peratonReston, VA
Medicare MAC SME: FFS Policy & Ops Expert
Medicare MAC SME: FFS Policy & Ops Expert
Medicare MAC SME: FFS Policy & Ops Expert
peratonReston, VA
yesterday
Medical and Health Services ManagersSocial and Community Service ManagersPostmasters and Mail Superintendents
Other General Government SupportPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsOffices of Physicians (except Mental Health Specialists)
Apply for this 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.
Also on the board Same function, level within a rung
Level
Senior
Location
Reston, VA
Occupation
Medical and Health Services Managers
Industry
Other General Government Support
Posted
yesterday