Summary
This position is located in the Center for Medicaid and CHIP Services (CMCS), State Demonstrations Group, Centers for Medicare & Medicaid Services (CMS). As the Director of the State Demonstrations Group, you will provide executive leadership and national policy direction for Medicaid Section 1115 demonstrations, including their design, approval, financing, including budget neutrality, implementation, oversight, and evaluation.
Duties
Provides executive leadership and national strategic direction for Section 1115 demonstrations, translating Administration, HHS, and CMS priorities into national policies, strategies, and implementation approaches.
Establishes and implements national policies, standards, and procedures for Section 1115 design, review, approval, financing, budget neutrality, implementation, monitoring, renewal, and evaluation.
Leads review, negotiation, and approval of Section 1115 demonstrations and ensures fiscal integrity and budget neutrality while resolving complex legal, financing, actuarial, and programmatic issues.
Leads implementation of major Medicaid legislative mandates, translating statutory requirements into national policies and operational strategies and coordinating execution across CMS, HHS, States, and Federal partners.
Advises senior State Medicaid officials and leads Federal coordination with OMB, OGC, the CMS Chief Actuary, HHS, and other agencies to resolve complex Section 1115 policy, fiscal, financing, budget neutrality and implementation issues.
Directs governance, monitoring, evaluation, and continuous improvement for the Section 1115 portfolio, leveraging technology, data, transparency, monitoring and evaluation findings to strengthen accountability and inform national policy.
Advises senior CMS and HHS leaders and represents CMS with the Administration, Congress, States, and Federal partners while directing workforce and resources and ensuring the performance and integrity of the Section 1115 enterprise.
Identifies emerging Medicaid trends, systemic risks, and policy opportunities and directs strategic and corrective actions to achieve national program objectives, ensure Federal compliance, and safeguard Medicaid resources.
How you will be evaluated
You will be evaluated on the quality and extent of your total accomplishments, experience, and education (if applicable). Your application will be rated and ranked by a Senior Executive Service (SES) Panel, comprised of at least three SES members, using only the information required within the application package. Applicants who do not demonstrate in their application sufficient possession of the ECQs and TQs will be determined ineligible for further consideration. Once the application process is complete, a review of your resume and supporting documentation will be conducted. If you meet minimum qualifications, your Application Package will be further reviewed to determine if you possess the Executive Core Qualifications (ECQ) and Technical Qualifications (MTQ) listed above. ECQs and TQs must be thoroughly addressed within your two (2) page resume. Separate narratives will not be accepted or reviewed. Highly Qualified applicants may undergo one or more interviews and may be referred to the selecting official for further consideration. Upon selection, if not already a member of the SES serving under a career appointment, the individual selected must have his/her executive qualifications certified by the U.S. Office of Personnel Management's SES Qualifications Review Board (QRB) before appointment to this position. The selected individual's application will be forwarded to the OPM for review and certification by the QRB, unless the selectee provides evidence of their noncompetitive status (i.e., a current SES, OPM QRB certified SESCDP graduate, or SES reinstatement eligible). Upon QRB certification, the selected individual will be required to serve a one-year probationary period. For more information regarding the SES, go to https://www.opm.gov/policy-data-oversight/senior-executive-service/.