Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Financial Management, Payment Accuracy and Reporting Group (PARG). As a Health Insurance Specialist, GS-0107-13, you will serve as the primary CMS focal point for functional administration and oversight of the Comprehensive Error Rate Testing (CERT) Program, and for internal and external reporting of CMS's Medicare FFS improper payment activities.
Key Responsibilities
Provide expert policy analysis and technical guidance on the Payment Integrity Information Act (PIIA) and Medicare Fee-for-Service (FFS) improper payment measurement program, ensuring consistent interpretation of legislation, regulations, coverage policies, and billing requirements.
Guide CMS contractors and Medicare Administrative Contractors (MACs) in implementing program policies, reviewing improper payment reports and reduction strategies, and educating stakeholders on compliance and reporting requirements. Develop, implement, and evaluate program initiatives to improve operational efficiency, identify root causes of improper payments, mitigate risks, and recommend policy and procedural improvements.
Conduct special studies, comparative analyses, and program evaluations to assess payment integrity, identify emerging trends, validate analytical models, and determine the feasibility of large-scale reviews and audits. Prepare regulations, sub-regulatory guidance, briefing materials, congressional reports, and financial reporting content; advise CMS leadership, represent the agency before stakeholders, and coordinate responses to complex program inquiries.
This position is with Centers for Medicare & Medicaid Services, Department of Health and Human Services.
What is the salary for this position?
The posted pay range is $121785 – $158322/yr.
Is this position remote or telework eligible?
This position is eligible for telework.
What is the application deadline?
Applications close on 2026-11-02.
Who is eligible to apply?
This position is open under the 'Fed Transition' hiring path.
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Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-27 · Not affiliated with or endorsed by OPM or USAJOBS.gov