CMS Job Openings – Lead Health Insurance Specialist

Website Centers for Medicare & Medicaid Service

Job Description:

As a Lead Health Insurance Specialist, GS-0107-14, you will serve as a Team Lead in the detection and deterrence of all Medicare and secondary focal point for Medicaid fraud and abuse related activities in the Southern region.

Job Responsibilities:

  • Conduct investigations resulting from the discovery of situations that potentially involve fraud, waste or abuse.
  • Lead in the development, implementation, and maintenance of the Center’s program integrity (PI) initiatives.
  • Provide project direction and technical direction to analysts while working with the Supplemental Medical Review Contractor (SMRC).
  • Lead the development and presentation of fraud awareness programs for CMS and law enforcement staff.

Job Requirements:

  • You will be subject to a background and suitability investigation.
  • Time-in-Grade restrictions apply.
  • You must be a U.S. Citizen or National to apply for this position.

Job Details:

Company: Centers for Medicare & Medicaid Service

Vacancy Type:  Full Time

Job Location: Miami, FL, US

Application Deadline: N/A

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