Division Director, Policy and Evidence Review

Created at: December 04, 2025 00:03

Company: Centers for Medicare & Medicaid Services

Location: Atlanta, GA, 30301

Job Description:

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Clinical Standards and Quality (CCSQ), Coverage & Analysis Group (CAG), Division of Policy & Evidence Review (DPER). As a Supervisory Physician, referred to as Division Director, Policy and Evidence Review, GP-0602-15, you will lead a staff in preparing clinical and procedural materials to recommend action regarding Medicare coverage and services.
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration. In order to qualify for the GS-15, you must meet the following: You must demonstrate in your resume 5 years of graduate training in the specialty of the position to be filled or equivalent experience and training. Interviews: Applicants may be interviewed to assure that they possess the degree of skill in interpersonal relationships required for satisfactory performance of the duties of the position to be filled. Substitution of Experience for Residency Training: Experience may not be substituted for residency training that is essential for the performance of specialized duties. For example, specialists such as psychiatrists and surgeons must complete the number of years of accredited residency training required in their respective specialties. An exception may be made when a peer panel of physicians (subject-matter experts) determines and documents that the knowledge, skills, and abilities acquired in professional medical practice are equivalent to those acquired during the same period of time in a graduate training program. Teaching Experience: Graduate teaching experience as a member of the faculty in a school of medicine or school or public health may be credited for training positions or as appropriate for specialist positions. (Teaching undertaken as a part of a residency or fellowship training does not satisfy this requirement).Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Oversee a multi-disciplinary team of clinical and policy professionals to prepare clinical, and procedural materials in support of the decisions made using the statutory Medicare coverage process
Serve as a national medical expert and resource to HHS and CMS leadership, as well as other internal and external stakeholders, on the national coverage determinations and related coverage policies (e.g., regulations).
Act as a confidential Medical Advisor to the Center Director, CMS Chief and Deputy Chief Medical Officers and higher levels of Agency and Departmental leadership on critical decisions associated with legislative to improve coverage methodologies.
Oversee medical consultation of outside experts in the national coverage process through the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC).
Direct projects teams to ensure project management, quality management, performance, risk/issue management are integrated within the program and closely followed.


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