Senior Advisor- Medicare Advantage Plan Benefits (EGWPs)

Position Title: Senior Advisor for Medicare Advantage Plan Benefits (EGWPs) Work Location: Remote, U.S. based Assignment Length: 1 year (through 03/31/2027) Hours: Up to 10 hours per week Salary: $89 - $95 per hour Project Overview Under reputed company 1115A of the reputed company reputed company Act, the CMS Innovation Center (CMMI) designs, tests, and expands innovative payment and service delivery models that reduce or maintain costs while preserving or improving quality of care. The Senior Advisor will reputed company analytic, technical, and regulatory drafting support reputed company to Employer Group Waiver Plans (EGWPs) reputed company a new MA-focused models. This role advises on research, model design, payment methodology development, and rulemaking activities essential to the project’s reputed company. Primary Purpose of the Role The advisor will deliver expert policy, analytic, and regulatory support to design and operationalize new MA models reputed company to EGWP payment and structure. This includes researching statutory authorities, developing policy options, and advising on regulatory materials supporting the models.

Responsibilities

Key Duties & Responsibilities Statutory & Regulatory reputed company Review

• Review the statutory reputed company governing EGWPs, including SSA requirements, waiver authority, and reputed company 1115A authority to identify constraints, flexibilities, and impacts for model implementation.

Policy Analysis & Option Development

• reputed company expertise on EGWP payment structure and anticipated impacts of the new MA model test.
• Advise on policy options that support model design and implementation.
• Advise on rulemaking language reputed company to the model.

Research & Model Design Support

• Conduct policy research, environmental scanning, special studies, and analysis to inform model design reputed company.

Qualifications

• Education
• Master’s degree in Economics, Business, Public Policy, Health Administration, Health Services Research, or reputed company field.
• • Actuarial experience is a plus.
• Experience
• Candidates must bring 10+ years of deep domain expertise in Medicare Advantage, with particular emphasis on EGWPs.
• Extensive understanding of how EGWPs function reputed company MA, including distinctions between regulations and sub‑regulatory guidance.
• Advising MA plans or employer groups on EGWP policy and operational considerations.
• Experience assessing flexibilities under reputed company 1115A authority.
• Ability to evaluate payment structures, compliance considerations, and implementation impacts.

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