Conscience Counseling on Park Avenue in South Plainfield, also allowed behavioral assistants to provide services to minors in one-on-one settings without conducting criminal background checks on the staffers, an audit by the Office of the State Comptroller (OSC) found.

The audit determined that Gore improperly billed and received Medicaid payments of $1.1 million.

The audit also found Gore failed to comply with state regulations in about a third of claims the State Comptroller’s office sampled.

The OSC also found Gore billed for unsubstantiated services, maintained inaccurate and incomplete records and failed to ensure that his providers had current and valid drivers’ licenses before allowing them to provide services to Medicaid patients, according to a news release from the agency.

Other deficiencies discovered in the audit include Gore assigned cases to behavioral assistants without confirming they had the required professional licenses. The audit found that six did not.

Gore also failed to ensure that behavioral assistants had the required training certifications and the audit discovered 24 did not, according to the agency.

As a result of the audit’s findings, OSC has urged the New Jersey Division of Medicaid Assistance and Health Services (DMAHS), part of the Department of Human Services, to issue a rule requiring intensive in-community (IIC) providers to undergo fingerprint background checks before being allowed to treat children and young adults.

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IIC providers are now required to obtain criminal background checks of behavioral assistants, but there is no government oversight to enforce that requirement and no requirement for a fingerprint check, according to the OSC.

“It’s standard practice for teachers, doctors, coaches, and many others who work with children to undergo fingerprint checks. Children who are in these Medicaid-funded community programs are entitled to the same protection,” Josh Lichtblau, director of OSC’s Medicaid Fraud Division, said in the release.

In November 2021, the State Comptroller’s office notified DMAHS about flaws in the regulations and the risks they posed to children.

Almost a year later, in September 2022, DMAHS told providers that they should contact the state’s Children’s System of Care to initiate fingerprint background checks, but it left the responsibility for compliance on the provider.

DMAHS proposed a new rule in January that did not address the fingerprint requirement and state oversight.

“Our findings are serious. When providers fail to ensure that employees have clean criminal backgrounds, they’re placing vulnerable children in potentially unsafe circumstances,” said Lichtblau. “The state should work quickly to close this gap in oversight.”

Email: srussell@gannettnj.com

Suzanne Russell is a breaking news reporter for MyCentralJersey.com covering crime, courts and other mayhem. To get unlimited access, please subscribe or activate your digital account today.

 
 

From <https://www.mycentraljersey.com/story/news/health/2023/02/23/nj-health-care-john-gore-medicaid-insurance/69936127007/>

Posted on

REFORM (SD) – Work requirement resolution for expanded Medicaid recipients killed in committee

MM Curator summary

The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.

 
 

[MM Curator Summary]: SD work requirements proposal lose an early key battle in committee.

 
 

Clipped from: https://listen.sdpb.org/politics/2023-02-24/work-requirement-resolution-for-expanded-medicaid-recipients-killed-in-committee

 
 

A proposal that would have paved the way to work requirements for expanded Medicaid recipients died in the Senate Health and Human Services Committee Friday.

While House Joint Resolution 5004 wouldn’t have made such work requirements law, it would have put the question to voters on a future ballot.

Voters approved Medicaid expansion in South Dakota last November.

Speaking during proponent testimony to committee, Rep. Tony Venhuizen said despite his initial opposition to Medicaid expansion, this bill is not designed to undo that vote.

“I can tell you that we are working very hard with the administration, that’s working very hard, to make sure Medicaid expansion is implemented faithfully,” Venhuizen said. “The issue of a work requirement as a possibility for Medicaid expansion was not really central to the issue of the expansion ballot last year, and I’m not so sure it’s been fully addressed by the voters.”

While framed as a solution to workforce issues, there was opposition to the proposal. Sister Kathleen Bierne, speaking on behalf of the Presentation Sisters in Aberdeen, questioned who this bill could affect.

“This resolution would result in nullifying the purpose of expanding Medicaid for some of the very people who are most in need,” Bierne said. “This resolution uses the term ‘able-bodied’ in its work requirement. ‘Able-bodied’ in its work requirement would have a lot of different meanings.”

That could include people like cancer patients, according to Matthew McLarty with the American Cancer Society.

“We see this resolution as potentially creating undue barriers for low-income South Dakotans who are cancer patients and those who will be diagnosed with cancer,” McLarty said. “Many cancer patients in active treatment are unable to work, or require significant work modifications, due to their treatment.”

The resolution was moved to the 41st legislative day on a 5-2 vote, killing it for this session.

Posted on

REFORM- Medicaid Buy In, Other Health Legislation Advances During Saturday Session

MM Curator summary

The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.

