Older Listing

Posted: December 17, 2025 (29 days ago)

This job has been posted for 2-4 weeks. Consider applying soon if interested.

Physician

Centers for Medicare & Medicaid Services

Department of Health and Human Services

Older

Location

Salary

$125,133 - $162,672

per year

Closes

January 16, 2026

GS-6 Pay Grade

Base salary range: $37,764 - $49,094

Typical requirements: 1 year specialized experience at GS-5. Bachelor's degree + some experience.

Note: Actual salary includes locality pay (15-40%+ depending on location).

Job Description

Summary

This job involves advising on Medicare health policies by reviewing medical evidence and helping shape coverage decisions for services like doctor visits and treatments.

You'll conduct studies on clinical topics and ensure policies are based on solid science.

It's ideal for an experienced doctor who enjoys blending medical expertise with policy work in government healthcare.

Key Requirements

  • Active Board Certification in a recognized medical specialty, maintained throughout employment
  • 5 years of graduate training in the relevant medical specialty or equivalent experience
  • Demonstrated experience in evidence-based medicine and clinical policy development
  • Strong skills in interpersonal relationships for consulting and advisory roles
  • Ability to conduct and recommend studies on physician services and ambulatory care
  • U.S. citizenship (implied for federal GS position)
  • Detailed resume documenting relevant paid or unpaid experience, including volunteer work

Full Job Description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Clinical Standards and Quality (CCSQ), Coverage & Analysis Group (CAG).

As a Physician, GS-0602-15, you will serve as an authoritative senior clinical advisor and consultant regarding the development, evaluation, and implmentation of a wide range of Medicare coverage policies and associated clinical and scientific issues.

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.

Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position.

Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating.

This will prevent you from receiving further consideration.

In order to qualify for the GS-15, you must meet the following: You must demonstrate in your resume 5 years of graduate training in the specialty of the position to be filled or equivalent experience and training.

Interviews: Applicants may be interviewed to assure that they possess the degree of skill in interpersonal relationships required for satisfactory performance of the duties of the position to be filled.

Substitution of Experience for Residency Training: Experience may not be substituted for residency training that is essential for the performance of specialized duties.

For example, specialists such as psychiatrists and surgeons must complete the number of years of accredited residency training required in their respective specialties.

An exception may be made when a peer panel of physicians (subject-matter experts) determines and documents that the knowledge, skills, and abilities acquired in professional medical practice are equivalent to those acquired during the same period of time in a graduate training program.

Teaching Experience: Graduate teaching experience as a member of the faculty in a school of medicine or school or public health may be credited for training positions or as appropriate for specialist positions.

(Teaching undertaken as a part of a residency or fellowship training does not satisfy this requirement).Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social).

Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.

You will receive credit for all qualifying experience, including volunteer experience.

AND Selective Placement Factor Requirement: In addition to the qualifications listed above, you must possess an active Board Certification in a recognized medical specialty, which must be maintained throughout the duration of the appointment.

(PROOF OF BOARD CERTIFICATION REQUIRED AT TIME OF APPLICATION).

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social).

Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.

You will receive credit for all qualifying experience, including volunteer experience.

Major Duties:

  • Recommend and conduct short-term and long-term studies concerning physician and ambulatory care services and other medical/clinical topics.
  • Assist in developing and modifying Medicare coverage policies by reviewing relevant evidence using evidence-based medicine principles and being accountable for developing the evidentiary and analysis sections of national coverage determinations.
  • Lead clinical advisor to multi-disciplinary teams in reviewing studies/trials related to Medicare coverage issues.
  • Serve as medical consultant to the Division Director in the development and modification of Medicare program coverage and payment policies to reflect changes in beneficiary health care needs, program objectives, and the health delivery system.
  • Provide expert clinical counsel to CMS staff and to CMS' Medicare Administrative Contractors, focusing on general health related issues pertaining to the Medicare population, and adherence to ethical and scientific standards.

Check your resume before applying to catch common mistakes

Browse Similar Jobs

Posted on USAJOBS: 12/17/2025 | Added to FreshGovJobs: 12/17/2025

Source: USAJOBS | ID: CMS-CCSQ-26-12847384-DH