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Deputy Center Director (Medicaid Program Integrity)
Centers for Medicare & Medicaid Services · Posted 51 days ago
About the Role
This position is located in the Center for Program Integrity (CPI) at the Centers for Medicare & Medicaid Services (CMS). As the Deputy Center Director (Medicaid Program Integrity), you will provide executive leadership, direction and coordination for the management of a cohesive, agency-wide approach to ensuring program integrity across the Medicaid and Children's Health Insurance Program (CHIP).
What You'll Do
- →Provides executive leadership and expert knowledge for the agency as it relates to Medicaid program integrity (PI) activities.
- →Directs the identification of program vulnerabilities and actions taken to formulate and implement methodologies to strengthen program integrity efforts emerging with fraud, waste, and abuse in the Medicaid and CHIP programs.
- →Provides strategic direction and oversight for CPI's engagement with State Medicaid agencies on program integrity activities, including the review and approval of State program integrity plans and corrective action plans.
- →Directs CPI's oversight of program integrity activities within Medicaid Managed Care Organizations (MCOs), including the review of encounter data, claims data, and managed care contract compliance.
- →Oversees CPI strategic planning, as well as the establishment of performance goals and measures for CPI and its staff.
- →Provides guidance to ensure appropriate liaison and coordination with the Department, other HHS Operating Divisions, other Federal agencies and other non-Federal organizations necessary to CPI’s program integrity operations.
Personality Fit
Job ID: f443c86b-9b63-4c3c-ac02-b04f409c689b
Posted via USAJobs