ID | 2024-2545 | Category | Healthcare | Type | Full Time |
ORAU is seeking a Fully Remote, Senior Advisor on Medicaid to work with CMMI as an ORAU employee. This exciting work will last one or more years, and the successful candidate will become a temporary employee of ORAU assigned to the Centers for Medicare and Medicaid Services Innovation (CMMI). This position is 30- 40 hours per week.
CMMI was established by Congress in 2010 to identify ways to improve healthcare quality and reduce costs in the Medicare, Medicaid, and Children's Health Insurance (CHIP) programs. Following this charge, CMMI, through its models, initiatives and Congressionally-mandated demonstrations, has accelerated the shift from a health care system that pays for volume to one that pays for value. CMMI models are also researching and testing different approaches to innovative information technology systems which are essential to supporting this value transformation.
CMMI is seeking assistance in the design and support of current research and development activities related to healthcare delivery and payment reform, in support of Section 1115A(a)(3) of the Social Security Act. Specifically, for CMMI models focused on Medicaid populations, a subject matter expert with extensive expertise in Medicaid is needed to provide CMMI staff with consultative Medicaid policy expertise during new model design and launch during calendar year 2024. This subject matter expert will also assist CMMI leadership and teams as they develop strategies to achieve multi-payer
alignment between Medicaid and Medicare, and develop strategies for effective engagement of states in the CMS Innovation Center's newest models. Additionally, this subject matter expert will use their extensive Medicaid background and experience to assist CMMI SPHG leadership in collaborating-with the Center for Medicaid & CHIP to better identify and foster best practices for cross-component alignment.
This position will provide Medicaid finance and policy expertise during the pre-implementation period of the AHEAD Model. This is to include technical expertise and innovation in Medicaid finance, especially in the construction of Medicaid hospital global budgets (HGB) and treatment of supplemental payments; provide technical assistance to states on potential legal pathways to implement Medicaid HGBs and Medicaid advanced primary care (APC) payment and care delivery models; provide guidance to states on Medicaid considerations in the construction of state all-payer cost growth benchmarking. In addition, serves as a SME for the AHEAD Model team on Medicaid issues and reviews model policy and legal documents that pertain to Medicaid program requirements or policy.
Deliverables: