Medicare MAC SME: FFS Policy & Ops Expert

peratonReston, VAyesterday

Occupations

Medical and Health Services Managers Social and Community Service Managers Postmasters and Mail Superintendents

Industries

Other General Government Support Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds Offices of Physicians (except Mental Health Specialists)

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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Level

SeniorL5

Location

Reston, VA

Occupation

Medical and Health Services Managers

Industry

Other General Government Support

Posted

yesterday

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