Health Insurance Specialist (Data Analysis & Studies)

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare Plan Payment Group (MPPG), Division of Payment Reconciliation (DPR). As a Health Insurance Specialist, referred here as a Health Insurance Specialist (Data Analysis & Studies), GS-0107-13, you will perform data analysis and lead studies and projects related to Medicare programs.

Design, plan, and conducts complex data analyses and studies supporting Medicare Part D operations/policy and Part C enrollment and encounter data operations/policy/

Validate and interpret program data; identifies trends, disparities, data-quality issues, and operational risks; and develops technically sound recommendations.

Research and analyze policy issues, laws, regulations, and program requirements and evaluates operational and data implications.

Lead cross-functional project to improve data quality, business practices, operational requirements, reporting, and program performance.

Prepare reports, metrics, briefings, presentations, and recommendations and work with stakeholders to resolve complex program and data issues.