 
 

[MM Curator Summary]: Another Buy-in program is up for discussion. Its been a hot minute.

 
 

 
 

Clipped from: https://wvpublic.org/medicaid-buy-in-other-health-legislation-advances-during-saturday-session/

 
 

Legislation focused on West Virginia health issues was a topic of debate and lawmaking during Saturday’s legislative session with many bills being passed through both chambers.West Virginia Legislative Photography/Photo by Will Price

Legislation focused on West Virginia health issues was a topic of debate and lawmaking during Saturday’s legislative session with many bills being passed through both chambers.

HB 3274 – Affordable Medicaid Buy-In Program Passed the House

Affordable Medicaid Buy-In Programs were a topic for debate in the House of Delegates.

House Bill 3274 would create the Affordable Medicaid Buy-in Program to help alleviate financial strain on recipients of Medicaid who start a job that disqualifies them from receiving their benefits.

Medicaid buy-in programs soften the “cliff effect” for recipients who lose their coverage when starting a new job that pays too much for Medicaid eligibility, until they can earn enough to afford other health insurance plans.

According to 2023 data from the U.S. Department of Health and Human Services, an individual would lose their Medicaid benefits in West Virginia when they earn more than $20,120 annually. The Affordable Medicaid Buy-in Program would allow that threshold to rise to 200 percent, or $29,160 annually.

Del. Evan Worrell, R-Cabell, explained the bill on the house floor.

“The idea behind this legislation is an attempt to mitigate the cliff effect for those individuals on Medicaid,” Worrell said. “The cliff effect occurs when wages from a new employment opportunity do not make up for a family’s loss of state benefits, putting the family in a worse financial situation.”

Del. Riley Keaton, R-Roane, asked Worrell questions and spoke in opposition to the bill on the House floor.

“So, we’re actually going to see is the public payer mix of patients grow pretty substantially for our health care providers,” Keaton said. “And then we’ll be faced with politically complicated decisions about how to make that program make sense.”

Jordan Maynor, R-Raleigh, spoke in support of the bill.

“I think my friend from the 15th (Keaton) brings up a great point. And it did get me thinking, but I think the intent of the bill is to move people off of Medicaid, keep a job, keep climbing that ladder of economic success, if they get off Medicaid completely eventually,” Maynor said. “And right now, it seems to be if we don’t do this, we’re incentivizing them to not keep their job, not take that pay raise and just be on Medicaid completely, which means no buy in from the patient.”

The bill passed the House with a vote of 73 yays, 19 nays and 8 absent, or not voting. The Senate will decide whether or not the bill makes it to the governor’s desk for his signature.

 
 

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Technology Solutions Consultant – Medicaid MMIS | Conduent

Clipped from: https://www.linkedin.com/jobs/view/technology-solutions-consultant-medicaid-mmis-at-conduent-3504101844/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

2022-62682


Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them.


You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.


Are you ready to join an innovative government Healthcare solutions provider supporting over 41 million customers annually?


Do you have practical experience advising on technical aspects of Medicaid MMIS operations and implementations?


About The Team


The Conduent Government Healthcare Solutions (GHS) teams help government agencies leverage data, technology, and business services to achieve public sector transformation and better serve constituents. We offer solutions for Medicaid payments, healthcare, pharmacy benefits management (PBM) and claims processing.


About The Role


The Technology Solutions Consultant – MMIS is the primary technical advisor and solution advocate for our Medicaid Management and Information System module (MMIS) offerings. You will be responsible fordirecting the development of comprehensive technical solutions as part of the sales and proposal management process – planning, advising, and validating technical solution content for our products, proposed implementation schedules, system development lifecycle methodologies, related tools, operations, and more. Your role will also have active participation in product development as an evangelist to bring in market trends in your respective area(s) for consideration and keep product capability relevant for the market.


