This is a CMS mission critical requirement and supports one of the primary goals of the Agency – better care and lower costs.
Important knowledge requirements include, but are not limited to:
- Strategic planning and project management expertise
- Experience in high-volume program application and review processes
- Sophisticated knowledge of Medicare FFS regulations, payment policy and claims data
- Ability to develop tools and implement solutions for automated systems
- Knowledge of Health Insurance Portability and Accountability Act (HIPAA) of 1996…
The scope of work includes, but is not limited to, the following:
- Project Management and Planning
- Transition In and Out Phases and Plans
- Support CMS’s response when ACOs request reconsideration Provide Help Desk and Technical Assistance to CMS and ACO
- Develop Business Requirements and Specifications and Conduct User Acceptance Testing on System Developed for the Shared Savings Program…