Job Information
Serco Federal Healthcare Policy Expert in Virginia
Position Description
Serco is seekingamotivatedFederal Healthcare Policy Expert to join our talented and fast-paced PublicSector Solutions team, which supportsfederalprogramsassistingmillions of peopleseekinggovernmenthealthcoverage. This dynamic positionwill primarily workon the CMS Eligibility Support (ES) Contracttolead the development and transformation ofprogram policies and processesthat review,adjudicate, andassistconsumerin verifyinginformation to meet theirMarketplaceapplicationeligibilityrequirements.The candidate will also providepolicyand programadvisory servicesfor related programsthat mayimpactFederal Health InsuranceMarketplaceeligibility—such asMedicare,Medicaid,CHIP—as well assupportbusinessdevelopmentand growthin these areas. As such, the candidateinthis role will closely collaborate with Serco Leadership; Service Delivery, IT,Operationsand growthteams; and CMS Executivesand subject matter experts.
The candidate(s)in this position ideally brings unique combination ofsubject matterexpertisein federal healthpolicy andprogramoperations,particularlythe FederalHealth Insurance Marketplace, includingtechnical understanding of eligibility and enrollment processes to coordinate andoptimizemultiple aspects of verificationand program integrityoperations.
As a Federal Healthcare Policy Expert, you will:
Serve as health policy subject matter expert integrating knowledge of the eligibility policy totheFederal Health InsuranceMarketplaceverification program process and operations. This includes:
Support ES verification leadership and teams (business, operations, and systems teams) onprogramrequirements as policy changes or processes are improved or enhanced.
Incorporate policy changes and operationalize new or revised guidance.
Manage and/or coordinate priority projects that crosscut multiple teams and product lines to analyze business, functional, and technical requirements; draft operational plans and documentation; and develop performance analytics.
Adviseonfederal regulation and healthpolicy changes that wouldimpactFederal Health InsuranceMarketplaceeligibility and enrollment operations.
Monitorfederalbudget andhealth policy-related guidance, regulations, and legislation.
Proactively assess policiesthat may havean impact on consumersapplying for health insurance through theFederal Health InsuranceMarketplaceand provide in-depth analysis and recommendations.
Keep informed on CMS programs and latest health policy analysis, research, evaluations, and reports from government, industry, think tanks, and advocacy organizations to inform ES program operations and improvements.
Develop strategic planning and program improvements initiatives that wouldoptimizeFederal Health InsuranceMarketplace eligibility processingand enhance consumer enrollment outcomes.
Supportinternal and external audits andprocesses
Work withCMS to design, develop andconductinternalaudits ofprogrammanagement controlsandprocesses to ensure compliance with programand contract requirements.(Unrelated to health insuranceplanexperience).
Support client in external audits byextracting, reviewing,analyzingand responding to auditors and on selectedcasesreviewed.
Provide project managementbytrackingprogram audit activities paying close attention to deadlines, consistent documentation, and high-quality deliverables.
Perform liaison role delivering executive level communication and consultation to CMS and Serco.
Deliver high-level, strategic written and oral briefings to ES and Serco Leadership with clear andconcise descriptionson policy and/or program changes including options, requirements, and potential impact.
Collaboratively with CMS and Serco teams, produce high-level, well-written memos, briefs, analysis, evaluations,reportsand presentations.
Develop andmaintaineffective and efficient working relationships with the Client, interfacing with government SMEs and Serco teams.
Support PSS business development and growth.
Performs other tasks asrequiredor assigned.
Qualifications
To be successful in this role, you must have:
Bachelor’s orMaster’sdegree in public health, health administration, government or public policy, or otherappropriate advanceddegree.
Minimum five years’ experienceprovidingFederal Health InsuranceMarketplacepolicyexpertisein government or advocacy organization.
Preferred,three years ofproject managementexperience.
Additional desired qualifications:
High-level expertise in Affordable Care Actlegislative,regulatoryand sub-regulatory guidance.
Well-versed on theFederal Health InsuranceMarketplace’seligibility and enrollment processesand the operations that support verifications.
Knowledge of other federal healthcareprograms (such as Medicaid, Children’s Health Insurance Program and Medicare) and private health insurance industry.
Understandingand experienceinprogram integrityorfederal government health careprogramauditing.
Extensive knowledge of the techniques and methods of conducting policy analysis.
Demonstrated capabilities in qualitative and quantitative research,evaluationandanalysis, especiallyrelated to CMS programs.
Demonstrated good judgment, a well-developed sense of propriety, political acumen,andthe ability to think constructively.
Experience supporting business development and growth.
Ability to deal with complex and changing policy and political environment.
Strong leadership and organizational skills.
Exceptional interpersonal andclient management skills.
Excellentverbal and written communications skills.
Enjoy working infast-paced and collaborative team environment.
This position can be hybrid or full-time remote work.
If you are interested inmakingandimpactand working with a passionate team - thensubmityour application now for immediate consideration. It only takes a few minutes and could change your career!
Company Overview
Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco’s 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.
To review Serco benefits please visit: https://www.serco.com/na/careers/benefits-of-choosing-serco . If you require an accommodation with the application process please email: careers@serco-na.com or call the HR Service Desk at 800-628-6458, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email.
Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see ourApplicant Privacy Policy and Notice (https://www.serco.com/na/privacy-policy) .
Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email Agencies@serco-na.com .
Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
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ID 64125
Recruiting Location : Location US-VA-
Category Other
Position Type Full-Time
Security Clearance None
Telework Yes - May Consider Full Time Teleworking for this position