Responsibilities


  • Provides subject matter expertise to internal pursuit teams for product attributes, product capability, implementation schedules, system development life cycle methodologies, related tools, operations, risk mitigation, market trends, staffing, pricing, and more as they relate to MMIS sales opportunities.
  • Work closely with sales, business stakeholders and technical product team resources to ensure proposed deals include well designed solutions that address customer requirements.
  • Work closely with Conduent stakeholders to ensure proposed deals support corporate goals, including but not limited to maximizing team productivity, profitability, and sustained sales growth
  • Accurately translates technical knowledge and requirements into clear and concise communications that emphasize business value to clients. Collaborate with pursuit and proposal teams to position Conduent products as value-adding, problem-solving, cost-mitigating solutions that meet regulatory requirements
  • Expertly interpret client business needs and capabilities and translates them into marketplace opportunities. Identify how technical solutions and products can address the key needs of a client/prospective client
  • Facilitate solutioning for bid solution gaps
  • Validates services and product functionality solution in written narrative and oral presentations to assure solution adherence and compliance with client requirements
  • Present products and services to clients in sales demonstrations
  • Work with functional and technical product managers to establish baseline project plans and estimates to be leveraged as templates for future deals
  • Mentor other associates to enhance their product knowledge, technical acumen, and technical sales skills.
  • Proactively pursue additional business development opportunities. Collaborate with sales to ensure these opportunities are effectively covered and advanced
  • Communicate effectively (oral and written) in all aspects of the role
  • Provide clarity and guidance on current and emerging technologies, market trends, competition, regulations, and other external areas that could impact Conduent solutions and operations. Advise on the practical/potential application of these technologies to current and future operating models
  • Able to influence a team of diverse stakeholders


Requirements


  • Experience with healthcare and Medicaid business or technical services with government clients across all phases of the program lifecycle
  • Demonstrated experience in implementation or operations of the following key areas: Claims administration, financial services, electronic data interchange, reporting, medical or clinical management, eligibility and enrollment, provider management, member management, project management, quality, and administration of a variety of health and human services programs or other core functions of MMIS or Modules
  • 5+ years’ experience in MMIS delivery/operations, product management or implementations
  • 2+ years’ experience in solution architecture, product sales, technology leadership
  • Knowledge of security, hosting, and infrastructure trends and requirements
  • Experience participating in proposals and related business development functions
  • Proficient writer and editor of proposal and presentation content
  • Strong oral and written communication skills
  • Proficient using SharePoint, Word, PowerPoint, MS Teams
  • Education: Bachelor’s from an accredited institution. Equivalent work experience, certifications and technical credentials will be considered.


Flexible Working


In This Role, We Offer The Following


We recognize that everyone is different and that the way in which people want to work and deliver at their best is different for everyone too.


  • Working remotely from home
  • Working flexible hours – flex your workday times to fit in what you need to get done while meeting client expectations
  • Flexible vacation time – coordinate accordingly with your team and go!


Working with us


Join a rapidly growing organization that can support your career goals.


Working for you


What You Get


  • Career Growth Opportunities
  • Full Benefit Options
  • Great Work Environment


About Us


Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them.


You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.


Join Us


Are you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking? Come join us and grow with a team of people who will challenge and inspire you to be the best!


Pay Transparency Laws in some locations require disclosure of compensation-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time. The estimated salary range for this role is $103,000 – 134,000.


Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.


People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the “Submit” button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent’s ADAAA Accommodation Policy.


The Colorado Equal Pay for Equal Work Act requires employers to disclose the following information. If the successful applicant will be required to perform work from a physical site outside Colorado, the following information may not apply.Actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time.


At Conduent, we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible.

Posted on

CMS – IT Specialist

Clipped from: https://www.usajobs.gov/job/710100100?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Department of Health And Human Services

Summary

This is a Senior Level (SL) position located in the Centers for Medicare & Medicaid Services (CMS), Office of Information Technology.


In this position, you will serve as the principal technologist official on the implementation and operation of CMS’ enterprise cloud computing strategy & services, ensuring the optimization of CMS’ information technology (IT) investments and information management practices to continuously enhance the cost-effective delivery of cloud computing services.

Learn more about this agency

Help

Overview

  • Accepting applications

 
 

  • Open & closing dates

03/02/2023 to 03/16/2023

  • Salary

$141,022 – $195,000 per year

  • Pay scale & grade

SL 00

Location

1 vacancy in the following location:

No

  • Telework eligible

Yes—as determined by the agency policy.

  • Travel Required

Not required

  • Relocation expenses reimbursed

No

  • Appointment type

Permanent –

  • Work schedule

Full-time –

  • Service

Competitive

  • Promotion potential

None

  • Job family (Series)

2210 Information Technology Management

  • Supervisory status

No

  • Security clearance

Not Required

  • Drug test

No

  • Position sensitivity and risk

Moderate Risk (MR)

  • Trust determination process

Suitability/Fitness

  • Announcement number

HHS-CMS-SL-2023-11867288

  • Control number

710100100

Videos

 
 

Help

Duties

  • Technical leadership of CMS’ enterprise cloud computing services and overall technical leadership providing expertise and guidance including design, implementation, and operations management of multiple cloud services.
  • Provide strong expertise in programming, software architecture design, cloud-based infrastructure configuration, and cloud security design.
  • Provide overall leadership and management that includes overseeing the engineering team and provide deep knowledge of programming as well as designing interfaces/integrations at a very large enterprise level.
  • Responsible for shaping the CMS’ cloud computing technology strategy and managing the engineering efforts within their organizations.

Help

Requirements

Conditions of Employment

  • You must be a U.S. Citizen or National to apply for this position.
  • You will be subject to a background and suitability investigation.
  • A one-year probationary period may be required upon appointment.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.


Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration.


In order to qualify for this SL, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to at least the GS-15 grade level in the Federal government, obtained in either the private or public sector, to include: 1) knowledge and implementation of products and services to a hybrid cloud ecosystem; 2) Assessing and expanding enterprise programs for maturity and effectiveness and developing a roadmap for improvements; 3) Leading people and teams across multiple organizations to align with critical organization priorities.


Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.


Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/11867288

Education

This job does not have an education qualification requirement.

Additional information

Bargaining Unit Position: No
Tour of Duty: Flexible

Recruitment/Relocation Incentive: Not Authorized


Financial Disclosure: Required



To ensure compliance with an applicable preliminary nationwide injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce Executive Order 14043 Requiring Coronavirus Disease 2019 Vaccination for Federal Employees. Therefore, to the extent a federal job announcement includes the requirement to be fully vaccinated against COVID-19 pursuant to Executive Order 14043, that requirement does not currently apply. Positions with vaccination requirements under authority(ies) separate and distinct from Executive Order 14043 will be clearly identified. HHS may continue to require documentation of proof of vaccination to ensure compliance with those policies. Health and safety protocols remain in effect, in accordance with CDC guidance and the Safer Federal Workforce Task force. Consistent with current guidance, workplace safety protocols will no longer vary based on vaccination status or otherwise depend on the availability of vaccination information. Therefore, to the extent a job announcement states that HHS may request information regarding the vaccination status of selected applicants for the purposes of implementing workplace safety protocols, this statement does not currently apply.


Workplace Flexibility at CMS: CMS offers flexible working arrangements and allows employees the opportunity to participate in telework combined with alternative work schedules at the manager’s discretion. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.


The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM’s Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.

Read more

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

If you meet the minimum qualifications and education requirements for this position, your application and responses to the online occupational questionnaire will be evaluated under Category Rating and Selection procedures for placement in one of the following categories:

  • Highly Qualified – for those who are superior in the evaluation criteria
  • Well Qualified – for those who excel in the evaluation criteria
  • Qualified – for those who only meet the minimum qualification requirements

The Category Rating Process does not add veterans’ preference points or apply the “rule of three” but protects the rights of veterans by placing them ahead of non-preference eligibles within each category. Veterans’ preference eligibles who meet the minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent will be listed in the highest quality category (except in the case of professional or scientific positions at the GS-09 level or higher).


Once the announcement has closed, your online application, resume, and CMS required documents will be used to determine if you meet eligibility and qualification requirements listed on this announcement. If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration. Please follow all instructions carefully. Errors or omissions may affect your rating.


Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):


  • Building Coalitions/Communications
  • Business Acumen
  • Information Technology
  • Leading People
  • Managing Change

This is a competitive vacancy announcement advertised under Delegated Examining Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served and all other Federal entitlements would remain the same.

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

  • As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have – whether you’re a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you’re eligible under their policies.

The following documents are REQUIRED:


1. Resume
showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s). For resume and application tips visit: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/

2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. Click here for a detailed description of the required documents. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.


Additional Forms REQUIRED Prior to Appointment:

  • Optional Form 306, Declaration of Federal Employment and the Background/Suitability Investigation – A background and suitability investigation will be required for all selectees. Appointment will be subject to the successful completion of the investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a reinvestigation or supplemental investigation may be required at a later time. If selected, the Optional Form 306 will be required prior to final job offer. Click here to obtain a copy of the Optional Form 306.
  • Form I-9, Employment Verification and the Electronic Eligibility Verification Program – CMS participates in the Electronic Employment Eligibility Verification Program (E-Verify). E-Verify helps employers determine employment eligibility of new hires and the validity of their Social Security numbers. If selected, the Form I-9 will be required at the time of in-processing. Click here for more information about E-Verify and to obtain a copy of the Form I-9.
  • Standard Form 61, Appointment Affidavits – If selected, the Standard Form 61 will be required at the time of in-processing. Click here to obtain a copy of the Standard Form 61.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.


PLEASE NOTE: A complete application package includes the online application, resume, and CMS required documents. Please carefully review the full job announcement to include the “Required Documents” and “How to Apply” sections. Failure to submit the online application, resume and CMS required documents, will result in you not being considered for employment.

  • Your complete application package, as described in the “Required Documents” section, must be received by 11:59 PM ET on 03/16/2023 to receive consideration.


