Health Insurance Specialist

Job Duties

Planning, coordinating, and evaluating Medicare Administrative Contractor procurements, awards, transitions, and oversight activities to support effective administration of the Original Medicare program.

Analyzing Medicare contractor operations, policies, systems, and performance to assess compliance, identify risks and deficiencies, and recommend corrective actions and process improvements.

Developing acquisition strategies, pre-solicitation materials, Requests for Proposals, Statements of Work, technical evaluations, and related procurement documentation in collaboration with contracting and program officials.

Leading projects and providing technical guidance on Medicare contractor policy and operations by assigning work, reviewing technical products, analyzing complex issues, and presenting recommendations to management.

Serving as a liaison with CMS components, contractors, stakeholders, and other government officials to coordinate Medicare initiatives, resolve procurement and operational issues, and communicate program requirements and policy findings.