Director, Performance-Based Payment Policy Group

Full Job Description

This position is located in the Center of Medicare (CM), Performance-Based Payment Policy Group (PBPPG), Centers for Medicare and Medicaid Services (CMS).

As the Director, Performance-Based Payment Policy Group, you will provide executive leadership, direction, and coordination for the design, development, implementation, and administration of population performance-based payment policies, value-based care programs, and delivery system reform strategies within Original Medicare payment systems.

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 experience leading highly skilled, multidisciplinary professional staff in the development and implementation of population and performance-based payment policies, value-based care programs, and/or delivery system reform initiatives within a national or state health care program or large-scale public or private sector health care organization.

TQ 2:Demonstrated experience leading implementation of complex health care programs and/or policies to achieve improvement and/or organizational results.

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:

• Serves as principal advisor to CMS and HHS leadership on population performance-based payment policy in Original Medicare, including the Medicare Shared Savings Program (MSSP), value-based care, delivery system reform, and price transparency.
• Leads the development, implementation, and oversight of population-based payment frameworks, including MSSP, expansion Innovation Center ACO models, and price transparency requirements under Medicare Parts A and B.
• Directs national policy and operations for MSSP, including application review, benchmarking, quality reporting, shared savings determinations, compliance oversight, and program administration.
• Directs national policy and operations for price transparency, principally for hospitals, including overseeing data collection and coordinating across CMS components on compliance monitoring and enforcement activities.
• Develops regulations, sub-regulatory guidance, Federal Register documents, policy memoranda, and technical specifications to implement statutory and regulatory requirements.
• Leads data-driven policy analysis using Original Medicare data to evaluate and refine value-based payment and price transparency initiatives.
• Directs enterprise coordination across CMS, HHS, OGC, ASFR, ASPE, and Federal partners to ensure legally sound, operationally feasible, and fiscally responsible implementation.
• Represents CMS in high-profile stakeholder engagement and Congressional interactions; briefs senior leadership on program status and emerging issues.