    IN DESCRIBING YOUR WORK EXPERIENCE AND/OR EDUCATION, PLEASE BE CLEAR AND SPECIFIC REGARDING YOUR EXPERIENCE OR EDUCATION.


    We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure EACH work history includes ALL of the following information:

 
 

  • Official Position Title (include series and grade if Federal job)
  • Duties (be specific in describing your duties)
  • Employer’s name and address
  • Supervisor name and phone number
  • Start and end dates including month and year (e.g. June 2007 to April 2008)
  • Full-time or part-time status (include hours worked per week)
  • Salary

Determining length of general or specialized experience is dependent on the above information and failure to provide ALL of this information WILL result in a finding of ineligible.

  • To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
  • Follow the prompts to select your resume and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
  • After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
  • You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.

To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.


This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to Katherine.vaughn@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.


Commissioned Corps Officers (including Commissioned Corps applicants that are professionally boarded) who are interested in applying for this position must send their professional resume (not PHS Curriculum Vitae) and cover letter to CMSCorpsJobs@cms.hhs.gov in lieu of applying through this announcement. The cover letter should specifically explain how you are qualified for this position and draw specific attention to your resume that demonstrates these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. Please send all documents in 1 PDF file. In the subject line of your e-mail please include only the Job Announcement Number. In the body of your e-mail please include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.

Agency contact information

Kathy Vaughn

Phone

410-786-1050

Email

Katherine.vaughn@cms.hhs.gov

Address

Office of Information Technology
7500 Security Blvd
Woodlawn, MD 21244
US

Learn more about this agency

Next steps

Once your online application is submitted, you will receive a confirmation notification by email. Your application will be evaluated to determine your eligibility and qualifications for the position. After the evaluation is complete, you will receive another email notification regarding the status of your application.


Within 30 business days of the closing date,03/16/2023, you may check your status online by logging into your USAJOBS account (https://my.usajobs.gov/Account/Login). We will update your status after each key stage in the application process has been completed.

  • The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

 
 

Help

Required Documents

The following documents are REQUIRED:


1. Resume
showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s). For resume and application tips visit: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/

2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. Click here for a detailed description of the required documents. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.


Additional Forms REQUIRED Prior to Appointment:

  • Optional Form 306, Declaration of Federal Employment and the Background/Suitability Investigation – A background and suitability investigation will be required for all selectees. Appointment will be subject to the successful completion of the investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a reinvestigation or supplemental investigation may be required at a later time. If selected, the Optional Form 306 will be required prior to final job offer. Click here to obtain a copy of the Optional Form 306.
  • Form I-9, Employment Verification and the Electronic Eligibility Verification Program – CMS participates in the Electronic Employment Eligibility Verification Program (E-Verify). E-Verify helps employers determine employment eligibility of new hires and the validity of their Social Security numbers. If selected, the Form I-9 will be required at the time of in-processing. Click here for more information about E-Verify and to obtain a copy of the Form I-9.
  • Standard Form 61, Appointment Affidavits – If selected, the Standard Form 61 will be required at the time of in-processing. Click here to obtain a copy of the Standard Form 61.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.


PLEASE NOTE: A complete application package includes the online application, resume, and CMS required documents. Please carefully review the full job announcement to include the “Required Documents” and “How to Apply” sections. Failure to submit the online application, resume and CMS required documents, will result in you not being considered for employment.

Help

How to Apply

Your complete application package, as described in the “Required Documents” section, must be received by 11:59 PM ET on 03/16/2023 to receive consideration.


IN DESCRIBING YOUR WORK EXPERIENCE AND/OR EDUCATION, PLEASE BE CLEAR AND SPECIFIC REGARDING YOUR EXPERIENCE OR EDUCATION.


We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure EACH work history includes ALL of the following information:

  • Official Position Title (include series and grade if Federal job)
  • Duties (be specific in describing your duties)
  • Employer’s name and address
  • Supervisor name and phone number
  • Start and end dates including month and year (e.g. June 2007 to April 2008)
  • Full-time or part-time status (include hours worked per week)
  • Salary

Determining length of general or specialized experience is dependent on the above information and failure to provide ALL of this information WILL result in a finding of ineligible.

  • To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
  • Follow the prompts to select your resume and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
  • After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
  • You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.

To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.


This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to Katherine.vaughn@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.


Commissioned Corps Officers (including Commissioned Corps applicants that are professionally boarded) who are interested in applying for this position must send their professional resume (not PHS Curriculum Vitae) and cover letter to CMSCorpsJobs@cms.hhs.gov in lieu of applying through this announcement. The cover letter should specifically explain how you are qualified for this position and draw specific attention to your resume that demonstrates these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. Please send all documents in 1 PDF file. In the subject line of your e-mail please include only the Job Announcement Number. In the body of your e-mail please include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.

Read more

Agency contact information

Kathy Vaughn

Phone

410-786-1050

Email

Katherine.vaughn@cms.hhs.gov

Address

Office of Information Technology
7500 Security Blvd
Woodlawn, MD 21244
US

Learn more about this agency

Next steps

Once your online application is submitted, you will receive a confirmation notification by email. Your application will be evaluated to determine your eligibility and qualifications for the position. After the evaluation is complete, you will receive another email notification regarding the status of your application.


Within 30 business days of the closing date,03/16/2023, you may check your status online by logging into your USAJOBS account (https://my.usajobs.gov/Account/Login). We will update your status after each key stage in the application process has been completed.

Read more

Posted on

Data Scientist job in Remote at Centers for Medicare and Medicaid Services

Clipped from: https://diversityjobs.com/career/4840104/Data-Scientist?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

  • Conduct data science research with statistical and analytical tools used to analyze complex sets of data.
  • Solve technical problems by writing code and explaining data architecture and design to both technical and non-technical audiences,
  • Develop project plans to ensure logistics are handled efficiently, identifying potential bottlenecks and resolving issues within the scope of authority.
  • Direct internal and external process or system reviews, studies, projects, and data validation efforts, which provide a mean for evaluating system performance and vulnerabilities

 
 

Requirements
Conditions of Employment
 

 
 

  • You must be a U.S. Citizen or National to apply for this position.
  • You will be subject to a background and suitability investigation.
  • This is a remote position; however, the position reports to a CMS Office on a periodic basis. Requirements to report to the office will vary and can be discussed at the time of interview.

 
 

 
 

Qualifications
 

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.

Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration.



In order to qualify for the GS-13, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-12 grade level in the Federal government, obtained in either the private or public sector, to include: 1) collaborating with internal or external stakeholders to review specialized healthcare data and recommend solutions; and 2) utilizing at least one of the following programming languages: SAS, VBA, Python, SQL, or R to develop approaches or methodologies for collection, analysis, and interpretation of data; and 3) utilizing business intelligence tools (e.g., Tableau, PowerBI), or geographic information systems (e.g., ESRI ArcGIS) to generate reports or other forms of data visualizations that convey data analyses to technical and non-technical audiences.


Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Education
 

Education Requirement: In addition to meeting the qualification requirements, all candidates must have the following educational requirements:

Degree: Mathematics, statistics, computer science, data science or field directly related to the position. The degree must be in a major field of study (at least at the baccalaureate level) that is appropriate for the position.

or

Combination of education and experience: Courses equivalent to a major field of study (30 semester hours) as shown in paragraph A above, plus additional education or appropriate experience.

TRANSCRIPTS are required to verify satisfactory completion of the educational requirement listed above. Failure to submit a copy of your transcripts at the time of application WILL result in an ineligible rating. Please see “Required Documents” section below for what documentation is required at the time of application.

Click the following link to view the occupational questionnaire:

Additional information
 

Bargaining Unit Position: Yes, American Federation of Government Employees, Local 1923

Tour of Duty: Flexible


Recruitment/Relocation Incentive: Not Authorized


Financial Disclosure: Not Required


To ensure compliance with an applicable preliminary nationwide injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce Executive Order 14043 Requiring Coronavirus Disease 2019 Vaccination for Federal Employees. Therefore, to the extent a federal job announcement includes the requirement to be fully vaccinated against COVID-19 pursuant to Executive Order 14043, that requirement does not currently apply. Positions with vaccination requirements under authority(ies) separate and distinct from Executive Order 14043 will be clearly identified. HHS may continue to require documentation of proof of vaccination to ensure compliance with those policies. Health and safety protocols remain in effect, in accordance with CDC guidance and the Safer Federal Workforce Task force. Consistent with current guidance, workplace safety protocols will no longer vary based on vaccination status or otherwise depend on the availability of vaccination information. Therefore, to the extent a job announcement states that HHS may request information regarding the vaccination status of selected applicants for the purposes of implementing workplace safety protocols, this statement does not currently apply.


Remote-Out Positions at CMS: This is a remote position; however, the position reports to a CMS Office on a periodic basis (e.g. 1-2 times per year). Requirements to report to the office will vary and can be discussed at the time of interview. As such, your pay will be based on your home address. For more information on locality and pay scales, please . Your worksite must be within the United States and you must adhere to all regulations and policies regarding remote work at CMS and in the federal government, including the signing of a remote work agreement.


The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. . A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM’s Career Transition Resources website at .

 
 

  •  

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. .

