Medicare MAC SME: FFS Policy & Ops Expert
peratonReston, VA
Medicare MAC SME: FFS Policy & Ops Expert
peratonReston, VA
yesterday
Occupations
Medical and Health Services ManagersSocial and Community Service ManagersPostmasters and Mail SuperintendentsIndustries
Other General Government SupportPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsOffices of Physicians (except Mental Health Specialists)About the role
Peraton in Reston, VA seeks a Senior SME specializing in Medicare Administrative Contractors (MACs) to support CMS operations within the Medicare FFS ecosystem. You will be the authoritative resource on MAC functions, regulations, and CMS interfaces.
Responsibilities include advising on MAC claims processing, enrollment, appeals, medical review, and coverage determinations; guiding teams on MAC relationships with RACs, UPICs, and QIOs; and ensuring compliance with CMS procurement guidance.
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JOB OVERVIEW
Experience level
Senior
Location
Reston, VA
Occupation
Medical and Health Services Managers
Industry
Other General Government Support
Posted
yesterday
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