Director, Medicare Contractor Management Group

Full Job Description

This position is located in the Medicare Contractor Management Group (MCMG), Center for Medicare (CM), Centers for Medicare and Medicaid Services (CMS).

As the Director, Medicare Contractor Management Group, you will provide leadership and executive direction for CMS's management and oversight of the Medicare Administrative Contractors (MACs).

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Candidates will not be hired based on their race, sex, color, religion, or national origin.

To meet the minimum qualification requirements for this position, you must show that you possess the Executive Core Qualifications (ECQ) and Technical Qualifications (TQ) related to this position within your resume - NOT TO EXCEED 2 PAGES.

Resumes over the 2-page limit, will not be reviewed beyond page 2 or may be disqualified.

Your resume should include examples of experience, education, and accomplishments applicable to the qualification(s).

If your resume does not reflect demonstrated evidence of these qualifications, you may not receive consideration for the position.

There is NO requirement to prepare a narrative statement specifically addressing the Executive Core Qualifications (ECQs) or the Technical Qualifications (TQs).

TECHNICAL QUALIFICATIONS (TQs): Your resume should demonstrate accomplishments that would satisfy the technical qualifications.

TQ 1: Demonstrated executive-level ability to design and oversee enterprise-wide processes for advising senior officials and external stakeholders on intricate legal and factual matters.

TQ 2: Demonstrated knowledge and ability to develop, implement, and refine policies, strategies, and operational processes to ensure high-quality adjudication services and efficient business practices, while addressing complex regulatory and policy issues.

EXECUTIVE CORE QUALIFICATIONS (ECQs): In addition to the Technical Qualification Requirements listed above, all new entrants into the Senior Executive Service (SES) under a career appointment will be assessed for executive competency against the following five mandatory ECQs.

If your 2-page resume does not reflect demonstrated evidence of the ECQs and TQs, you may not receive further consideration for the position.

There are five ECQs: ECQ 1: Commitment to the Rule of Law and the Principles of the American Founding - This core qualification requires a demonstrated knowledge of the American system of government, commitment to uphold the Constitution and the rule of law, and commitment to serve the American people.

ECQ 2: Driving Efficiency - This core qualification involves the demonstrated ability to strategically and efficiently manage resources, budget effectively, cut wasteful spending, and pursue efficiency through process and technological upgrades.

ECQ 3: Merit and Competence - This core qualification involves the demonstrated knowledge, ability and technical competence to effectively and reliably produce work that is of exceptional quality.

ECQ 4: Leading People - This core qualification involves the demonstrated ability to lead and inspire a group toward meeting the organization's vision, mission, and goals, and to drive a high-performance, high-accountability culture.

This includes, when necessary, the ability to lead people through change and to hold individuals accountable.

ECQ 5: Achieving Results - This core qualification involves the demonstrated ability to achieve both individual and organizational results, and to align results to stated goals from superiors.

Note: If you are a member of the SES or have been certified through successful participation in an OPM approved SES Candidate Development Program (SESCDP), or have SES reinstatement eligibility, you do not need to respond to the ECQs.

Instead, you should attach proof (e.g., SF-50, Certification by OPM's SES Qualifications Review Board (QRB)) of your eligibility for noncompetitive appointment to the SES. Major Duties:

• Oversees coordination and collaboration with other CMS components, Medicare contractors, other governmental agencies, and beneficiaries to ensure that contractor operations and priorities meet agency goals and expectations.
• Provide executive oversight of Original Medicare contractor management, including program, contract, budget, and performance management for Medicare Administrative Contractors (MACs).
• Represent the Center for Medicare in negotiations and discussions with CMS leadership, the Office of the Secretary, Congress, MACs, and other federal and state agencies.
• Undertakes highly complex and sensitive assignments involving the development and implementation of contractor management operating policies and procedures.
• Provides comprehensive contractor management by implementing legislation, coordinating liaison activities, overseeing change management initiatives, and directing contracting procurement, transitions, and planning.
• Administers evaluations of contractor performance and integrity, including assessments of system security compliance.