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

 
 

 
 

Required Documents
 

The following documents are REQUIRED:

1. Resume

showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s). For resume and application tips visit:


2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. . Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.


3. College Transcripts. Since this position requires specific education, you must submit a transcript attesting to your possession of the required education. You may submit an unofficial transcript or a list of college courses completed indicating course titles, credit hours, and grades received. An official transcript is required if you are selected for the position. If selected, you must provide an original document before the final job offer may be extended. If you do not submit a transcript indicating your possession of the required education, you will not be considered for this position.


College Transcripts and Foreign Education: Applicants who have completed part or all of their education outside of the U.S. must have their foreign education evaluated by an accredited organization to ensure that the foreign education is comparable to education received in accredited educational institutions in the U.S. For a listing of services that can perform this evaluation, visit the website. This list, which may not be all inclusive, is for informational purposes only and does not imply any endorsement of any specific agency.


If you are applying for a position for which a state license is issued (e.g., physician, engineer, attorney) possession of a valid and current U.S. professional license by a graduate of a foreign professional school or program is sufficient proof that the foreign education has been determined to be equivalent to the requisite U.S. professional education in that occupational field.


PLEASE NOTE: A complete application package includes the online application, resume, transcripts and CMS required documents. Please carefully review the full job announcement to include the “Required Documents” and “How to Apply” sections. Failure to submit the online application, resume, transcripts and CMS required documents, will result in you not being considered for employment.


Additional Forms REQUIRED Prior to Appointment:

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an .
 

If you are relying on your education to meet qualification requirements:


 

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from
.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

How to Apply
 

Your complete application package, as described in the “Required Documents” section, must be received by 11:59 PM ET on 03/29/2023 to receive consideration.

IN DESCRIBING YOUR WORK EXPERIENCE AND/OR EDUCATION, PLEASE BE CLEAR AND SPECIFIC REGARDING YOUR EXPERIENCE OR EDUCATION.


We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure EACH work history includes ALL of the following information:

 
 

  • Official Position Title (include series and grade if Federal job)
  • Duties (be specific in describing your duties)
  • Employer’s name and address
  • Supervisor name and phone number
  • Start and end dates including month and year (e.g. June 2007 to April 2008)
  • Full-time or part-time status (include hours worked per week)
  • Salary

 
 

Determining length of general or specialized experience is dependent on the above information and failure to provide ALL of this information WILL result in a finding of ineligible.

 

 
 

  • To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
  • Follow the prompts to select your resume and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
  • After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
  • You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.

 
 

To verify the status of your application, log into your USAJOBS account (), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: .

This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to IRADHACandidate@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.


Commissioned Corps Officers (including Commissioned Corps applicants that are professionally boarded) who are interested in applying for this position must send their professional resume (not PHS Curriculum Vitae) and cover letter to in lieu of applying through this announcement. The cover letter should specifically explain how you are qualified for this position and draw specific attention to your resume that demonstrates these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. Please send all documents in 1 PDF file. In the subject line of your e-mail please include only the Job Announcement Number. In the body of your e-mail please include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.

Agency contact information

CMS IRA



 

Email

Address

Center for Medicare


7500 Security Blvd


Woodlawn, MD 21244


US

Next steps
 

Once your online application is submitted, you will receive a confirmation notification by email. Within 30 business days of the closing date,03/29/2023, you may check your status online by logging into your USAJOBS account (). We will update your status after each key stage in the application process has been completed.

Fair & Transparent
 

The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

 
 

Posted on

Senior Business Analyst – Medicaid – Gainwell Technologies

Clipped from: https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary


As a Senior Business Analyst – Medicaid at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve – a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.


Your role in our mission


Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes.

 

  • Coordinate workstreams and teams on IT projects to align solutions with client business priorities
  • Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results
  • Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications
  • Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements
  • Support quality control as you approve and validate test results to verify that all requirements have been met

What we’re looking for


 

  • 5+ more years of experience working as a business analyst or ‘requirements translator’ between technical and non-technical personnel, with 3 or more years of Medicaid and Medicare experience preferred.
    Experience and knowledge with HCPCS and ICD procedure codes and ICD diagnosis code is a plus
  • Knowledge of Microsoft Excel advanced features such as macros and/or relational database software
  • Ability to clearly and concisely translate technical requirements to a non-technical audience
  • Skills working with business processes and re-engineering
  • Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members
  • A caring team leader who motivates and coaches less experienced resources

What you should expect in this role


 

  • Fully remote, only US location options will be considered
  • Client is in Central time zone
  • #LI-HC1
     

The pay range for this position is $63,100.00 – $90,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our and visit our for all available job role openings.


Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

Posted on

NAMD- Operations Associate

Clipped from: https://www.idealist.org/en/nonprofit-job/c0764d03c0d240d08d161688bd8c2cc2-operations-associate-national-association-of-medicaid-directors-washington?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Overview 

The National Association of Medicaid Directors (NAMD) seeks an Operations Associate to support and be part of a high-functioning, high-quality organization in terms of internal operations and member services.  

About NAMD 

NAMD is a nonpartisan, nonprofit, professional association representing leaders of state Medicaid agencies and Children’s Health Insurance Programs (CHIP) across the country. Members from the 56 states and territories drive major innovations in health care while overseeing Medicaid and CHIP, two of the nation’s most vital health care programs serving millions of beneficiaries.   

The Core Values of NAMD:  

  • Community. We are dedicated to creating a strong, connected, and inclusive fellowship of state and territorial Medicaid leaders.   
  • Non-partisanship. We are committed to advancing the work of state Medicaid leaders and the programs they manage without bias toward one political party or ideology.    
  • Independence. Our priorities and work are directed by our members.   
  • Partnership. We commit to working in partnership with federal officials and other leaders to advance the work of the association and state and territorial Medicaid leaders.    
  • Excellence. We strive for continuous improvement in our service to members, our operations and within the Medicaid and CHIP programs and commit to conducting ourselves and our work with the highest integrity.    
  • Equity. We recognize and honor the diversity of our staff, our association members and the individuals served by Medicaid and CHIP and we strive to conduct our work to ensure diversity, inclusion, and advance equity.    

Core values of the NAMD team:  

  • Mission-driven. We are united in our passion for mission-driven work to make the world a better place.  
  • Community. We are committed to being a strong, connected, and supportive team of peers.  
  • Non-partisanship. We are committed to advancing NAMD’s work with curiosity, and without bias toward one political party or ideology.   
  • Growth and Development. We invest time and attention to developing ourselves to become better people and a stronger team.  
  • Equity. We recognize and honor the diversity of our staff, our association members and the individuals served by Medicaid and CHIP and we strive to conduct our work to ensure diversity, inclusion, and advance equity.    
  • Candor. We communicate with each other with candor, and in the spirit of constructive and collective improvement.  
  • Pride. We strive for high quality in our work and commit to conducting ourselves with the highest integrity.    

Position Description 

The Operations Associate will be a key member of a small, highly collaborative team and will be responsible for supporting key aspects of the day-to-day operations. The Operations Associate will report to the Director of Operations.  

Position Responsibilities 

  1. Provide administrative support for the association: 

a. Scheduling and administrative support for the Executive Director and Deputy Executive Director 

b. Acting as a gatekeeper for external inquiries and requests  

c. Scheduling support for program directors with recurring meetings 

d. Making travel arrangements 

e. Maintaining NAMD’s master calendar  

f. Receiving and organizing information in various databases (e.g., in SharePoint/CRM, Excel) 

 
 

2. Support with core financial functions: 

a. Reviewing and processing expense reports 

b. Invoicing 

c. Processing check requests 

d. Serving as a liaison with the accounting firm  

 
 

3. Office support: 

a. Managing and ordering office supplies 

b. Serving as liaison to telecommunications support contractor (Cox Business- 

phones/Internet) 

4. Support with association meetings: 

a. Assisting with logistics and prep for association meetings 

b. Helping with hosting in-person events (e.g., set up, registration, materials distribution, etc.) 

5. Participation in NAMD core operational activities including: 

a. Attending staff meetings and professional development activities 

b. Performance management and evaluation activities 

 Minimum Qualifications  

In addition, a successful candidate will be committed to strengthening and expanding the operational excellence of NAMD. 

  • Candidates must possess an Associate’s Degree with 2 years of experience supporting senior leaders/executives in an office environment OR 4 years of related work experience (With 2 of those years in supporting senior leaders/executives in an office environment) 
  • Strong organizational skills 
  • Strong Salesforce knowledge and experience 
  • High proficiency and experience with Microsoft Office 
  • Strong verbal and written communication skills 
  • Excellent customer service and interpersonal skills with a practical, positive, service-oriented mindset  
  • Have an optimistic outlook and a flexible, innovative approach to problem-solving  
  • Ability to manage multiple projects 
  • Be a self-starter with ability to seek appropriate guidance 
  • Ability to work independently 
  • Lived experience with the Medicaid program is greatly valued by NAMD .   

General Applicant Information  

This position is located in Washington, DC. In person availability is required with the ability to telework.   

NAMD is an equal opportunity employer and is committed to attracting and retaining a diverse staff and honoring the experiences, perspectives, and unique identity of applicants.