Senior CMS Data/Policy SME

Senior CMS Data/Policy SME

Requirements

• 10+ years of experience in healthcare data analysis, CMS policy, or federal health programs.
• Bachelor’s degree in public policy, preferred in Health Informatics, Data Science, or related field.
• Demonstrated experience with CMS data platforms and understanding of CMS policies and programs.
• 5+ years of experience with BI tools (Power BI, Tableau, MicroStrategy, etc.).
• Proven ability to manage large, complex datasets and translate them into strategic insights.
• Candidate must reside in the US
• Candidate must have lived and worked in the US for 3 of the last 5 years
• Candidate must be able to obtain and maintain a Public Trust

Responsibilities

• Spearhead high-level discussions with CMS stakeholders and external partners to ensure alignment on program goals, data strategy, and shared objectives.
• Conduct comprehensive evaluations of CMS platforms to identify strengths, gaps, redundancies, and opportunities for improvement across data assets, workflows, and user experiences.
• Develop a comprehensive CMS data inventory that captures the full ecosystem of Medicare and Medicaid data, synthesizing insights from various sources and products to create a unified ‘big picture.’
• Create compelling, data-driven business cases that clearly articulate the value and necessity of proposed data unification and modernization initiatives.
• Guide cross-functional teams through CMS policy, regulatory, and compliance requirements to ensure alignment and adherence.
• Identify and recommend opportunities for process improvement, system integration, and innovative uses of CMS data.
• Work closely with CMS stakeholders and internal data teams to ensure alignment and successful execution of proposed data strategies.

Preferred Qualifications

• Master’s degree in public policy, Health Informatics, Data Science, or related field.