Health Policy Analyst | Centers for Medicare & Medicaid Services


At CMS, we believe that at the core of our organization are the employees that carry out the Agency’s vision of advancing health equity, expanding coverage, and improving health outcomes.


About the role:


As a Health Policy Analyst (Health Insurance Specialist on USAJOBS), you will responsibilities include the development, evaluation, and implementation of policies and operational procedures related to the Medicaid prescription drug programs and related operational issues.


What you’ll do:


  • Lead and/or conduct analyses and special studies of policy and/or operational issues and topics related to Medicaid prescription drug programs, and related operational issues.
  • Provide recommendations for improvements to the Medicaid program, operational procedures, program guidance and instructions, business and communications processes, analytical techniques, decision support capabilities, and systems.
  • Assist in the design, development and implementation of the new Medicaid Drug Program. Testing of the system.
  • Provide advice and consultation in the evaluation of proposed, modified, or new legislation and regulations to assess impact on Medicaid prescription drug programs, and other policy and/or operational areas


Experience we’re looking for:


1) Developing and/or implementing prescription drug programs, operations and/or policies in one or more of the following: Drug Payment methodologies, prescription plan rebates, and/or utilization management experience for a drug benefit.

2.) Drafting a variety of technical documents (i.e. health program policy issue and decision papers, and terms and conditions or other legal documents).


Expanded/Maximum Telework Posture: Due to COVID-19, the agency is currently in a maximum telework posture. If selected, you may be expected to telework upon your appointment. As employees are permitted to return to the office, you may be required to report to the duty station listed on this announcement, even if your home/temporary telework site is located outside the local commuting area. Your position may be eligible for workplace flexibilities which may include remote work or telework options, and/or flexible work scheduling. These flexibilities may be requested in accordance with the CMS Master Labor Agreement.


Come see why over 6,000 employees say CMS is their employer of choice! In addition to dynamic and exciting opportunities, CMS offers generous compensation and benefits programs, an outstanding work-life balance, and most important, the opportunity to give back to your community, state and country by making a difference in the lives of Americans everywhere.


You MUST apply through USAJOBS to be considered.


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