Health Insurance Specialist

1 week ago


Chicago, Illinois, United States Centers for Medicare and Medicaid Services Full time
Job Summary

We are seeking a highly skilled Health Insurance Specialist to join our team at the Centers for Medicare and Medicaid Services. As a key member of our team, you will play a critical role in ensuring the effective coordination of benefits policies and operations with Part D organizations and other secondary payers.

Key Responsibilities
  • Provide expert guidance on the development of coordination of benefits policies and procedures.
  • Conduct program-related studies and data analysis to inform program management decisions.
  • Review technical pharmacy transaction standard changes to ensure compliance with Medicare Part D program requirements.
  • Communicate technical and detailed information to stakeholders through various formats, including regulations, briefing papers, and presentations.
  • Identify potential improvements or changes for the Medicare Part D program and make recommendations for implementation.
Requirements

To be successful in this role, you must have at least one year of specialized experience equivalent to the GS-13 grade level in the Federal government. This experience should include interpreting Medicare and Prescription Part D Secondary Payer statute and regulations, reviewing technical pharmacy transactions standard changes, identifying potential improvements or changes for the Medicare Part D program, and communicating technical and detailed information to stakeholders.

What We Offer

As a Health Insurance Specialist with the Centers for Medicare and Medicaid Services, you will have the opportunity to work on a wide range of projects and initiatives that impact the lives of millions of Americans. You will be part of a dynamic team that is dedicated to improving the healthcare system and ensuring that all individuals have access to quality, affordable healthcare.

How to Apply

To be considered for this position, please submit your application package, including your resume and CMS required documents, by 11:59 PM ET on 10/07/2024. We look forward to reviewing your application and learning more about your qualifications for this exciting opportunity.



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