Cms Positions
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CMS Positions
Headquarters
Health Insurance Specialists develop, interpret and implement health care financing policy and affect the disbursement of billions of dollars each year. Among other things, they also analyze Medicare and Medicaid policies, identify trends in health care utilization, study the private health insurance industry, and participate in inspections and program evaluations.
Information Technology Specialists design and implement computer systems which aid research efforts, policy development and employee performance. They often work with other Federal and State Government agencies and outside organizations to coordinate the Medicare and Medicaid computer systems. Information technology specialists also program and analyze improvements in systems applications.
Social Science Research Analysts conduct research and test new policies and processes designed to improve program operation.
Management Analysts focus on CMSs internal operations with the goal of improving organizational effectiveness. In particular, they focus on the administrative feasibility and implementation of laws, regulations, and policies. In doing so, management analysts design information systems; institute productivity improvements; provide advice on organizational structure and work methods; and prevent fraud, waste, and abuse.
Economists at CMS research and interpret economic data related to CMS programs. They also help design, implement, and evaluate Medicare and Medicaid demonstrations as well as related quality assurance projects. Please see our detailed description below.
Actuaries use mathematics and statistics to analyze and provide cost estimates concerning the financing of Medicare, Medicaid, and related modifications to these programs. Please see our detailed description below.
Regional Offices
Health Insurance Specialists monitor and evaluate state Medicaid programs for compliance with Federal regulations. Staff provides advice about the law, regulations, and policy in such issue areas as eligibility, coverage and payment. They also monitor and evaluate the work of organizations that contract with Medicare. These employees strive to ensure compliance with provisions of the contract, the law and Federal regulations.
Survey and Certification Specialists offer technical assistance to State certification agencies. This assistance relates to Medicare and Medicaid activities that affect the delivery of health care. Survey and certification specialists also review and assess the quality